Abstract:
OBJECTIVES:To investigate outcomes of a telephonic nursing disease management program for Medicaid patients with diabetes residing in Puerto Rico. STUDY DESIGN:A 12-month, matched-cohort study. STUDY POPULATION:Four hundred and ninety (490) intervention group members matched to 490 controls. INTERVENTION:Disease management diabetes program. For those in the intervention group, the disease management program customized a self-management intervention plan. MAIN OUTCOME MEASURES:Medical service utilization, including hospitalizations, emergency department visits, physician evaluation and management visits, selected clinical indicators, and financial impact. RESULTS:The intervention group showed significant effects compared with the control group, including a 48% reduction in inpatient bed days, and a 23% increase in ACE inhibitor use, resulting in a return on investment estimate of 3.8:1. CONCLUSIONS:The study demonstrates that a nursing disease management program for diabetes can significantly improve hospitalizations, drug compliance, and vaccinations in a Hispanic Medicaid population.
journal_name
J Health Care Poor Underservedjournal_title
Journal of health care for the poor and underservedauthors
Berg GD,Wadhwa Sdoi
10.1353/hpu.0.0131subject
Has Abstractpub_date
2009-05-01 00:00:00pages
432-43issue
2eissn
1049-2089issn
1548-6869pii
S1548686909200106journal_volume
20pub_type
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