2007
DOI: 10.1111/j.1475-6773.2007.00701.x
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Cost‐Effectiveness of Diabetes Case Management for Low‐Income Populations

Abstract: Objective. To evaluate the cost-effectiveness of Project Dulce, a culturally specific diabetes case management and self-management training program, in four cohorts defined by insurance status. Data Sources/Study Setting. Clinical and cost data on 3,893 persons with diabetes participating in Project Dulce were used as inputs into a diabetes simulation model. Study Design. The Center for Outcomes Research Diabetes Model, a published, peer-reviewed and validated simulation model of diabetes, was used to evaluate… Show more

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Cited by 74 publications
(97 citation statements)
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“…30 This suggests that an intervention provided earlier in life has a high potential to provide long-term health gains and may B r i d g e s t o e x c e l l e n c e additionally positively affect employment productivity and translate into positive role modeling and lifestyle modifications within the family unit. Additionally, these types of program interventions may have a more significant effect on populations that have previously lacked access to quality care than on their insured, higher-income counterparts.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…30 This suggests that an intervention provided earlier in life has a high potential to provide long-term health gains and may B r i d g e s t o e x c e l l e n c e additionally positively affect employment productivity and translate into positive role modeling and lifestyle modifications within the family unit. Additionally, these types of program interventions may have a more significant effect on populations that have previously lacked access to quality care than on their insured, higher-income counterparts.…”
Section: Discussionmentioning
confidence: 99%
“…[27][28][29][30][31][32][33][34] The results of these studies are presented below. As the United States continues to seek methods to deliver higher quality medical care at lower costs, the concepts tested with Project Dulce in a real-world environment may prove particularly valuable.…”
mentioning
confidence: 99%
“…The main driver of these costs was the size of the cooperative agreement allocated to the demonstration's operations, compounded with the use of very expensive HTUs. (Gilmer et al, 2007). In sum, the results are clear: the IDEATel program cannot be cost neutral, given its large costs and the complete absence of any savings in traditional Medicare costs for hospitalizations and other covered services.…”
Section: Summary Of Findingsmentioning
confidence: 97%
“…Research demonstrates that DSM education and support improve diabetes self-management and reduce devastating complications, hospitalizations, and healthcare costs [6][7][8][9][10][11]. Currently, resources are available for DSME and DSMS within the healthcare setting including dietitians, diabetes educators, nurses, pharmacists, peer community health workers, psychologists, physical activity specialists, and others.…”
Section: Diabetes Currently Affects Approximately 26 Millionmentioning
confidence: 99%