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Association between non-pharmacological therapy and healthcare use and expenditure of patients with diabetes mellitus

This study explored the sociodemographic and clinical characteristics of patients with diabetes who incorporated two non-pharmacological therapies into their lifestyle and the association between non-pharmacological therapy and healthcare utilization and expenditure. In the USA, 26.4 million people...

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Autor principal: Alfaifi, Abdullah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336783/
https://www.ncbi.nlm.nih.gov/pubmed/37448845
http://dx.doi.org/10.1016/j.jsps.2023.06.018
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author Alfaifi, Abdullah
author_facet Alfaifi, Abdullah
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description This study explored the sociodemographic and clinical characteristics of patients with diabetes who incorporated two non-pharmacological therapies into their lifestyle and the association between non-pharmacological therapy and healthcare utilization and expenditure. In the USA, 26.4 million people were reportedly diagnosed with diabetes and treated with diet modification or physical activity in the 2019 Medical Expenditure Panel Survey. Physical activity was defined as moderate-to-vigorous physical exercise five times per week, whereas dietary modification involved healthy eating that reduced glucose levels. Only 4.8 million patients with diabetes did not integrate any non-pharmacological intervention into their therapy regimen. Those who did not include non-pharmacological interventions had higher annual total healthcare expenditures (M = $18,428) than those who incorporated either single (M = $17,058) or dual intervention (M = $15,134). A significant difference was observed in prescribed medicine utilization per year for those who did not include lifestyle modifications or non-pharmacological interventions. Propensity score-matched participants revealed significant differences in hospital stays, outpatient visits, and emergency department expenditures. Patients with diabetes who adhered to two non-pharmacological interventions showed significantly lower healthcare utilization. Being active and following a healthy diet can help prevent the progression of diabetes mellitus complications and reduce the cost associated with diabetes.
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spelling pubmed-103367832023-07-13 Association between non-pharmacological therapy and healthcare use and expenditure of patients with diabetes mellitus Alfaifi, Abdullah Saudi Pharm J Original Article This study explored the sociodemographic and clinical characteristics of patients with diabetes who incorporated two non-pharmacological therapies into their lifestyle and the association between non-pharmacological therapy and healthcare utilization and expenditure. In the USA, 26.4 million people were reportedly diagnosed with diabetes and treated with diet modification or physical activity in the 2019 Medical Expenditure Panel Survey. Physical activity was defined as moderate-to-vigorous physical exercise five times per week, whereas dietary modification involved healthy eating that reduced glucose levels. Only 4.8 million patients with diabetes did not integrate any non-pharmacological intervention into their therapy regimen. Those who did not include non-pharmacological interventions had higher annual total healthcare expenditures (M = $18,428) than those who incorporated either single (M = $17,058) or dual intervention (M = $15,134). A significant difference was observed in prescribed medicine utilization per year for those who did not include lifestyle modifications or non-pharmacological interventions. Propensity score-matched participants revealed significant differences in hospital stays, outpatient visits, and emergency department expenditures. Patients with diabetes who adhered to two non-pharmacological interventions showed significantly lower healthcare utilization. Being active and following a healthy diet can help prevent the progression of diabetes mellitus complications and reduce the cost associated with diabetes. Elsevier 2023-08 2023-06-24 /pmc/articles/PMC10336783/ /pubmed/37448845 http://dx.doi.org/10.1016/j.jsps.2023.06.018 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Article
Alfaifi, Abdullah
Association between non-pharmacological therapy and healthcare use and expenditure of patients with diabetes mellitus
title Association between non-pharmacological therapy and healthcare use and expenditure of patients with diabetes mellitus
title_full Association between non-pharmacological therapy and healthcare use and expenditure of patients with diabetes mellitus
title_fullStr Association between non-pharmacological therapy and healthcare use and expenditure of patients with diabetes mellitus
title_full_unstemmed Association between non-pharmacological therapy and healthcare use and expenditure of patients with diabetes mellitus
title_short Association between non-pharmacological therapy and healthcare use and expenditure of patients with diabetes mellitus
title_sort association between non-pharmacological therapy and healthcare use and expenditure of patients with diabetes mellitus
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10336783/
https://www.ncbi.nlm.nih.gov/pubmed/37448845
http://dx.doi.org/10.1016/j.jsps.2023.06.018
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