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The impact of chronic disease self-management programs: healthcare savings through a community-based intervention
BACKGROUND: Among the most studied evidence-based programs, the Chronic Disease Self-Management Program (CDSMP) has been shown to help participants improve their health behaviors, health outcomes, and reduce healthcare utilization. However, there is a lack of information on how CDSMP, when nationall...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878965/ https://www.ncbi.nlm.nih.gov/pubmed/24314032 http://dx.doi.org/10.1186/1471-2458-13-1141 |
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author | Ahn, SangNam Basu, Rashmita Smith, Matthew Lee Jiang, Luohua Lorig, Kate Whitelaw, Nancy Ory, Marcia G |
author_facet | Ahn, SangNam Basu, Rashmita Smith, Matthew Lee Jiang, Luohua Lorig, Kate Whitelaw, Nancy Ory, Marcia G |
author_sort | Ahn, SangNam |
collection | PubMed |
description | BACKGROUND: Among the most studied evidence-based programs, the Chronic Disease Self-Management Program (CDSMP) has been shown to help participants improve their health behaviors, health outcomes, and reduce healthcare utilization. However, there is a lack of information on how CDSMP, when nationally disseminated, impacts healthcare utilization and averts healthcare costs. The purposes of this study were to: 1) document reductions in healthcare utilization among national CDSMP participants; 2) calculate potential cost savings associated with emergency room (ER) visits and hospitalizations; and 3) extrapolate the cost savings estimation to the American adults. METHODS: The national study of CDSMP surveyed 1,170 community-dwelling CDSMP participants at baseline, 6 months, and 12 months from 22 organizations in 17 states. The procedure used to estimate potential cost savings included: 1) examining the pattern of healthcare utilization among CDSMP participants from self-reported healthcare utilization assessed at baseline, 6 months, and 12 months; 2) calculating age-adjusted average costs for persons using the 2010 Medical Expenditure Panel Survey; 3) calculating costs saved from reductions in healthcare utilization; 4) estimating per participant program costs; 5) computing potential cost savings by deducting program costs from estimated healthcare savings; and 6) extrapolating savings to national populations using Census data combined with national health statistics. RESULTS: Findings from analyses showed significant reductions in ER visits (5%) at both the 6-month and 12-month assessments as well as hospitalizations (3%) at 6 months among national CDSMP participants. This equates to potential net savings of $364 per participant and a national savings of $3.3 billion if 5% of adults with one or more chronic conditions were reached. CONCLUSIONS: Findings emphasize the value of public health tertiary prevention interventions and the need for policies to support widespread adoption of CDSMP. |
format | Online Article Text |
id | pubmed-3878965 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-38789652014-01-03 The impact of chronic disease self-management programs: healthcare savings through a community-based intervention Ahn, SangNam Basu, Rashmita Smith, Matthew Lee Jiang, Luohua Lorig, Kate Whitelaw, Nancy Ory, Marcia G BMC Public Health Research Article BACKGROUND: Among the most studied evidence-based programs, the Chronic Disease Self-Management Program (CDSMP) has been shown to help participants improve their health behaviors, health outcomes, and reduce healthcare utilization. However, there is a lack of information on how CDSMP, when nationally disseminated, impacts healthcare utilization and averts healthcare costs. The purposes of this study were to: 1) document reductions in healthcare utilization among national CDSMP participants; 2) calculate potential cost savings associated with emergency room (ER) visits and hospitalizations; and 3) extrapolate the cost savings estimation to the American adults. METHODS: The national study of CDSMP surveyed 1,170 community-dwelling CDSMP participants at baseline, 6 months, and 12 months from 22 organizations in 17 states. The procedure used to estimate potential cost savings included: 1) examining the pattern of healthcare utilization among CDSMP participants from self-reported healthcare utilization assessed at baseline, 6 months, and 12 months; 2) calculating age-adjusted average costs for persons using the 2010 Medical Expenditure Panel Survey; 3) calculating costs saved from reductions in healthcare utilization; 4) estimating per participant program costs; 5) computing potential cost savings by deducting program costs from estimated healthcare savings; and 6) extrapolating savings to national populations using Census data combined with national health statistics. RESULTS: Findings from analyses showed significant reductions in ER visits (5%) at both the 6-month and 12-month assessments as well as hospitalizations (3%) at 6 months among national CDSMP participants. This equates to potential net savings of $364 per participant and a national savings of $3.3 billion if 5% of adults with one or more chronic conditions were reached. CONCLUSIONS: Findings emphasize the value of public health tertiary prevention interventions and the need for policies to support widespread adoption of CDSMP. BioMed Central 2013-12-06 /pmc/articles/PMC3878965/ /pubmed/24314032 http://dx.doi.org/10.1186/1471-2458-13-1141 Text en Copyright © 2013 Ahn et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Ahn, SangNam Basu, Rashmita Smith, Matthew Lee Jiang, Luohua Lorig, Kate Whitelaw, Nancy Ory, Marcia G The impact of chronic disease self-management programs: healthcare savings through a community-based intervention |
title | The impact of chronic disease self-management programs: healthcare savings through a community-based intervention |
title_full | The impact of chronic disease self-management programs: healthcare savings through a community-based intervention |
title_fullStr | The impact of chronic disease self-management programs: healthcare savings through a community-based intervention |
title_full_unstemmed | The impact of chronic disease self-management programs: healthcare savings through a community-based intervention |
title_short | The impact of chronic disease self-management programs: healthcare savings through a community-based intervention |
title_sort | impact of chronic disease self-management programs: healthcare savings through a community-based intervention |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3878965/ https://www.ncbi.nlm.nih.gov/pubmed/24314032 http://dx.doi.org/10.1186/1471-2458-13-1141 |
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