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Impact of a chronic disease self-management program on healthcare utilization in eastern Ontario, Canada

This study aims to examine patients' patterns of health care utilization before and after participation in a Chronic Disease Self-Management Program (CDSMP). We conducted a pre-post study using health care administrative data from 186 individuals in the Ottawa region who participated in our CDS...

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Autores principales: Liddy, Clare, Johnston, Sharon, Guilcher, Sara, Irving, Hannah, Hogel, Matthew, Jaglal, Susan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721386/
https://www.ncbi.nlm.nih.gov/pubmed/26844122
http://dx.doi.org/10.1016/j.pmedr.2015.07.001
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author Liddy, Clare
Johnston, Sharon
Guilcher, Sara
Irving, Hannah
Hogel, Matthew
Jaglal, Susan
author_facet Liddy, Clare
Johnston, Sharon
Guilcher, Sara
Irving, Hannah
Hogel, Matthew
Jaglal, Susan
author_sort Liddy, Clare
collection PubMed
description This study aims to examine patients' patterns of health care utilization before and after participation in a Chronic Disease Self-Management Program (CDSMP). We conducted a pre-post study using health care administrative data from 186 individuals in the Ottawa region who participated in our CDSMP between September 2009 and January 2011. We collected the number of general practitioner/specialist visits, planned/unplanned emergency department visits, and hospitalizations, measured 6 months and 1 year before and after participation in the CDSMP. Multivariate analysis was performed to identify associations between patient characteristics and pre-post CDSMP health care utilization. CDSMP participation showed no effect on number of physician visits, hospitalizations, or emergency department visits. Individuals with > 5 chronic conditions were more likely to visit a physician and the emergency department following the CDSMP than those with 1 chronic condition. Among individuals > 61 years of age, those with the marital status widowed were more likely to visit their physician and the emergency department following the CDSMP than married individuals. To conclude, the CDSMP appeared not to decrease health care utilization. Low baseline utilization rates, short-term follow-ups, and a relatively healthy patient population may have contributed to the program's low impact.
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spelling pubmed-47213862016-02-03 Impact of a chronic disease self-management program on healthcare utilization in eastern Ontario, Canada Liddy, Clare Johnston, Sharon Guilcher, Sara Irving, Hannah Hogel, Matthew Jaglal, Susan Prev Med Rep Regular Article This study aims to examine patients' patterns of health care utilization before and after participation in a Chronic Disease Self-Management Program (CDSMP). We conducted a pre-post study using health care administrative data from 186 individuals in the Ottawa region who participated in our CDSMP between September 2009 and January 2011. We collected the number of general practitioner/specialist visits, planned/unplanned emergency department visits, and hospitalizations, measured 6 months and 1 year before and after participation in the CDSMP. Multivariate analysis was performed to identify associations between patient characteristics and pre-post CDSMP health care utilization. CDSMP participation showed no effect on number of physician visits, hospitalizations, or emergency department visits. Individuals with > 5 chronic conditions were more likely to visit a physician and the emergency department following the CDSMP than those with 1 chronic condition. Among individuals > 61 years of age, those with the marital status widowed were more likely to visit their physician and the emergency department following the CDSMP than married individuals. To conclude, the CDSMP appeared not to decrease health care utilization. Low baseline utilization rates, short-term follow-ups, and a relatively healthy patient population may have contributed to the program's low impact. Elsevier 2015-07-18 /pmc/articles/PMC4721386/ /pubmed/26844122 http://dx.doi.org/10.1016/j.pmedr.2015.07.001 Text en © 2015 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Regular Article
Liddy, Clare
Johnston, Sharon
Guilcher, Sara
Irving, Hannah
Hogel, Matthew
Jaglal, Susan
Impact of a chronic disease self-management program on healthcare utilization in eastern Ontario, Canada
title Impact of a chronic disease self-management program on healthcare utilization in eastern Ontario, Canada
title_full Impact of a chronic disease self-management program on healthcare utilization in eastern Ontario, Canada
title_fullStr Impact of a chronic disease self-management program on healthcare utilization in eastern Ontario, Canada
title_full_unstemmed Impact of a chronic disease self-management program on healthcare utilization in eastern Ontario, Canada
title_short Impact of a chronic disease self-management program on healthcare utilization in eastern Ontario, Canada
title_sort impact of a chronic disease self-management program on healthcare utilization in eastern ontario, canada
topic Regular Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4721386/
https://www.ncbi.nlm.nih.gov/pubmed/26844122
http://dx.doi.org/10.1016/j.pmedr.2015.07.001
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