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  • Title: A disease management programme for patients with diabetes mellitus is associated with improved quality of care within existing budgets.
    Author: Steuten LM, Vrijhoef HJ, Landewé-Cleuren S, Schaper N, Van Merode GG, Spreeuwenberg C.
    Journal: Diabet Med; 2007 Oct; 24(10):1112-20. PubMed ID: 17672862.
    Abstract:
    AIM: To assess the impact of a disease management programme for patients with diabetes mellitus (Type 1 and Type 2) on cost-effectiveness, quality of life and patient self-management. By organizing care in accordance with the principles of disease management, it is aimed to increase quality of care within existing budgets. METHODS: Single-group, pre-post design with 2-year follow-up in 473 patients. RESULTS: Substantial significant improvements in glycaemic control, health-related quality of life (HRQL) and patient self-management were found. No significant changes were detected in total costs of care. The probability that the disease management programme is cost-effective compared with usual care amounts to 74%, expressed in an average saving of 117 per additional life year at 5% improved HRQL. CONCLUSION: Introduction of a disease management programme for patients with diabetes is associated with improved intermediate outcomes within existing budgets. Further research should focus on long-term cost-effectiveness, including diabetic complications and mortality, in a controlled setting or by using decision-analytic modelling techniques.
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