Managed care's clinical and economic impact on patients with type II diabetes in France: a controlled population-based study. - CNRS - Centre national de la recherche scientifique Accéder directement au contenu
Article Dans Une Revue International Journal of Health Care Quality Assurance Année : 2008

Managed care's clinical and economic impact on patients with type II diabetes in France: a controlled population-based study.

Laurent Boyer
Patrice François
  • Fonction : Auteur
  • PersonId : 949962
Magali Fourny
  • Fonction : Auteur
Céline Ohrond
  • Fonction : Auteur
Charles Chanut
  • Fonction : Auteur
José Labarère
  • Fonction : Auteur
  • PersonId : 945776
Pascal Auquier
  • Fonction : Auteur
  • PersonId : 860193

Résumé

PURPOSE: The purpose of this paper is to assess the impact of five type II diabetes managed care programmes (MCPs) in clinical and economic terms at the community level in which these programmes function in the Provence-Alpes-Côte d'Azur region of France. DESIGN/METHODOLOGY/APPROACH: A prospective, controlled, before-and-after study (2001-2004) compared diabetic patients who lived in departments (localities) with (the experimental group) and without a MCP (the control group). Quality of care was estimated by the conformity of health care professionals' practices when following-up type II diabetes. Costs are compared from a health service perspective. FINDINGS: The study finds that of 626 patients enrolled, 529 lived in departments with an MCP and 97 patients in departments without. Type II diabetes follow-up globally improved between the two study periods (2001 and 2004), but the study did not show significant differences between the two groups, except for the proportion of creatinine and ophthalmologic examinations, which were higher for the control group. The study did not find significant differences in the increase of costs between the two groups from 2001 to 2004. RESEARCH LIMITATIONS/IMPLICATIONS: This type of study could constitute a methodological model to assess the MCPs population impact. PRACTICAL IMPLICATIONS: MCPs probably did not reach a critical size in terms of patient recruitment and healthcare professional adhesion to have a significant impact at a population level. ORIGINALITY/VALUE: The study highlights a number of points to consider for future MCPs in France.
Fichier non déposé

Dates et versions

hal-00382567 , version 1 (08-05-2009)

Identifiants

  • HAL Id : hal-00382567 , version 1
  • PUBMED : 18578214

Citer

Laurent Boyer, Patrice François, Magali Fourny, Céline Ohrond, Charles Chanut, et al.. Managed care's clinical and economic impact on patients with type II diabetes in France: a controlled population-based study.. International Journal of Health Care Quality Assurance, 2008, 21 (3), pp.297-307. ⟨hal-00382567⟩
1107 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More