Quality of diabetes follow-up care and hospital admissions
Tóm tắt
Diabetes may lead to severe complications. For this reason, disease prevention and improvement of medical follow-up represent major public health issues. The aim of this study was to measure the impact of adherence to French follow-up guidelines on hospitalization of people with diabetes. We used insurance claims data from the years 2010 to 2013 collected for 52,027 people aged over 18, affiliated to a French social security provider and treated for diabetes. We estimated panel data models to explore the association between adherence to guidelines and different measures of hospitalization, controlling for socioeconomic characteristics, diabetes treatment and density of medical supply. The results show that adherence to four guidelines was associated with a significant decrease in hospital admissions, up to approximatively 30% for patients monitored for a complete lipid profile or microalbuminuria during the year. In addition, our analyses confirmed the strong protective effect of income and a significant positive correlation with good supply of hospital care. In conclusion, good adherence to French diabetes guidelines seems to be in line with the prevention of health events, notably complications, that could necessitate hospitalization.
Tài liệu tham khảo
Anderson, M., Dobkin, C., & Gross, T. (2012). The effect of health insurance coverage on the use of medical services. American Economic Journal: Economic Policy, 4, 1–27.
Assogba, F. A. G., Penfornis, F., Detournay, B., Lecomte, P., Bourdel-Marchasson, I., Druet, C., et al. (2013). Facteurs associés à l’hospitalisation des personnes diabétiques adultes en France. Entred 2007. Bulletin Épidémiologique Hebdomadaire, 37–38, 454–63.
Bhattacharyya, S. K., & Else, B. A. (1999). Medical costs of managed care in patients with type 2 diabetes mellitus. Clinical Therapy, 21, 2131–42.
Bottle, A., Millett, C., Xie, Y., Saxena, S., Wachter, R., & Majeed, A. (2008). Quality of primary care and hospital admissions for diabetes mellitus in England. Journal of Ambulatory Care Management, 31, 226–38.
Chen, J. Y., Tian, H., Taira, J. D., Hodges, K. A., Brand, J. C., Chung, R. S., et al. (2010). The effect of a PPO pay-for-performance program on patients with diabetes. The American Journal of Managed Care, 16, e11–e19.
Chevreul, K., Brigham, K. B., & Bouché, C. (2014). The burden and treatment of diabetes in France. Globalization and Health, 10, 6.
Chevreul, K., Durand-Zaleski, I., Bahrami, S., Hernández-Quevedo, C., & Mladovsky, P. (2010). France: Health system review. Health Systems in Transition, 12(6), 1–291.
Clarke, P., Leal, J., Kelman, C., Smith, M., & Colagiuri, S. (2008). Estimating the cost of complications of diabetes in Australia using administrative health-care data. Value Health, 11, 199–206.
Clemens, J., & Gottlieb, J. D. (2014). Do physicians’ financial incentives affect medical treatment and patient health? American Economic Review, 104, 1320–1349.
Downing, A., Rudge, G., Cheng, Y., Tu, Y. K., Keen, J., & Gilthorpe, M. S. (2007). Do the UK government’s new quality and outcomes framework (QOF) scores adequately measure primary care performance? A cross-sectional survey of routine healthcare data. BMC Health Services Research, 7, 166.
Dusheiko, M., Doran, T., Gravelle, H., Fullwood, C., & Roland, M. (2011). Does higher quality of diabetes management in family practice reduce unplanned hospital admissions? Health Services Research, 46, 27–46.
Eco-Santé. (2015). Accessed May 18, 2015, from http://www.ecosante.fr/.
Epstein, A. M., Stern, R. S., & Weissman, J. S. (1990). Do the poor cost more? A multihospital study of patients’ socioeconomic status and use of hospital resources. New England Journal of Medicine, 322, 1122–8.
Fiorentini, G., Iezzi, E., Lippi Bruni, M., & Ugolini, C. (2011). Incentives in primary care and their impact on potentially avoidable hospital admissions. European Journal of Health Economics, 12, 297–309.
Harrison, M. J., Dusheiko, M., Sutton, M., Gravelle, H., Doran, T., & Roland, M. (2014). Effect of a national primary care pay for performance scheme on emergency hospital admissions for ambulatory care sensitive conditions: Controlled longitudinal study. BMJ, 346, g6423.
Heaton, P. C., Tundia, N. L., & Luder, H. R. (2013). U.S. emergency department visits resulting from poor medication adherence: 2005–07. Journal of the American Pharmacists Association, 53, 513–9.
Iezzi, E., Lippi Bruni, M., & Ugolini, C. (2014). The role of GP’s compensation schemes in diabetes care: Evidence from panel data. Journal of Health Economics, 34, 104–120.
INSEE. (2013). Accessed December 17, 2013, from http://www.insee.fr/.
Jones, A. M. (2000). Health econometrics. In A. J. Culyer & J. P. Newhouse (Eds.), Handbook of health economics. Amsterdam: Elsevier.
Kaestner, R., & Lo Sasso, A. (2014). Does seeing the doctor more often keep you out of the hospital? Journal of Health Economics, 39, 259–72.
Kantarevic, J., & Kralj, B. (2013). Link between pay for performance incentives and physician payment mechanisms: Evidence from the diabetes management incentive in Ontario. Health Economics, 22, 1417–39.
Khalid, J. M., Raluy-Callado, M., Curtis, B. H., Boye, K. S., Maguire, A., & Reaney, M. (2013). Rates and risk of hospitalisation among patients with type 2 diabetes: Retrospective cohort study using the UK General Practice Research Database linked to English Hospital Episode Statistics. The International Journal of Clinical Practice, 68, 40–8.
Kusnik-Joinville, O., Weill, A., Ricci, P., Ricordeau, P., & Allemand, H. (2009). Motifs et caractéristiques des hospitalisations en 2007 des personnes traitées pour diabète en France. Diabetes & Metabolism, 35(S1), A18.
Lee, T., Cheng, S., Chen, C., & Lai, M. (2010). A pay-for-performance program for diabetes care in Taiwan: A preliminary assessment. American Journal of Managed Care, 16, 65–69.
Lippi Bruni, M., Nobilio, L., & Ugolini, C. (2009). Economic incentives in general practice: The impact of pay for participation and pay for compliance programs on diabetes care. Health Policy, 90, 140–8.
Malcolm, J. C., Liddy, C., Rowan, M., Maranger, J., Keely, E., Harrison, C., et al. (2008). Transition of patients with type 2 diabetes from specialist to primary care: A survey of primary care physicians on the usefulness of tools for transition. Canadian Journal of Diabetes, 32, 37–45.
McCall, D. T., Sauaia, A., Hamman, R. F., Reusch, J. E., & Barton, P. (2004). Are low-income elderly patients at risk for poor diabetes care? Diabetes Care, 27, 1060–5.
Nay, O., Béjean, S., Benamouzig, D., Bergeron, H., Castel, P., & Ventelou, B. (2016). Achieving universal health coverage in France: Policy reforms and the challenge of inequalities. The Lancet, 387, 2236–49.
Newhouse, J. (1993). Free for all? Lessons from the RAND Health Insurance Experiment. Cambridge, MA: Harvard University Press.
Ricci, P., Chantry, M., Detournay, B., Poutignat, N., Kusnik-Joinville, O., Raimond, V., et al. (2009). Coûts des soins remboursés par l’Assurance maladie aux personnes traitées pour diabète: Études Entred 2001 et 2007. Bulletin Épidémiologique Hebdomadaire, 42–43, 464–9.
Rodwin, V. G. (2003). The health care system under French national health insurance: Lessons for health reform in the United States. American Journal of Public Health., 93, 31–7.
Saxena, S., George, J., Barber, J., Fitzpatrick, J., & Majeed, A. (2006). Association of population and practice factors with potentially avoidable admission rates for chronic diseases in London: Cross sectional analysis. Journal of the Royal Society of Medicine, 99, 81–9.
Scott, A., Schurer, S., Jensen, P. H., & Sivey, P. (2009). The effects of an incentive program on quality of care in diabetes management. Health Economics, 18, 1091–1108.
Sundmacher, L., & Kopetsch, T. (2015). The impact of office-based care on hospitalizations for ambulatory care sensitive conditions. European Journal of Health Economics, 16, 365–375.