Details

Autor(en) / Beteiligte

• Abraham, Jean M.
• Crespin, Daniel J.
• McCullough, Jeffrey S.
• Christianson, Jon B.

Titel

What Is the Cost of Quality for Diabetes Care?

Ist Teil von

• Medical care research and review, 2014-12, Vol.71 (6), p.580-598

Ort / Verlag

Los Angeles, CA: SAGE Publications

Erscheinungsjahr

2014

Quelle

Applied Social Sciences Index & Abstracts (ASSIA)

Beschreibungen/Notizen

• Increasing the quality of care and reducing cost growth are core objectives of numerous private- and public-sector performance improvement initiatives. Using a unique panel data set for a commercially insured population and multivariate regression analysis, this study examines the relationship between medical care spending and diabetes-related quality measures, including provider-initiated processes of care and patient-dependent quality activities. Empirical evidence generated from this analysis of the relationship between a comprehensive set of diabetes quality measures and diabetes-related spending does not lend support for the assumption that high-quality preventive and primary care combined with effective patient self-management can lead to lower costs in the near term. Finally, we find no relationship between adjusted spending and intermediate clinical outcomes (e.g., HbA1c level) measured at the clinic level.