title: Computer simulated cost effectiveness of care management strategies on reduction of long-term sequelae in patients with non-insulin dependent diabetes mellitus.
abstract: Systems dynamics and computer "microworlds" offer a window on the long-term benefit of investing in aggressive care management for patients with non-insulin dependent diabetes mellitus. This article describes how clinicians, planners, payment specialists, and patients collaborated to make the business case for aggressive management of this disease.
authors.affiliation: Fletcher Allen Health Care, Burlington, VT, USA.
authors.forename: D
authors.initials: D
authors.lastname: Demers
authors.forename: N
authors.initials: N
authors.lastname: Clark
authors.forename: G
authors.initials: G
authors.lastname: Tolzmann
authors.forename: C
authors.initials: C
authors.lastname: MacLean
authors.forename: K
authors.initials: K
authors.lastname: Benedini
authors.forename: P
authors.initials: P
authors.lastname: Farnham
authors.forename: A
authors.initials: A
authors.lastname: Plant-DeHayes
authors.forename: P
authors.initials: P
authors.lastname: Nagy
mesh_terms: D001786:Blood Glucose / Q000032:analysis; D003198:Computer Simulation; D003363:Cost Control / Q000379:methods; D003362:Cost-Benefit Analysis; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000191:economics* / Q000453:epidemiology / Q000628:therapy*; D019468:Disease Management; D006801:Humans; D017059:Models, Econometric; D017063:Outcome Assessment, Health Care; D010347:Patient Care Planning; D014707:Vermont / Q000453:epidemiology