Computer simulated cost effectiveness of care management strategies on reduction of long-term sequelae in patients with non-insulin dependent diabetes mellitus.
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.
Demers
D
D
Fletcher Allen Health Care, Burlington, VT, USA.
Clark
N
N
Tolzmann
G
G
MacLean
C
C
Benedini
K
K
Farnham
P
P
Plant-DeHayes
A
A
Nagy
P
P
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