Diabetes disease management results in Hispanic Medicaid patients.
OBJECTIVE
To investigate outcomes of a telephonic nursing disease management program for Medicaid patients with diabetes residing in Puerto Rico.


METHODS
A 12-month, matched-cohort study.


METHODS
Four hundred and ninety (490) intervention group members matched to 490 controls.


METHODS
Disease management diabetes program. For those in the intervention group, the disease management program customized a self-management intervention plan.


METHODS
Medical service utilization, including hospitalizations, emergency department visits, physician evaluation and management visits, selected clinical indicators, and financial impact.


RESULTS
The intervention group showed significant effects compared with the control group, including a 48% reduction in inpatient bed days, and a 23% increase in ACE inhibitor use, resulting in a return on investment estimate of 3.8:1.


CONCLUSIONS
The study demonstrates that a nursing disease management program for diabetes can significantly improve hospitalizations, drug compliance, and vaccinations in a Hispanic Medicaid population.
Berg
Gregory D
GD
Research & Outcomes at McKesson Health Solutions, 335 Interlocken Parkway, Broomfield, CO 80021, USA. greg.berg@mckesson.com
Wadhwa
Sandeep
S
D000293:Adolescent; D000328:Adult; D003920:Diabetes Mellitus / Q000451:nursing*; D019468:Disease Management; D005260:Female; D006302:Health Services Research; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008484:Medicaid; D008875:Middle Aged; D012648:Self Care; D017216:Telemedicine; D014481:United States; D055815:Young Adult