TY - JOUR
T1 - The impact of chronic disease self-management programs
T2 - Healthcare savings through a community-based intervention
AU - Ahn, Sangnam
AU - Basu, Rashmita
AU - Smith, Matthew Lee
AU - Jiang, Luohua
AU - Lorig, Kate
AU - Whitelaw, Nancy
AU - Ory, Marcia G.
N1 - Funding Information:
We recognize grant support from the Administration on Aging through American Recovery and Reinvestment Act funding for the Chronic Disease Self-Management Program. This work was supported by the National Council on Aging (NCOA) through contracts to Texas A&M Health Science Center (Principal Investigator: Marcia Ory) and Stanford University (Principal Investigator: Kate Lorig). Nancy Whitelaw served as the NCOA Principal Investigator. We thank the 22 delivery sites and the participants who enrolled in the National Study of Chronic Disease Self-Management Program from 2010–2011. Diana Laurent, Audrey Alonis, Maurice Green, Eileen Bradley, Angela Devlin, and Phillip Ritter from Stanford Patient Education Research Center assisted in the data collection and management. Additionally, funding was made possible (in part) from the Centers for Disease Control and Prevention cooperative agreements to Prevention Research Centers Programs in support of the Healthy Aging Research Network (1U48/DP001924). We also acknowledge support from NIH (1RC4AG038183-01) for funding of the Community Research Center on Senior Health.
PY - 2013/12/6
Y1 - 2013/12/6
N2 - Background: Among the most studied evidence-based programs, the Chronic Disease Self-Management Program (CDSMP) has been shown to help participants improve their health behaviors, health outcomes, and reduce healthcare utilization. However, there is a lack of information on how CDSMP, when nationally disseminated, impacts healthcare utilization and averts healthcare costs. The purposes of this study were to: 1) document reductions in healthcare utilization among national CDSMP participants; 2) calculate potential cost savings associated with emergency room (ER) visits and hospitalizations; and 3) extrapolate the cost savings estimation to the American adults. Methods. The national study of CDSMP surveyed 1,170 community-dwelling CDSMP participants at baseline, 6 months, and 12 months from 22 organizations in 17 states. The procedure used to estimate potential cost savings included: 1) examining the pattern of healthcare utilization among CDSMP participants from self-reported healthcare utilization assessed at baseline, 6 months, and 12 months; 2) calculating age-adjusted average costs for persons using the 2010 Medical Expenditure Panel Survey; 3) calculating costs saved from reductions in healthcare utilization; 4) estimating per participant program costs; 5) computing potential cost savings by deducting program costs from estimated healthcare savings; and 6) extrapolating savings to national populations using Census data combined with national health statistics. Results: Findings from analyses showed significant reductions in ER visits (5%) at both the 6-month and 12-month assessments as well as hospitalizations (3%) at 6 months among national CDSMP participants. This equates to potential net savings of $364 per participant and a national savings of $3.3 billion if 5% of adults with one or more chronic conditions were reached. Conclusions: Findings emphasize the value of public health tertiary prevention interventions and the need for policies to support widespread adoption of CDSMP.
AB - Background: Among the most studied evidence-based programs, the Chronic Disease Self-Management Program (CDSMP) has been shown to help participants improve their health behaviors, health outcomes, and reduce healthcare utilization. However, there is a lack of information on how CDSMP, when nationally disseminated, impacts healthcare utilization and averts healthcare costs. The purposes of this study were to: 1) document reductions in healthcare utilization among national CDSMP participants; 2) calculate potential cost savings associated with emergency room (ER) visits and hospitalizations; and 3) extrapolate the cost savings estimation to the American adults. Methods. The national study of CDSMP surveyed 1,170 community-dwelling CDSMP participants at baseline, 6 months, and 12 months from 22 organizations in 17 states. The procedure used to estimate potential cost savings included: 1) examining the pattern of healthcare utilization among CDSMP participants from self-reported healthcare utilization assessed at baseline, 6 months, and 12 months; 2) calculating age-adjusted average costs for persons using the 2010 Medical Expenditure Panel Survey; 3) calculating costs saved from reductions in healthcare utilization; 4) estimating per participant program costs; 5) computing potential cost savings by deducting program costs from estimated healthcare savings; and 6) extrapolating savings to national populations using Census data combined with national health statistics. Results: Findings from analyses showed significant reductions in ER visits (5%) at both the 6-month and 12-month assessments as well as hospitalizations (3%) at 6 months among national CDSMP participants. This equates to potential net savings of $364 per participant and a national savings of $3.3 billion if 5% of adults with one or more chronic conditions were reached. Conclusions: Findings emphasize the value of public health tertiary prevention interventions and the need for policies to support widespread adoption of CDSMP.
KW - Chronic disease self-management program
KW - Healthcare cost savings
KW - Healthcare utilization
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U2 - 10.1186/1471-2458-13-1141
DO - 10.1186/1471-2458-13-1141
M3 - Article
C2 - 24314032
AN - SCOPUS:84889052157
VL - 13
JO - BMC Public Health
JF - BMC Public Health
SN - 1471-2458
IS - 1
M1 - 1141
ER -