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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Nutritionist visits, diabetes classes, and hospitalization rates and charges - The Urban Diabetes Study
Diabetes care, v 31(4), pp 655-660
01 Apr 2008
PMCID: PMC2423227
PMID: 18184894
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVE - We evaluated the association of different types of educational visits for diabetic patients of the eight Philadelphia Health Care Centers (PHCCs) (public safety-net primary care Clinics), with hospital admission rates and charges reported to the Pennsylvania Health Care Cost Containment Council.
RESEARCH DESIGN AND METHODS - The study population included 18,404 patients who had a PHCC visit with a diabetes diagnosis recorded between I March 1993 and 31 December 2001 and had at least 1 month follow-up time.
RESULTS - A total of 31,657 hospitalizations were recorded for 7,839 (42.6%) patients in the cohort. After adjustment for demographic variables, baseline comorbid conditions, hospitalizations before the diabetes diagnosis, and number of other primary care visits, having had any type of educational visit was associated with 9.18 (95% Cl 5.02-13.33) fewer hospitalizations per 100 person-years and $11,571 ($6,377 to $16,765) less in hospital charges per person. Each nutritionist visit was associated with 4.70 (2.23-7.16) fewer hospitalizations per 100 personyears and a $6,503 ($3,421 to $9,586) reduction in total hospital charges.
CONCLUSIONS - Any type of educational visit was associated with lower hospitalization rates and charges. Nutritionist visits were more strongly associated with reduced hospitalizations than diabetes classes. Each nutritionist visit was associated with a substantial reduction in hospital charges, suggesting that providing these services in the primary care setting may be highly cost-effective for the health care system.
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Details
- Title
- Nutritionist visits, diabetes classes, and hospitalization rates and charges - The Urban Diabetes Study
- Creators
- Jessica M. Robbins - Philadelphia Department of Public HealthGail E. Thatcher - Oldham CouncilDavid A. Webb - Drexel UniversityVivian G. Valdmanis - Philadelphia University
- Publication Details
- Diabetes care, v 31(4), pp 655-660
- Publisher
- Amer Diabetes Assoc
- Number of pages
- 6
- Grant note
- R21 DK064201-01; R21DK064201; R21 DK064201-02; R21 DK064201 / NIDDK NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) R21DK064201 / NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Dana and David Dornsife School of Public Health
- Web of Science ID
- WOS:000254591900005
- Scopus ID
- 2-s2.0-48649094826
- Other Identifier
- 991019168213504721
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Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Endocrinology & Metabolism