Assessing the value of diabetes education
Abstract
PURPOSE: The purpose of this study was to evaluate the impact of diabetes self-management education/training (DSME/T) on financial outcomes (cost of patient care). METHODS: Commercial and Medicare claims payer-derived datasets were used to assess whether patients who participate in diabetes education are more likely to follow recommendations for care than similar patients who do not participate in diabetes education, and if claims of patients who participate in diabetes education are lower than those of similar patients who do not. RESULTS: Patients using diabetes education have lower average costs than patients who do not use diabetes education. Physicians exhibit high variation in their referral rates to diabetes education. CONCLUSIONS: The collaboration between diabetes educators and physicians yields positive clinical quality and cost savings. The analysis indicates that quality can be improved, and cost reduced, by increasing referral rates to diabetes education among low-referring physicians, specifically among men and people in disadvantaged areas. More needs to be done to inform physicians about ways to increase access to diabetes education for underserved populations.
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Diabetes self-management education and support is associated with increased use of primary care and preventive services.
“DSMES is associated with an increased use of primary care and preventive services (27,30,31) and less frequent use of acute care and inpatient hospital services (22).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [31]
People with diabetes who participate in diabetes self-management education and support are more likely to follow best practice treatment recommendations, particularly those with Medicare.
“People with diabetes who participate in DSMES are more likely to follow best practice treatment recommendations, particularly those with Medicare, and have lower Medicare and insurance claim costs (28,31).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [31]
People with diabetes who participate in diabetes self-management education and support have lower Medicare and insurance claim costs.
“People with diabetes who participate in DSMES are more likely to follow best practice treatment recommendations, particularly those with Medicare, and have lower Medicare and insurance claim costs (28,31).”
From 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes:<i>Standards of Care in Diabetes—2023</i> (2023) · cites this paper as [31]
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Standards of medical care in diabetes—2014
American Diabetes Association (2014) · Diabetes Care · doi:10.2337/dc14-s014 · Cited by 4,572 · see citing works
Standards of medical care in diabetes—2013
American Diabetes Association (2013) · Diabetes Care · doi:10.2337/dc13-s011 · Cited by 4,369 · see citing works
Standards of medical care in diabetes 2010
American Diabetes Association (2010) · Diabetes Care · doi:10.2337/dc10-s011 · Cited by 3,470 · see citing works
Standards of medical care in diabetes—2011
American Diabetes Association (2011) · Diabetes Care · doi:10.2337/dc11-s011 · Cited by 2,880 · see citing works
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- Authors
- Duncan, I., Birkmeyer, C., Coughlin, S., Li, Q., Sherr, D., & Boren, S.
- Affiliations
- Solucia Consulting, Hartford, Connecticut, iduncan@soluciaconsulting.com
- Solucia Consulting, Hartford, Connecticut
- American Association of Diabetes Educators (US)
- University of Missouri (US)
- Venue
- The Diabetes Educator
- Publisher
- SAGE Publications
- Published
- 2009-09
- Volume
- 35
- Issue
- 5
- Pages
- 752-760
- ISSN
- 0145-7217 (ISSN-L)
- 1554-6063
- OpenAlex
- W2137403512
- Cited by
- 170
- References
- 12
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 5 · 2023: 4 · 2022: 6 · 2021: 17 · 2020: 5 · 2019: 12 · 2018: 13 · 2017: 13 · 2016: 16 · 2015: 17 · 2014: 17 · 2013: 10 · 2012: 6
- FWCI
- 7.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Science of Diabetes Self-Management and Care (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes self-management education, diabetes education, health care costs, referral rates, physician referral, quality of care, underserved populations, Medicare claims data, commercial claims data
- MeSH terms
- Data Collection, Diabetes Mellitus, Patient Care, Medicare, Humans, Longitudinal Studies, Patient Education as Topic, Reimbursement Mechanisms, Self Care, Telephone, United States, Cost Savings, Health Care Costs
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