Background: In a previous article using population-level data, an a priori number-needed-to-decrease (NND) analysis was conducted to determine if there is potential opportunity in a given population for a disease management program to achieve financial effectiveness. Critics of that study have...

Background: In the US, diabetes mellitus affects people in all racial and ethnic groups, but the prevalence and risk of complications are considerably higher among African Americans, Hispanics, American Indians, and Alaskan Natives. This study aimed to evaluate the impact of enrollment for at...

Background: Limited evidence exists on the impact of nurse practitioner-managed diabetes mellitus care coordination programs in the primary care setting and specifically on the use of telehealth to manage veterans with diabetes in the home. Objective: To compare the impact of nurse...

Objectives: To develop and psychometrically evaluate a domain-specific questionnaire to assess subtle but clinically relevant differences in treatment experiences and satisfaction over a wide range of currently available insulin therapy regimens. The study focussed on patients with type 2...

Background: Over 180 million people have been diagnosed with diabetes mellitus worldwide, with this number expected to more than double by 2030. Due to the increasing mortality and morbidity associated with this epidemic, the improved primary-care management of diabetes during routine office...

Background: Preference-based measures of health (PBMH) provide 'preference' or 'utility' weights that enable the calculation of QALYs for the economic evaluations of interventions. The Diabetes Utility Index (DUI) was developed as a brief, self-administered, diabetes mellitus-specific PBMH that...

In this article, we provide a practical and systematic framework to evaluate the cost effectiveness of health plans Research data indicate that cost effectiveness varies by clinical domain. Blood pressure control, use of aspirin, and influenza and pneumococcal immunizations are cost saving in...

Objective: To assess the psychometric performance of the National Eye Institute 25-item Visual Function Questionnaire (NEI VFQ-25) in Turkish diabetic retinopathy patients. Methods: Health-related quality of life was measured in a sample of 60 patients with diabetic retinopathy using both a...

Disease management initiatives are becoming increasingly popular in the US as a way for managed-care plans to care for their members with chronic conditions. Diabetes is one of the most expensive chronic conditions, both in terms of human lives and actual healthcare costs. Managed-care plans are...