PMID- 30577787
OWN - NLM
STAT- MEDLINE
DCOM- 20190219
LR  - 20200225
IS  - 1472-6963 (Electronic)
IS  - 1472-6963 (Linking)
VI  - 18
IP  - 1
DP  - 2018 Dec 22
TI  - Implementation of the Chronic Disease Care System and its association with health 
      care costs and continuity of care in Korean adults with type 2 diabetes mellitus.
PG  - 991
LID - 10.1186/s12913-018-3806-2 [doi]
LID - 991
AB  - BACKGROUND: The Chronic Disease Care System (CDCS) has been implemented in Korea 
      to encourage treatment continuity in chronic disease patients. This study 
      investigated the effect of the introduction of the CDCS on health care costs and 
      continuity of care in individuals with type 2 diabetes mellitus (T2DM). METHODS: 
      The National Health Insurance data from August, 2010 to March, 2012 (pre-policy) 
      and from May, 2012 to December, 2013 (post-policy) were used. Introduction of the 
      CDCS was defined as the intervention. The intervention group consisted of T2DM 
      patients participating in the program and the control group patients not 
      participating in the program. The Difference-in-Differences (DID) method was used 
      to estimate the differences in total health care costs for outpatient services 
      and continuity of care between the intervention and the control group before and 
      after the intervention period. RESULTS: Implementation of the CDCS was associated 
      with decreased health care costs (beta = - 46,877 Korean Won, P < 0.0001) and 
      improved continuity of care (beta = 0.0536, P < 0.0001) in the intervention group 
      with adjustment for covariates. CONCLUSION: Findings confirm an association 
      between the adoption of the CDCS and reduced health care costs and improved 
      continuity of care. The results reveal the potential benefits of reinforcing 
      effective chronic disease management strategies in reducing health care costs and 
      improving treatment continuity.
FAU - Kim, Woorim
AU  - Kim W
AD  - Department of Public Health, Graduate School, Yonsei University, Seoul, Republic 
      of Korea.
AD  - Institute of Health Services Research, Yonsei University, Seoul, Republic of 
      Korea.
FAU - Choy, Yoon Soo
AU  - Choy YS
AD  - Department of Public Health, Graduate School, Yonsei University, Seoul, Republic 
      of Korea.
AD  - Institute of Health Services Research, Yonsei University, Seoul, Republic of 
      Korea.
FAU - Lee, Sang Ah
AU  - Lee SA
AD  - Department of Public Health, Graduate School, Yonsei University, Seoul, Republic 
      of Korea.
AD  - Institute of Health Services Research, Yonsei University, Seoul, Republic of 
      Korea.
FAU - Park, Eun-Cheol
AU  - Park EC
AUID- ORCID: 0000-0002-2306-5398
AD  - Institute of Health Services Research, Yonsei University, Seoul, Republic of 
      Korea. ECPARK@yuhs.ac.
AD  - Department of Preventive Medicine, Yonsei University College of Medicine, 50 
      Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Republic of Korea. ECPARK@yuhs.ac.
LA  - eng
PT  - Journal Article
DEP - 20181222
PL  - England
TA  - BMC Health Serv Res
JT  - BMC health services research
JID - 101088677
SB  - IM
MH  - Adult
MH  - Ambulatory Care/economics/organization & administration
MH  - Chronic Disease
MH  - Continuity of Patient Care/*economics/organization & administration
MH  - Diabetes Mellitus, Type 2/*economics/therapy
MH  - Female
MH  - Health Care Costs
MH  - Humans
MH  - Long-Term Care/economics
MH  - Male
MH  - Middle Aged
MH  - National Health Programs/economics
MH  - Republic of Korea
MH  - Young Adult
PMC - PMC6303987
OTO - NOTNLM
OT  - Chronic disease
OT  - Chronic disease care system
OT  - Continuity of care
OT  - Health care costs
OT  - Primary health care
OT  - Treatment continuity
COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: The NHI data are secondary data and 
      does not contain any private information. As the obtained data were anonymized 
      and de-identified prior to analysis, the study protocol was not subjected to 
      review by the ethics committee. This study follows the operational principles of 
      the Declaration of Helsinki. CONSENT FOR PUBLICATION: All authors give consent to 
      publish this article. COMPETING INTERESTS: None to declare. PUBLISHER'S NOTE: 
      Springer Nature remains neutral with regard to jurisdictional claims in published 
      maps and institutional affiliations.
EDAT- 2018/12/24 06:00
MHDA- 2019/03/21 06:00
PMCR- 2018/12/22
CRDT- 2018/12/23 06:00
PHST- 2018/07/09 00:00 [received]
PHST- 2018/12/11 00:00 [accepted]
PHST- 2018/12/23 06:00 [entrez]
PHST- 2018/12/24 06:00 [pubmed]
PHST- 2019/03/21 06:00 [medline]
PHST- 2018/12/22 00:00 [pmc-release]
AID - 10.1186/s12913-018-3806-2 [pii]
AID - 3806 [pii]
AID - 10.1186/s12913-018-3806-2 [doi]
PST - epublish
SO  - BMC Health Serv Res. 2018 Dec 22;18(1):991. doi: 10.1186/s12913-018-3806-2.