Jutkowitz Eric, Nyman John A, Michaud Tzeyu L, Abraham Jean M, Dowd Bryan
From the Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis.
J Occup Environ Med. 2015 Feb;57(2):117-23. doi: 10.1097/JOM.0000000000000385.
We examined the impact of a disease management (DM) program offered at the University of Minnesota for those with various chronic diseases.
Differences-in-differences regression equations were estimated to determine the effect of DM participation by chronic condition on expenditures, absenteeism, hospitalizations, and avoidable hospitalizations.
Disease management reduced health care expenditures for individuals with asthma, cardiovascular disease, congestive heart failure, depression, musculoskeletal problems, low back pain, and migraines. Disease management reduced hospitalizations for those same conditions except for congestive heart failure and reduced avoidable hospitalizations for individuals with asthma, depression, and low back pain. Disease management did not have any effect for individuals with diabetes, arthritis, or osteoporosis, nor did DM have any effect on absenteeism.
Employers should focus on those conditions that generate savings when purchasing DM programs.
This study suggests that the University of Minnesota's DM program reduces hospitalizations for individuals with asthma, cardiovascular disease, depression, musculoskeletal problems, low back pain, and migraines. The program also reduced avoidable hospitalizations for individuals with asthma, depression, and low back pain.
我们研究了明尼苏达大学为患有各种慢性病的人群提供的疾病管理（DM）项目的影响。
估计差分回归方程，以确定慢性病患者参与疾病管理对支出、旷工、住院和可避免住院的影响。
疾病管理降低了哮喘、心血管疾病、充血性心力衰竭、抑郁症、肌肉骨骼问题、腰痛和偏头痛患者的医疗保健支出。疾病管理减少了除充血性心力衰竭外上述相同病症的住院次数，并减少了哮喘、抑郁症和腰痛患者的可避免住院次数。疾病管理对糖尿病、关节炎或骨质疏松症患者没有任何影响，对旷工也没有任何影响。
雇主在购买疾病管理项目时应关注那些能产生节约效果的病症。
本研究表明，明尼苏达大学的疾病管理项目减少了哮喘、心血管疾病、抑郁症、肌肉骨骼问题、腰痛和偏头痛患者的住院次数。该项目还减少了哮喘、抑郁症和腰痛患者的可避免住院次数。
