Division of Health Systems Management and Policy, School of Public Health, The University of Memphis , Memphis, TN , USA ; Department of Health Promotion and Community Health Sciences, Texas A&M University Health Science Center, School of Public Health , College Station, TX , USA.
Department of Health Promotion and Behavior, College of Public Health, The University of Georgia , Athens, GA , USA.
Front Public Health. 2015 Apr 27;3:42. doi: 10.3389/fpubh.2015.00042. eCollection 2015.
Chronic disease self-management education (CDSME) programs have been delivered to more than 100,000 older Americans with chronic conditions. As one of the Stanford suite of evidence-based CDSME programs, the chronic disease self-management program (CDSMP) has been disseminated in diverse populations and settings. The objective of this paper is to introduce a practical, universally applicable tool to assist program administrators and decision makers plan implementation efforts and make the case for continued program delivery. This tool was developed utilizing data from a recent National Study of CDSMP to estimate national savings associated with program participation. Potential annual healthcare savings per CDSMP participant were calculated based on averted emergency room visits and hospitalizations. While national data can be utilized to estimate cost savings, the tool has built-in features allowing users to tailor calculations based on their site-specific data. Building upon the National Study of CDSMP's documented potential savings of $3.3 billion in healthcare costs by reaching 5% of adults with one or more chronic conditions, two heuristic case examples were also explored based on different population projections. The case examples show how a small county and large metropolitan city were not only able to estimate healthcare savings ($38,803 for the small county; $732,290 for the large metropolitan city) for their existing participant populations but also to project significant healthcare savings if they plan to reach higher proportions of middle-aged and older adults. Having a tool to demonstrate the monetary value of CDSMP can contribute to the ongoing dissemination and sustainability of such community-based interventions. Next steps will be creating a user-friendly, internet-based version of Healthcare Cost Savings Estimator Tool: CDSMP, followed by broadening the tool to consider cost savings for other evidence-based programs.
慢性病自我管理教育 (CDSME) 计划已经为超过 10 万名患有慢性病的美国老年人提供了服务。作为斯坦福循证 CDSME 计划套件之一，慢性病自我管理计划 (CDSMP) 已经在不同的人群和环境中得到了传播。本文的目的是介绍一种实用的、普遍适用的工具，以帮助计划管理人员和决策者规划实施工作，并为继续提供计划提供依据。该工具是利用最近一项 CDSMP 全国性研究的数据开发的，用于估计与计划参与相关的全国性储蓄。根据避免急诊和住院治疗的情况，计算每个 CDSMP 参与者的潜在年度医疗保健节省额。虽然可以利用全国数据来估计成本节约，但该工具具有内置功能，允许用户根据其特定地点的数据调整计算。基于 CDSMP 全国性研究记录的潜在节省 33 亿美元的成本效益，该研究通过覆盖 5%患有一种或多种慢性病的成年人实现，本研究还探讨了两个基于不同人口预测的启发式案例示例。这些案例表明，一个小县和一个大都市区不仅能够估计其现有参与者群体的医疗保健节省额（小县为 38803 美元；大都市区为 732290 美元），而且如果计划覆盖更多的中年和老年人，还能够预测显著的医疗保健节省额。拥有一个展示 CDSMP 货币价值的工具，可以促进这种基于社区的干预措施的持续传播和可持续性。下一步将创建一个易于使用的基于互联网的医疗保健成本节约估算工具：CDSMP，然后扩大该工具的范围，以考虑其他循证计划的成本节约。
