NDLI: Group-based trajectory analysis identifies varying diabetes-related cost trajectories among type 2 diabetes patients in Texas: an empirical study using commercial insurance

Content Provider	Springer Nature : BioMed Central
Author	Han, Gang Spencer, Matthew Scott Ahn, SangNam Smith, Matthew Lee Zhong, Lixian Andreyeva, Elena Carpenter, Keri Towne, Samuel D. Preston, Veronica Averhart Ory, Marcia G.
Abstract	Background The trend of Type 2 diabetes-related costs over 4 years could be classified into different groups. Patient demographics, clinical factors (e.g., A1C, short- and long-term complications), and rurality could be associated with different trends of cost. Study objectives are to: (1) understand the trajectories of cost in different groups; (2) investigate the relationship between cost and key factors in each cost trajectory group; and (3) assess significant factors associated with different cost trajectories. Methods Commercial claims data in Texas from 2016 to 2019 were provided by a large commercial insurer and were analyzed using group-based trajectory analysis, longitudinal analysis of cost, and logistic regression analyses of different trends of cost. Results Five groups of distinct trends of Type 2 diabetes-related cost were identified. Close to 20% of patients had an increasing cost trend over the 4 years. High A1C values, diabetes complications, and other comorbidities were significantly associated with higher Type 2 diabetes costs and higher chances of increasing trend over time. Rurality was significantly associated with higher chances of increasing trend over time. Conclusions Group-based trajectory analysis revealed distinct patient groups with increased cost and stable cost at low, medium, and high levels in the 4-year period. The significant associations found between the trend of cost and A1C, complications, and rurality have important policy and program implications for potentially improving health outcomes and constraining healthcare costs.
Related Links	https://bmchealthservres.biomedcentral.com/counter/pdf/10.1186/s12913-023-10118-1.pdf
Ending Page	12
Page Count	12
Starting Page	1
File Format	HTM / HTML
ISSN	14726963
DOI	10.1186/s12913-023-10118-1
Journal	BMC Health Services Research
Issue Number	1
Volume Number	23
Language	English
Publisher	BioMed Central
Publisher Date	2023-10-18
Access Restriction	Open
Subject Keyword	Public Health Health Administration Health Informatics Nursing Research Type 2 Diabetes related cost Group-based trajectory analysis Multivariable logistic regression models Diabetes self-management education and support
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Pharmacy-based screening to detect persons at elevated risk of type 2 diabetes: a cost-utility analysis

Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis

The cost-effectiveness of hospital-based telephone coaching for people with type 2 diabetes: a 10 year modelling analysis

Type 2 diabetes mellitus in Bangladesh: a prevalence based cost-of-illness study

Applying a private sector capitation model to the management of type 2 diabetes in the South African public sector: a cost-effectiveness analysis

Risk assessment of type 2 diabetes in northern China based on the logistic regression model.

A qualitative study exploring the barriers to attending structured education programmes among adults with type 2 diabetes

Medical insurance-related professionals’ identification of the benefits of the medical insurance system in Northeast China: a cross-sectional study

Disability insurance benefit application in Switzerland: an analysis of linked administrative and survey data

Group-based trajectory analysis identifies varying diabetes-related cost trajectories among type 2 diabetes patients in Texas: an empirical study using commercial insurance

Similar Documents

Pharmacy-based screening to detect persons at elevated risk of type 2 diabetes: a cost-utility analysis

Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis

The cost-effectiveness of hospital-based telephone coaching for people with type 2 diabetes: a 10 year modelling analysis

Type 2 diabetes mellitus in Bangladesh: a prevalence based cost-of-illness study

Applying a private sector capitation model to the management of type 2 diabetes in the South African public sector: a cost-effectiveness analysis

Risk assessment of type 2 diabetes in northern China based on the logistic regression model.

A qualitative study exploring the barriers to attending structured education programmes among adults with type 2 diabetes

Medical insurance-related professionals’ identification of the benefits of the medical insurance system in Northeast China: a cross-sectional study

Disability insurance benefit application in Switzerland: an analysis of linked administrative and survey data

Group-based trajectory analysis identifies varying diabetes-related cost trajectories among type 2 diabetes patients in Texas: an empirical study using commercial insurance