ArticleBMC health services research2018
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.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Continuity of care and risk of vision loss in patients with newly developed macular degeneration.Acta ophthalmologica · 2026Article
- Continuity of Care and Risks of Hospitalization and Mortality in COPD: A Nationwide Cohort Study.International journal of chronic obstructive pulmonary disease · 2026Article
- Exploring patient and provider perspectives on outpatient care and the family practice model at a university hospital in Ghana.PloS one · 2026Article
- The effect of behavioral therapy on dysphagia of acute ischemic stroke patients feeding with a nasogastric tube.PloS one · 2024Observational
- Trends in the Quality of Primary Care and Acute Care in Korea From 2008 to 2020: A Cross-sectional Study.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023Article
- The Effect of Chronic Disease Management Program on the Risk of Complications in Patients With Hypertension in Korea.Journal of Korean medical science · 2022Article
- Impact of continuity of care on risk for major osteoporotic fracture in patients with new onset rheumatoid arthritis.Scientific reports · 2022Article
- Article
- Chronic Disease Management for People With Hypertension.International journal of public health · 2022Article
- Status and Influential Factors of Intelligent Healthcare in Nursing Homes in China.Computers, informatics, nursing : CIN · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe 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).
methodsThe 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.
resultsImplementation of the CDCS was associated with decreased health care costs (β = - 46,877 Korean Won, P < 0.0001) and improved continuity of care (β = 0.0536, P < 0.0001) in the intervention group with adjustment for covariates.
conclusionFindings 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.
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