Evidence map›Paper›PMID 38741196›Full record

ArticleHealth research policy and systems2024

The TransFORmation of IndiGEnous PrimAry HEAlthcare Delivery (FORGE AHEAD): economic analysis.

Aleksandra Stanimirovic, Troy Francis, Susan Webster-Bogaert, Stewart Harris, Valeria Rac, LIONESS study group

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Article in Health research policy and systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Aleksandra StanimirovicProgram for Health System and Technology Evaluation, Toronto General Hospital Research Institute, University Health Network, 10th Floor, Eaton North, 200 Elizabeth Street, Toronto, ON, M5G 2C4, Canada. aleksandra.stanimirovic@theta.utoronto.ca.ORCID http://orcid.org/0009-0000-8066-8876
Troy FrancisProgram for Health System and Technology Evaluation, Toronto General Hospital Research Institute, University Health Network, 10th Floor, Eaton North, 200 Elizabeth Street, Toronto, ON, M5G 2C4, Canada.
Susan Webster-BogaertCentre for Studies in Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Stewart HarrisCentre for Studies in Family Medicine, Schulich School of Medicine and Dentistry, Western University, London, ON, Canada.
Valeria RacProgram for Health System and Technology Evaluation, Toronto General Hospital Research Institute, University Health Network, 10th Floor, Eaton North, 200 Elizabeth Street, Toronto, ON, M5G 2C4, Canada.
LIONESS study group

Funding

CIHR #MCO 117675CIHR #PME-133824CIHR RFN #297910
6 · The paper itself

Abstract

backgroundIndigenous populations have increased risk of developing diabetes and experience poorer treatment outcomes than the general population. The FORGE AHEAD program partnered with First Nations communities across Canada to improve access to resources by developing community-driven primary healthcare models.

methodsThis was an economic assessment of FORGE AHEAD using a payer perspective. Costs of diabetes management and complications during the 18-month intervention were compared to the costs prior to intervention implementation. Cost-effectiveness of the program assessed incremental differences in cost and number of resources utilization events (pre and post). Primary outcome was all-cause hospitalizations. Secondary outcomes were specialist visits, clinic visits and community resource use. Data were obtained from a diabetes registry and published literature. Costs are expressed in 2023 Can$.

resultsStudy population was ~ 60.5 years old; 57.2% female; median duration of diabetes of 8 years; 87.5% residing in non-isolated communities; 75% residing in communities < 5000 members. Total cost of implementation was $1,221,413.60 and cost/person $27.89. There was increase in the number and cost of hospitalizations visits from 8/$68,765.85 (pre period) to 243/$2,735,612.37. Specialist visits, clinic visits and community resource use followed this trend.

conclusionConsidering the low cost of intervention and increased care access, FORGE AHEAD represents a successful community-driven partnership resulting in improved access to resources.

Indexed as

Cost-Benefit AnalysisDiabetes MellitusHealth Services, IndigenousHospitalizationPrimary Health CareAdultAgedCanadaDelivery of Health CareDiabetes ComplicationsFemaleHealth Care CostsHealth Services AccessibilityHumansIndigenous CanadiansIndigenous PeoplesCommunity careDiabetes and its complicationsEconomic analysisIndigenous populations

Identifiers

PMID38741196
PMCPMC11090786

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.