Table 3.
Clinical Outcomes for Patients with at Least One Chronic Disease in PDCM and HPDCM Groups
| Outreached* | Number of measurements (individuals) | PDCM | HPDCM | Difference in Differences [(B)–(A)] –[(D)–(C)] (95 % CI) | ||||
|---|---|---|---|---|---|---|---|---|
| 12-month Before (A) | 12-month After (B) | Difference (B)–(A) (95 % CI) | 12-month Before (C) | 12-month After (D) | Difference (D)–(C) (95 % CI) | |||
| Prop. SBP < 140 mmHg & DBP < 80 mmHg | 17,193 | 0.59 | 0.61 | 0.02 | 0.48 | 0.50 | 0.02 | 0.002 |
| (3,483) | (−0.01, 0.05) | (−0.01, 0.04) | (−0.04, 0.04) | |||||
| Prop. LDL < 100 mg/dL | 9,279 | 0.57 | 0.59 | 0.03 | 0.55 | 0.56 | 0.01 | 0.02 |
| (3,414) | (0.01, 0.06) | (−0.02, 0.05) | (−0.02, 0.06) | |||||
| Prop.HDL ≥ 40 mg/dL (male) and 50 mg/dL(female) | 9,225 | 0.42 | 0.42 | 0.002 | 0.48 | 0.51 | 0.04 | −0.03 |
| (3,395) | (−0.02, 0.03) | (−0.01, 0.06) | (−0.07, 0.004) | |||||
| Prop. total cholesterol ≤ 200 mg/dL | 8,639 | 0.75 | 0.77 | 0.02 | 0.73 | 0.74 | 0.02 | 0.001 |
| (3,401) | (−0.003, 0.04) | (−0.01, 0.05) | (−0.03, 0.04) | |||||
| Mean Weight in kg | 16,860 | 98.6 | 99.1 | 0.44 | 99.9 | 99.4 | −0.56 | 1.00 |
| (3,454) | (−0.58, 1.30) | (−1.98, 0.65) | (−0.57, 2.54) | |||||
| Prop. obese | 13,920 | 0.66 | 0.68 | 0.02 | 0.65 | 0.63 | −0.01 | 0.03 |
| (3,282) | (−0.003, 0.03) | (−0.04, 0.01) | (−0.004,0.06) | |||||
| Prop. extreme obese | 13,920 | 0.18 | 0.20 | 0.02 | 0.20 | 0.20 | 0.01 | 0.02 |
| (3,282) | (0.004, 0.04) | (−0.02, 0.03) | (−0.01,0.05) | |||||
| Engaged † | ||||||||
| Prop. SBP < 140 mmHg & DBP < 80 mmHg | 5,208 | 0.59 | 0.60 | 0.01 | 0.47 | 0.53 | 0.06 | −0.05 |
| (1,076) | (−0.04, 0.05) | (0.001, 0.14) | (−0.14, 0.02) | |||||
| Prop. LDL < 100 mg/dL | 2,805 | 0.60 | 0.63 | 0.03 | 0.48 | 0.56 | 0.08 | −0.05 |
| (1,016) | (−0.01, 0.08) | (−0.03, 0.19) | (−0.17, 0.08) | |||||
| Prop.HDL ≥ 40 mg/dL (male) and 50 mg/dL(female) | 2,772 | 0.40 | 0.37 | −0.04 | 0.42 | 0.49 | 0.07 | −0.11 |
| (1,001) | (−0.02, 0.06) | (−0.03, 0.17) | (−0.14, 0.04) | |||||
| Prop. total cholesterol ≤200 mg/dL | 2,695 | 0.76 | 0.77 | 0.01 | 0.77 | 0.84 | 0.07 | −0.05 |
| (1,002) | (−0.003, 0.04) | (−0.01, 0.15) | (−0.03, 0.04) | |||||
| Mean Weight in kg | 5,151 | 102.1 | 102.8 | 0.70 | 111.5 | 108.6 | −2.93 | 3.64 |
| (1,074) | (−1.21, 2.36) | (−7.06, 1.03) | (−0.85, 8.03) | |||||
| Prop. obese | 4,264 | 0.75 | 0.75 | −0.001 | 0.70 | 0.71 | 0.02 | −0.02 |
| (1,038) | (−0.03, 0.02) | (−0.07, 0.09) | (−0.09,0.07) | |||||
| Prop. extreme obese | 4,264 | 0.25 | 0.26 | 0.003 | 0.30 | 0.33 | 0.03 | −0.03 |
| (1,038) | (−0.04, 0.03) | (−0.05, 0.10) | (−0.10,0.06) | |||||
Bootstrap confidence intervals based on percentiles in 1000 replications are in parentheses; adjusted for practice- and patient-level factors that differed significantly at baseline (see Table 2). PDCM provider-delivered care management, HPDCM health plan-delivered care management, SBP systolic blood pressure, DBP diastolic blood pressure, LDL low-density lipoprotein, HDL high-density lipoprotein, Prop. proportion
*Outreached patients were those who received an attempted or actual contact for enrollment in care management
† Engaged patients were those who had one or more care management sessions/encounters with a care manager