Table 4.
Analysis of health care utilization.
| Utilization | Cohorta | Difference in slopes | P valueb | |||||||||||||||||||||
|
|
BCBH-D intervention (N=558) | Matched controls (N=1669) | Difference in slopes | Cohorts time 1 | Cohorts time 2 | |||||||||||||||||||
|
|
Pre | Post | Slope | Pre | Post | Slope | ||||||||||||||||||
| All-cause medical utilization (visits per 1000 members per year) | ||||||||||||||||||||||||
|
|
Inpatient | 110 | 80 | −30 | 100 | 110 | 10 | −40 | .10 | .55 | .15 | |||||||||||||
|
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Emergency department | 190 | 150 | −40 | 190 | 260 | 70 | −110 | .004 | .80 | <.001 | |||||||||||||
|
|
Outpatient | 22,880 | 17,100 | –5780 | 22,880 | 22,590 | −290 | –5490 | <.001 | .99 | <.001 | |||||||||||||
| Diabetes-related medical utilization (visits per 1000 members per year) | ||||||||||||||||||||||||
|
|
Inpatient | 10 | 0 | −10 | 10 | 0 | −10 | 0 | .57 | .75 | .71 | |||||||||||||
|
|
Emergency department | 10 | 0 | −10 | 10 | 10 | 0 | −10 | .27 | .91 | .30 | |||||||||||||
|
|
Outpatient | 6630 | 5200 | −1430 | 6760 | 6530 | −230 | −1200 | <.001 | .68 | <.001 | |||||||||||||
aAll subjects have 1 year of pretreatment time and 1 year of follow-up time.
bAll analysis were conducted using generalized estimating equation repeated measures model with a logit link and negative binomial distribution for inpatient and emergency department visits and zero-inflated negative binomial distribution for outpatient services. The matched control cohort is the reference category in all analyses.