1. The effects of a disease management program on self-reported health behaviors and health outcomes: evidence from the "Florida: a healthy state (FAHS)" Medicaid program.
- Author
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Morisky DE, Kominski GF, Afifi AA, and Kotlerman JB
- Subjects
- Adolescent, Adult, Aged, Child, Child, Preschool, Female, Florida, Health Maintenance Organizations organization & administration, Humans, Infant, Infant, Newborn, Interviews as Topic, Male, Middle Aged, Nutrition Surveys, Odds Ratio, Surveys and Questionnaires, United States, Young Adult, Disease Management, Health Behavior, Medicaid organization & administration, Medicaid statistics & numerical data, Outcome Assessment, Health Care
- Abstract
Premature morbidity and mortality from chronic diseases account for a major proportion of expenditures for health care cost in the United States. The purpose of this study was to measure the effects of a disease management program on physiological and behavioral health indicators for Medicaid patients in Florida. A two-year prospective study of 15,275 patients with one or more chronic illnesses (congestive heart failure, hypertension, diabetes, or asthma) was undertaken. Control of hypertension improved from baseline to Year 1 (adjusted odds ratio = 1.60, p < .05), with maintenance at Year 2. Adjusted cholesterol declined by 6.41 mg/dl from baseline to Year 1 and by 12.41 mg/dl (p < .01) from baseline to Year 2. Adjusted average medication compliance increased by 0.19 points (p < .01) in Year 1 and 0.29 points (p < .01) in Year 2. Patients in the disease management program benefited in terms of controlling hypertension, asthma symptoms, and cholesterol and blood glucose levels.
- Published
- 2009
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