| The effect of a cardiovascular educational intervention on healthcare utilization and costs. | |
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MedLine Citation:
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PMID: 20469954 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To evaluate healthcare utilization and costs following a cardiovascular disease (CVD) screening and educational special intervention (SI) compared with a control intervention (CIN) at 1 year in the Family-Based Intervention Trial for Heart Health. STUDY DESIGN: Participants randomized to SI for screening and periodic lifestyle counseling were compared with participants randomized to CIN for resource utilization and associated costs at 1 year. METHODS: A total of 421 participants (67% women and 37% minorities) were healthy family members of hospitalized patients with CVD who had 1-year follow-up resource utilization data. Resource utilization was systematically measured using a standardized questionnaire in both study groups and was validated by medical records in a subsample. Outcomes included provider visits, diagnostic studies, laboratory assessment, medication use, behavioral program enrollment, emergency department (ED) visits, hospital admissions, and healthcare costs. RESULTS: At 1 year, there were significantly fewer overall provider visits (P = .04) and psychiatrist visits (P = .03) in SI versus CIN. There was a nonsignificant trend toward fewer ED visits, decreased hospital admissions, and shorter inpatient length of stay in SI versus CIN. Estimated healthcare expenditures for CIN exceeded those for SI by $590 per participant. The cost of the 1-year intervention was $95 per participant. CONCLUSIONS: A 1-year standardized low-cost screening and educational intervention was associated with significantly fewer provider visits and with a nonsignificant trend toward reduced healthcare utilization for several parameters. The long-term effect on outcomes and costs deserves further study. |
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Authors:
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Amar C Nawathe; Sherry A Glied; William S Weintraub; Lori J Mosca |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: The American journal of managed care Volume: 16 ISSN: 1936-2692 ISO Abbreviation: Am J Manag Care Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-17 Completed Date: 2010-08-18 Revised Date: 2012-05-10 |
Medline Journal Info:
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Nlm Unique ID: 9613960 Medline TA: Am J Manag Care Country: United States |
Other Details:
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Languages: eng Pagination: 339-46 Citation Subset: H |
Affiliation:
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Department of Medicine, Columbia University, New York, NY, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cardiovascular Diseases
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prevention & control* Female Health Education* Health Expenditures / trends* Health Services / utilization* Humans Male Mass Screening Middle Aged Risk Reduction Behavior* |
| Grant Support | |
ID/Acronym/Agency:
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K24 HL076346/HL/NHLBI NIH HHS; K24 HL076346/HL/NHLBI NIH HHS; R01 HL075101/HL/NHLBI NIH HHS; R01 HL075101-04/HL/NHLBI NIH HHS |
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