A diabetes pay-for-performance program and the competing causes of death among cancer survivors with type 2 diabetes in Taiwan

International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care
Hui-Min HsiehShyi-Jang Shin

Abstract

To examine associations between a diabetes pay-for-performance (P4P) program in Taiwan and all-cause of mortality and competing causes of death in cancer survivors with type 2 diabetes. A longitudinal observational intervention and comparison group study design. Cancer survivors with type 2 diabetes who enrolled in the P4P program compared with survivors who did not participate (non-P4P) under the Taiwan National Health Insurance program. A nationwide diabetes P4P program. The main outcome was a comparison of all-cause, diabetes-related and cancer mortality in P4P and non-P4P patients during a 5-year follow-up period. Total person-years and mortality rates per 1000 person-years for causes of death were calculated. Multivariate Cox proportional hazard models and competing risk regression were used in the analysis. Overall, our results indicate that P4P cancer survivors had lower risk of all-cause mortality and diabetes-related mortality than non-P4P survivors. Specifically, the hazard ratio (95% confidence interval) was 0.581 (0.447-0.756) for all-cause mortality; SHRs were 0.451 (0.266-0.765) for diabetes-related mortality and 0.791 (0.558-1.121) for cancer mortality. Our empirical findings provide evidence of potential benefit...Continue Reading

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Citations

Sep 22, 2017·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Usman Iqbal, Yu-Chuan Jack Li
Aug 12, 2019·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Neeru Gupta, Holly M Ayles

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