The impact of the diabetes management incentive on diabetes-related services: evidence from Ontario, Canada.

The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care
Thaksha ThavamSisira Sarma

Abstract

Financial incentives have been introduced in several countries to improve diabetes management. In Ontario, the most populous province in Canada, a Diabetes Management Incentive (DMI) was introduced to family physicians practicing in patient enrollment models in 2006. This paper examines the impact of the DMI on diabetes-related services provided to individuals with diabetes in Ontario. Longitudinal health administrative data were obtained for adults diagnosed with diabetes and their family physicians. The study population consisted of two groups: DMI group (patients enrolled with a family physician exposed to DMI for 3 years), and comparison group (patients affiliated with a family physician ineligible for DMI throughout the study period). Diabetes-related services was measured using the Diabetic Management Assessment (DMA) billing code claimed by patient's physician. The impact of DMI on diabetes-related services was assessed using difference-in-differences regression models. After adjusting for patient- and physician-level characteristics, patient fixed-effects and patient-specific time trend, we found that DMI increased the probability of having at least one DMA fee code claimed by patient's physician by 9.3% points, and the...Continue Reading

References

Dec 31, 2004·The New England Journal of Medicine·Mary E TinettiJoseph V Agostini
Aug 11, 2005·JAMA : the Journal of the American Medical Association·Cynthia M BoydAlbert W Wu
Jul 6, 2006·BMC Health Services Research·Jeroen N StruijsGeertrudis A M van den Bos
Dec 6, 2007·Journal of General Internal Medicine·Christine VogeliDavid Blumenthal
Oct 22, 2008·Diabetic Medicine : a Journal of the British Diabetic Association·M P McGovernC R Simpson
Aug 1, 2009·Health Economics·Anthony ScottPeter Sivey
Aug 25, 2010·BMC Health Services Research·Pieter Van HerckWalter Sermeus
Jul 8, 2011·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Varsha G VimalanandaB Graeme Fincke
Aug 4, 2011·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Eszter P VamosChristopher Millett
Oct 25, 2012·Preventive Medicine·Alyna T ChienMeredith B Rosenthal
Feb 6, 2013·Health Policy·Frank EijkenaarOliver Schöffski
Jun 7, 2013·Korean journal of anesthesiology·Hyun Kang
Jul 19, 2013·Health Economics·Jinhu LiGioia Buckley
Jun 10, 2014·Canadian Journal of Diabetes·Tara KiranRichard H Glazier
Sep 24, 2015·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Tara KiranRichard H Glazier
Feb 23, 2017·Health and Quality of Life Outcomes·Maria Chiara RossiUNKNOWN BENCH-D Study Group

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Citations

Nov 10, 2020·Canadian Journal of Diabetes·Mary Aderayo BamimoreSisira Sarma

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