tag:blogger.com,1999:blog-9181810725696409953.post3018031903298197614..comments2024-03-17T04:20:11.083-04:00Comments on The Population Health Blog: Another Study Shows Disease Management WorksJaan Sidorovhttp://www.blogger.com/profile/05072456803925863874noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-9181810725696409953.post-55346390467882639542012-12-07T16:27:13.628-05:002012-12-07T16:27:13.628-05:00Ed is absolutely correct: the "works" is...Ed is absolutely correct: the "works" is a function of diabetes control, not cost control. My enthusiasm was more a function of the outcomes being demonstrated (despite the back sliding) in a randomized control study.<br /><br />Costs are a different challenge and yes, it can take years. My thinking is that even if there isn't a reduction in claims expense, the value (defined as outcome per dollar spent) is still attractive.Jaan Sidorovhttps://www.blogger.com/profile/05072456803925863874noreply@blogger.comtag:blogger.com,1999:blog-9181810725696409953.post-5448463899034201532012-12-07T10:33:51.727-05:002012-12-07T10:33:51.727-05:00Sorry for the latent comment / question but I have...Sorry for the latent comment / question but I have a question on how you define "works".<br /><br />If costs were not compared this could be significantly more expensive. Knowing if this prevented expensive (financially or to the QOL of the patients) interventions I think would be of great interest to saying it "worked".<br /><br />Secondly if some patients indeed did "back-slide", then again this would be partial failure.<br /><br />Finally and most painfully - it would take years to answer what this could possibly mean to long term health benefits and improvements to QOL or Overall Survival. <br /><br />Ed Rodgershttps://www.blogger.com/profile/16316935213044149662noreply@blogger.comtag:blogger.com,1999:blog-9181810725696409953.post-3899507436443874922012-11-30T08:25:08.878-05:002012-11-30T08:25:08.878-05:00Good point!Good point!Jaan Sidorovhttps://www.blogger.com/profile/05072456803925863874noreply@blogger.comtag:blogger.com,1999:blog-9181810725696409953.post-22776417128632093372012-11-29T17:08:06.955-05:002012-11-29T17:08:06.955-05:00Good stuff. BTW, your loyal readers in geriatrics ...Good stuff. BTW, your loyal readers in geriatrics will always be interested in knowing how old the study population is (54 in this case, but you forced me to go dig it up). Anonymoushttps://www.blogger.com/profile/06993344520035324713noreply@blogger.com