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Amanda A. Honeycutt, PhD, Division for Health Services and Social Policy Research, Health Economics and Financing, RTI, 2951 Flowers Road South, Suite 119, Atlanta, GA 30341, (770) 234-5014, honeycutt@rti.org and Hong Chen, MA, Center for Economics Research, Research Triangle Institute, 3040 Cornwallis Road, Research Triangle Park, NC 27709.
Diabetes, especially when it is poorly controlled, is associated with several serious conditions, including end-stage renal disease, blindness, lower-extremity amputations, stroke, and heart disease. Diabetes and its complications are associated with annual medical costs in excess of $45 billion.
Beginning in the early 1990s, federal funding was made available for the support of state diabetes control programs (DCPs). The mission of these DCPs was to provide preventive services and education to individuals with diabetes in order to prevent further serious and costly complications. Funding for state DCPs is administered by the Centers for Disease Control and Prevention (CDC), and CDC’s Division of Diabetes Translation provides management and oversight of DCP activities.
In this presentation, we describe an econometric approach for evaluating the impact of state DCPs on intermediate and health outcomes in people with diabetes. We use a fixed effects modeling approach to evaluate the extent to which within-state variation in diabetes self-management practices and lower-extremity amputations resulted from changes in the level of within-state DCP funding. We also present the results of our analysis, which provide strong support for a causal link between state DCPs and self-management practices among people with diabetes.
Learning Objectives:
Keywords: Diabetes, Economic Analysis
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.