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Prevention: The cost-effectiveness of the California Diabetes and Pregnancy Program

Author

Listed:
  • Scheffler, R.M.
  • Feuchtbaum, L.B.
  • Phibbs, C.S.

Abstract

Background. The California Diabetes and Pregnancy Program is a new preventive approach to improving pregnancy outcomes through intensive diabetes management preconception and early in pregnancy. Methods. Hospital charges and length of stay data were collected on 102 program enrollees and 218 control cases. Ninety program enrollees and 90 control cases were matched on mother's age. White's classification, and race. Regression models controlled for these variables in addition to MediCal status, birth weight, and enrollment in the program. Results. Hospital charges were about 30% less for program participants and days in the hospital were roughly 25% less. The program effects were larger for women that enrolled before 8 weeks gestation. More serious diabetics were also found to have larger reductions in charges and days. Conclusion. After adjusting for inflation and differences in charges across hospitals, $5.19 is saved for every dollar spent on the program.

Suggested Citation

  • Scheffler, R.M. & Feuchtbaum, L.B. & Phibbs, C.S., 1992. "Prevention: The cost-effectiveness of the California Diabetes and Pregnancy Program," American Journal of Public Health, American Public Health Association, vol. 82(2), pages 168-175.
    • Handle: RePEc:aph:ajpbhl:1992:82:2:168-175_5
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    Cited by:

    1. Päivi Kolu & Jani Raitanen & Pekka Rissanen & Riitta Luoto, 2013. "Cost-Effectiveness of Lifestyle Counselling as Primary Prevention of Gestational Diabetes Mellitus: Findings from a Cluster-Randomised Trial," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-12, February.
    2. Zypman, Fredy & Ferrante, John, 1996. "Impurity induced correction to the embedded atom method embedding function," Physica A: Statistical Mechanics and its Applications, Elsevier, vol. 231(1), pages 337-345.
    3. Leiyu Shi, 1993. "Health Promotion, Medical Care Use, and Costs in a Sample of Worksite Employees," Evaluation Review, , vol. 17(5), pages 475-487, October.

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