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Assessing the dose-response relationship between number of office-based visits and hospitalizations for patients with type II diabetes using generalized propensity score matching

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  • Michele Cecchini
  • Peter Smith

Abstract

Background: Whether inpatient services can be successfully substituted by office-based services has been debated for many decades, but the evidence is still inconclusive. This study aims to investigate the effect of office-based care on use and the expenditure for other healthcare services in patients with type II diabetes (T2D). Methods: A generalized propensity score matching approach was used on pooled Medical Expenditure Panel Survey (MEPS) data for 2000–2012 to explore a dose-response effect. Patients were matched by using a comprehensive set of variables selected following a standard model on access to care. Findings: Office-based care (up to 5 visits/year) acts as a substitute for other healthcare services and is associated with lower use and expenditure for inpatient, outpatient and emergency care. After five visits, office-based care becomes a complement to other services and is associated with increases in expenditure for T2D. Above 20 to 26 visits per year, depending on the healthcare service under consideration, the marginal effect of an additional office-based visit becomes non-statistically significant. Conclusions: Office-based visits appear to be an effective instrument to reduce use of inpatient care and other services, including outpatient and emergency-care, in patients with T2D without any increase in total healthcare expenditure.

Suggested Citation

  • Michele Cecchini & Peter Smith, 2018. "Assessing the dose-response relationship between number of office-based visits and hospitalizations for patients with type II diabetes using generalized propensity score matching," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-11, December.
    • Handle: RePEc:plo:pone00:0209197
    DOI: 10.1371/journal.pone.0209197
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    References listed on IDEAS

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    1. van Dijk, Christel E. & Korevaar, Joke C. & Koopmans, Berber & de Jong, Judith D. & de Bakker, Dinny H., 2014. "The primary–secondary care interface: Does provision of more services in primary care reduce referrals to medical specialists?," Health Policy, Elsevier, vol. 118(1), pages 48-55.
    2. Lorraine Dearden & Barbara Sianesi, 2001. "Estimating the Returns to Education: Models, Methods and Results," CEE Discussion Papers 0016, Centre for the Economics of Education, LSE.
    3. Roberts, Emilie & Mays, Nicholas, 1998. "Can primary care and community-based models of emergency care substitute for the hospital accident and emergency (A & E) department?," Health Policy, Elsevier, vol. 44(3), pages 191-214, June.
    4. Barbara Guardabascio & Marco Ventura, 2014. "Estimating the dose–response function through a generalized linear model approach," Stata Journal, StataCorp LLC, vol. 14(1), pages 141-158, March.
    5. Davis, Karen & Russell, Louise B, 1972. "The Substitution of Hospital Outpatient Care for Inpatient Care," The Review of Economics and Statistics, MIT Press, vol. 54(2), pages 109-120, May.
    6. Bia, Michela & Mattei, Alessandra, 2007. "Application of the Generalized Propensity Score. Evaluation of public contributions to Piedmont enterprises," POLIS Working Papers 80, Institute of Public Policy and Public Choice - POLIS.
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    1. Liu, Meijun & Hu, Xiao, 2021. "Will collaborators make scientists move? A Generalized Propensity Score analysis," Journal of Informetrics, Elsevier, vol. 15(1).

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