Employer-Based Screening for Diabetes and Prediabetes in an Integrated Health Care Delivery System: A Natural Experiments for Translation in Diabetes (NEXT-D) Study
Published Date:Nov 2015
Source:J Occup Environ Med. 57(11):1147-1153.
Pubmed Central ID:PMC4636035
Funding:P30 DK092924/DK/NIDDK NIH HHS/United States
U58 DP002721/DP/NCCDPHP CDC HHS/United States
1P30-DK092924/DK/NIDDK NIH HHS/United States
To evaluate an employer-based diabetes/prediabetes screening intervention that invited at-risk employees via letters, secure emails, and automated voice messages to complete blood glucose testing at a health plan facility.
Quasi-experimental cohort study among health plan members insured by two employers that received the intervention and three employers that were selected as control sites.
The proportion of at-risk members that completed a screening was higher in the intervention group than in the control group (36% vs. 13%, P < .001, adjusted for patient characteristics). Among those screened in the intervention group, the presence of obesity, hypertension, hyperlipidemia, and tobacco use were significant predictors of having a result which indicated diabetes or prediabetes (P < .05, all comparisons).
A low-intensity, employer-based intervention conducted in collaboration with a health care delivery system effectively increased screening for diabetes/prediabetes.
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