Employer-Based Screening for Diabetes and Prediabetes in an Integrated Health Care Delivery System: A Natural Experiment for Translation in Diabetes (NEXT-D) Study.

Abstract

OBJECTIVE:

This study evaluates an employer-based diabetes/prediabetes screening intervention that invited at-risk employees via letters, secure e-mails, and automated voice messages to complete blood glucose testing at a health plan facility.

METHODS:

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.

RESULTS:

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 < 0.001, 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 that indicated diabetes or prediabetes (P < 0.05, all comparisons).

CONCLUSIONS:

A low-intensity, employer-based intervention conducted in collaboration with a health care delivery system effectively increased screening for diabetes/prediabetes.

• Authors: Sara R Adams, Deanne M Wiley, Andromache Fargeix, Victoria George, Romain S Neugebauer, Julie A Schmittdiel
• Journal: Journal of occupational and environmental medicine (J Occup Environ Med) Vol. 57 Issue 11 Pg. 1147-53 (Nov 2015) ISSN: 1536-5948 [Electronic] United States
• PMID: 26539761 (Publication Type: Clinical Trial, Journal Article, Research Support, N.I.H., Extramural, Research Support, U.S. Gov't, P.H.S.)

Topics

• California
• Delivery of Health Care, Integrated (organization & administration, statistics & numerical data)
• Diabetes Mellitus, Type 2 (diagnosis)
• Female
• Humans
• Male
• Middle Aged
• Occupational Health Services (organization & administration, statistics & numerical data)
• Patient Acceptance of Health Care (statistics & numerical data)
• Prediabetic State (diagnosis)