The effects of social support and education on health care costs after three years

Terry A. Cronan, Meghan Hay, Erik Groessl, Silvia Bigatti, Ruth Gallagher, Mitsuo Tomita

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective. To determine whether experimentally developed social support, education about appropriate use of the health care system, and their combination are effective in reducing health care costs for people with osteoarthritis at a 3-year followup assessment. Method. Three hundred sixty-three health maintenance organization members with osteoarthritis were randomly assigned to 1 of 3 intervention groups or to a control group. Two hundred fifty-six participants completed the 3-year assessment. Health status and health care use were assessed upon entering the study, and after 1, 2, and 3 years. Results. Health care costs in the combined experimental groups were lower than those in the control group by $1279/participant/year in year 3. There were no significant changes in health status between participants' entry into the study and the year 3 assessment. The 3 interventions had nearly equal effects on health status and health care costs. Implementation costs were least for the social support intervention, but the group that combined education and social support had less attrition and greater persistence. Conclusion. Interventions that target appropriate use of the health care system can be highly cost-effective without adversely affecting health status.

Original languageEnglish (US)
Pages (from-to)326-334
Number of pages9
JournalArthritis Care and Research
Volume11
Issue number5
StatePublished - Oct 1998
Externally publishedYes

Fingerprint

Social Support
Health Care Costs
Health Status
Education
Delivery of Health Care
Osteoarthritis
Costs and Cost Analysis
Control Groups
Health Maintenance Organizations

Keywords

  • Education
  • Health care costs
  • Osteoarthritis
  • Social support

ASJC Scopus subject areas

  • Rheumatology

Cite this

Cronan, T. A., Hay, M., Groessl, E., Bigatti, S., Gallagher, R., & Tomita, M. (1998). The effects of social support and education on health care costs after three years. Arthritis Care and Research, 11(5), 326-334.

The effects of social support and education on health care costs after three years. / Cronan, Terry A.; Hay, Meghan; Groessl, Erik; Bigatti, Silvia; Gallagher, Ruth; Tomita, Mitsuo.

In: Arthritis Care and Research, Vol. 11, No. 5, 10.1998, p. 326-334.

Research output: Contribution to journalArticle

Cronan, TA, Hay, M, Groessl, E, Bigatti, S, Gallagher, R & Tomita, M 1998, 'The effects of social support and education on health care costs after three years', Arthritis Care and Research, vol. 11, no. 5, pp. 326-334.
Cronan, Terry A. ; Hay, Meghan ; Groessl, Erik ; Bigatti, Silvia ; Gallagher, Ruth ; Tomita, Mitsuo. / The effects of social support and education on health care costs after three years. In: Arthritis Care and Research. 1998 ; Vol. 11, No. 5. pp. 326-334.
@article{88c35d4bd7224ce9a62d5dd200ebfaaa,
title = "The effects of social support and education on health care costs after three years",
abstract = "Objective. To determine whether experimentally developed social support, education about appropriate use of the health care system, and their combination are effective in reducing health care costs for people with osteoarthritis at a 3-year followup assessment. Method. Three hundred sixty-three health maintenance organization members with osteoarthritis were randomly assigned to 1 of 3 intervention groups or to a control group. Two hundred fifty-six participants completed the 3-year assessment. Health status and health care use were assessed upon entering the study, and after 1, 2, and 3 years. Results. Health care costs in the combined experimental groups were lower than those in the control group by $1279/participant/year in year 3. There were no significant changes in health status between participants' entry into the study and the year 3 assessment. The 3 interventions had nearly equal effects on health status and health care costs. Implementation costs were least for the social support intervention, but the group that combined education and social support had less attrition and greater persistence. Conclusion. Interventions that target appropriate use of the health care system can be highly cost-effective without adversely affecting health status.",
keywords = "Education, Health care costs, Osteoarthritis, Social support",
author = "Cronan, {Terry A.} and Meghan Hay and Erik Groessl and Silvia Bigatti and Ruth Gallagher and Mitsuo Tomita",
year = "1998",
month = "10",
language = "English (US)",
volume = "11",
pages = "326--334",
journal = "Arthritis and Rheumatology",
issn = "2326-5191",
publisher = "John Wiley and Sons Ltd",
number = "5",

}

TY - JOUR

T1 - The effects of social support and education on health care costs after three years

AU - Cronan, Terry A.

AU - Hay, Meghan

AU - Groessl, Erik

AU - Bigatti, Silvia

AU - Gallagher, Ruth

AU - Tomita, Mitsuo

PY - 1998/10

Y1 - 1998/10

N2 - Objective. To determine whether experimentally developed social support, education about appropriate use of the health care system, and their combination are effective in reducing health care costs for people with osteoarthritis at a 3-year followup assessment. Method. Three hundred sixty-three health maintenance organization members with osteoarthritis were randomly assigned to 1 of 3 intervention groups or to a control group. Two hundred fifty-six participants completed the 3-year assessment. Health status and health care use were assessed upon entering the study, and after 1, 2, and 3 years. Results. Health care costs in the combined experimental groups were lower than those in the control group by $1279/participant/year in year 3. There were no significant changes in health status between participants' entry into the study and the year 3 assessment. The 3 interventions had nearly equal effects on health status and health care costs. Implementation costs were least for the social support intervention, but the group that combined education and social support had less attrition and greater persistence. Conclusion. Interventions that target appropriate use of the health care system can be highly cost-effective without adversely affecting health status.

AB - Objective. To determine whether experimentally developed social support, education about appropriate use of the health care system, and their combination are effective in reducing health care costs for people with osteoarthritis at a 3-year followup assessment. Method. Three hundred sixty-three health maintenance organization members with osteoarthritis were randomly assigned to 1 of 3 intervention groups or to a control group. Two hundred fifty-six participants completed the 3-year assessment. Health status and health care use were assessed upon entering the study, and after 1, 2, and 3 years. Results. Health care costs in the combined experimental groups were lower than those in the control group by $1279/participant/year in year 3. There were no significant changes in health status between participants' entry into the study and the year 3 assessment. The 3 interventions had nearly equal effects on health status and health care costs. Implementation costs were least for the social support intervention, but the group that combined education and social support had less attrition and greater persistence. Conclusion. Interventions that target appropriate use of the health care system can be highly cost-effective without adversely affecting health status.

KW - Education

KW - Health care costs

KW - Osteoarthritis

KW - Social support

UR - http://www.scopus.com/inward/record.url?scp=0031768971&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0031768971&partnerID=8YFLogxK

M3 - Article

C2 - 9830877

VL - 11

SP - 326

EP - 334

JO - Arthritis and Rheumatology

JF - Arthritis and Rheumatology

SN - 2326-5191

IS - 5

ER -