Effects of a national quality checklist and physician incentives on patients with diabetes
Type 2 diabetes (T2D) is a prevalent, disabling and costly chronic condition, which requires proper routine disease management.
In 2008, the Norwegian Ministry of Health and Care Services initiated a checklist for an annual T2D exam and a new reimbursement code for general practitioners (GPs) to bill the annual check-up and filling the form (“fee 109”).
We use Norwegian diabetes register data, healthcare claims, and mortality data from 2006– 2021 to study the effects of fee 109 on the utilisation of recommended health services, T2D complications, hospitalisations, and mortality.
We use a novel difference-in-differences design to compare outcomes among patients who switch GPs with different probabilities to bill fee 109, because their original GPs retire.
In Norway, once GPs retire, their patients are automatically assigned to different GPs in the same municipals, so choices of GPs are plausibly exogenous to the patients’ health.
We find that fee 109 increases the use of medical care and procedures recommended in the national clinical guidelines for patients with T2D. We did not find effects on complications related to T2D, inpatient admissions, and mortality.
Speaker Profile
Yuting Zhang, Professor, Melbourne Institute
Professor Zhang is a professor of health economics at the Melbourne Institute: Applied Economic & Social Research in the Faculty of Business and Economics at the University of Melbourne.
She obtained her PhD in health economics and MS in health policy & management, both from Harvard University.
She develops and evaluates novel strategies to improve health insurance design, health system productivity, and population health.
Her work uses advanced economic modelling and quantitative analyses of large data sets to study the impact of health policy and the choices of individuals.
Her research has been published in leading medicine, health policy, and economics journals including the New England Journal of Medicine.
She has received multiple international awards and fellowships including ARC Future Fellowship, the Australian-American Health Policy Fellowship and Excellence in Mental Health Policy and Economics Research.
Weekly seminar series
As part of our Centre's vibrant research culture, we host a weekly seminar series. Visiting and invited researchers present current research relating to the economics of health and wellbeing, and the healthcare sector. Visitors are welcome to join these sessions where discussion and debate is encouraged.
For further information on our seminar series, please contact shannon.stanwell@monash.edu
Event Details
- Date:
- 17 May 2023 at 12:00 pm – 1:00 pm
- Venue:
- In-person at Caulfield campus, Building H, Level 9, Room H9.21
- Categories:
- CHE Seminar; Health Economics
Description
Type 2 diabetes (T2D) is a prevalent, disabling and costly chronic condition, which requires proper routine disease management.
In 2008, the Norwegian Ministry of Health and Care Services initiated a checklist for an annual T2D exam and a new reimbursement code for general practitioners (GPs) to bill the annual check-up and filling the form (“fee 109”).
We use Norwegian diabetes register data, healthcare claims, and mortality data from 2006– 2021 to study the effects of fee 109 on the utilisation of recommended health services, T2D complications, hospitalisations, and mortality.
We use a novel difference-in-differences design to compare outcomes among patients who switch GPs with different probabilities to bill fee 109, because their original GPs retire.
In Norway, once GPs retire, their patients are automatically assigned to different GPs in the same municipals, so choices of GPs are plausibly exogenous to the patients’ health.
We find that fee 109 increases the use of medical care and procedures recommended in the national clinical guidelines for patients with T2D. We did not find effects on complications related to T2D, inpatient admissions, and mortality.
Speaker Profile
Yuting Zhang, Professor, Melbourne Institute
Professor Zhang is a professor of health economics at the Melbourne Institute: Applied Economic & Social Research in the Faculty of Business and Economics at the University of Melbourne.
She obtained her PhD in health economics and MS in health policy & management, both from Harvard University.
She develops and evaluates novel strategies to improve health insurance design, health system productivity, and population health.
Her work uses advanced economic modelling and quantitative analyses of large data sets to study the impact of health policy and the choices of individuals.
Her research has been published in leading medicine, health policy, and economics journals including the New England Journal of Medicine.
She has received multiple international awards and fellowships including ARC Future Fellowship, the Australian-American Health Policy Fellowship and Excellence in Mental Health Policy and Economics Research.
Weekly seminar series
As part of our Centre's vibrant research culture, we host a weekly seminar series. Visiting and invited researchers present current research relating to the economics of health and wellbeing, and the healthcare sector. Visitors are welcome to join these sessions where discussion and debate is encouraged.
For further information on our seminar series, please contact shannon.stanwell@monash.edu