{"id":"https://openalex.org/W2980949558","doi":"https://doi.org/10.12968/bjhc.2019.0004","title":"Investigating the cost-effectiveness of structured diabetes education","display_name":"Investigating the cost-effectiveness of structured diabetes education","publication_year":2019,"publication_date":"2019-10-02","ids":{"openalex":"https://openalex.org/W2980949558","doi":"https://doi.org/10.12968/bjhc.2019.0004","mag":"2980949558"},"language":"en","primary_location":{"id":"doi:10.12968/bjhc.2019.0004","doi":"https://doi.org/10.12968/bjhc.2019.0004","is_oa":false,"landing_page_url":"https://doi.org/10.12968/bjhc.2019.0004","pdf_url":null,"source":{"id":"https://openalex.org/S2765034150","display_name":"British Journal of Healthcare Management","issn_l":"1358-0574","issn":["1358-0574","1759-7382"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-c","cwts-core","jufo-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4322632787","host_organization_name":"Mark Allen Group","host_organization_lineage":["https://openalex.org/P4322632787"],"host_organization_lineage_names":["Mark Allen Group"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British Journal of Healthcare Management","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5048367030","display_name":"Jim Swift","orcid":"https://orcid.org/0000-0001-5422-9108","observed_orcids":["https://orcid.org/0000-0001-5422-9108"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Jim Swift","raw_affiliation_strings":["Spirit Health Group"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spirit Health Group","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027842382","display_name":"Chris Barker","orcid":"https://orcid.org/0000-0002-9000-6304","observed_orcids":["https://orcid.org/0000-0002-9000-6304"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Chris Barker","raw_affiliation_strings":["Spirit Health Group"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spirit Health Group","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5094022182","display_name":"Richard Palin","orcid":"https://orcid.org/0009-0009-0121-8507","observed_orcids":["https://orcid.org/0009-0009-0121-8507"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Richard Palin","raw_affiliation_strings":["Spirit Health Group"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spirit Health Group","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5109439137","display_name":"G.M. Peck","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Gill Peck","raw_affiliation_strings":["Spirit Health Group"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Spirit Health Group","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":93},"biblio":{"volume":"25","issue":"10","first_page":"1","last_page":"15"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.9531000256538391,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.9531000256538391,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10804","display_name":"Health Systems, Economic Evaluations, Quality of Life","score":0.030799999833106995,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10401","display_name":"Diabetes Treatment and Management","score":0.007799999788403511,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/type-2-diabetes","display_name":"type 2 diabetes","score":0.8519999980926514},{"id":"https://openalex.org/keywords/cost-effectiveness","display_name":"cost-effectiveness","score":0.9909999966621399},{"id":"https://openalex.org/keywords/hba1c","display_name":"HbA1c","score":0.9800000190734863},{"id":"https://openalex.org/keywords/coronary-artery-disease","display_name":"coronary artery disease","score":0.7390000224113464},{"id":"https://openalex.org/keywords/stroke","display_name":"stroke","score":0.9819999933242798},{"id":"https://openalex.org/keywords/medication-use","display_name":"medication use","score":0.7429999709129333},{"id":"https://openalex.org/keywords/cost-reduction","display_name":"cost reduction","score":0.4390000104904175}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7878679037094116},{"id":"https://openalex.org/C2909938374","wikidata":"https://www.wikidata.org/wiki/Q311213","display_name":"Glycated haemoglobin","level":4,"score":0.7180147171020508},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.637116551399231},{"id":"https://openalex.org/C2777352838","wikidata":"https://www.wikidata.org/wiki/Q5419420","display_name":"Excellence","level":2,"score":0.5690945982933044},{"id":"https://openalex.org/C199521495","wikidata":"https://www.wikidata.org/wiki/Q181487","display_name":"Audit","level":2,"score":0.5249685645103455},{"id":"https://openalex.org/C2779256446","wikidata":"https://www.wikidata.org/wiki/Q33959","display_name":"Nice","level":2,"score":0.48108360171318054},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.42847371101379395},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.38905295729637146},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0880657434463501},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.12968/bjhc.2019.0004","doi":"https://doi.org/10.12968/bjhc.2019.0004","is_oa":false,"landing_page_url":"https://doi.org/10.12968/bjhc.2019.0004","pdf_url":null,"source":{"id":"https://openalex.org/S2765034150","display_name":"British Journal of Healthcare Management","issn_l":"1358-0574","issn":["1358-0574","1759-7382"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["abdc-c","cwts-core","jufo-1","norway-1","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4322632787","host_organization_name":"Mark Allen Group","host_organization_lineage":["https://openalex.org/P4322632787"],"host_organization_lineage_names":["Mark Allen Group"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British Journal of Healthcare Management","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9763000011444092}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":31,"referenced_works":["https://openalex.org/W1524829680","https://openalex.org/W1942610538","https://openalex.org/W1973116183","https://openalex.org/W2019141360","https://openalex.org/W2022195584","https://openalex.org/W2023856034","https://openalex.org/W2025306913","https://openalex.org/W2025404594","https://openalex.org/W2053365438","https://openalex.org/W2096297929","https://openalex.org/W2104951411","https://openalex.org/W2106366302","https://openalex.org/W2115626618","https://openalex.org/W2117191092","https://openalex.org/W2121297555","https://openalex.org/W2136012322","https://openalex.org/W2160511051","https://openalex.org/W2161756000","https://openalex.org/W2166761270","https://openalex.org/W2175304727","https://openalex.org/W2277056561","https://openalex.org/W2277713104","https://openalex.org/W2279922998","https://openalex.org/W2337454357","https://openalex.org/W2477902079","https://openalex.org/W2547724305","https://openalex.org/W2773791657","https://openalex.org/W2901874531","https://openalex.org/W2912573660","https://openalex.org/W2914632847","https://openalex.org/W3198570063"],"related_works":["https://openalex.org/W7215989912","https://openalex.org/W2567877089","https://openalex.org/W2112172062","https://openalex.org/W4404603433","https://openalex.org/W7220272498","https://openalex.org/W2601460135","https://openalex.org/W7128618840","https://openalex.org/W2405748082","https://openalex.org/W2095051652","https://openalex.org/W7166804512"],"abstract_inverted_index":{"Background/Aims":[0],"The":[1,23,130],"National":[2],"Institute":[3],"for":[4,118,123,127],"Health":[5],"and":[6,33,65,82,125,222],"Care":[7],"Excellence":[8],"recommend":[9],"that":[10],"people":[11],"with":[12,154,214,224],"type":[13],"2":[14],"diabetes":[15,21,41,209],"should":[16],"have":[17],"access":[18],"to":[19,29,141,161],"structured":[20,40,208],"education.":[22],"aim":[24],"of":[25,36,133,152,158,171,180,195,219],"this":[26],"study":[27],"was":[28,89,101,212],"evaluate":[30],"the":[31,34,37,80,113,162,185,192,205],"outcomes":[32],"impact":[35],"EMPOWER":[38,70,197,206],"T2n":[39,71,198,207],"education":[42,210],"programme.":[43],"Methods":[44],"Audit":[45],"data":[46],"were":[47,67,116],"obtained":[48],"from":[49,52,137],"443":[50],"participants":[51],"four":[53],"Clinical":[54,59],"Commissioning":[55],"Groups":[56],"in":[57,94,110,112,165,204],"England.":[58],"parameters,":[60],"including":[61],"glycated":[62,95],"haemoglobin":[63,96],"levels":[64],"cholesterol,":[66],"collected":[68],"before":[69],"started,":[72],"as":[73,75],"well":[74],"at":[76,97,103,139,143],"6":[77],"months":[78,105,145],"into":[79,175],"programme":[81,211],"14-months":[83],"after":[84],"its":[85],"completion.":[86],"Results":[87],"There":[88],"a":[90,155,217,230],"statistically":[91],"significant":[92],"reduction":[93],"6-months":[98],"(\u22128.2mmol/mol),":[99],"which":[100],"maintained":[102],"14":[104,144],"(\u22127.8mmol/mol).":[106],"Modelled":[107],"3-year":[108,186,231],"changes":[109,173],"costs":[111],"base":[114],"case":[115],"-\u00a342.30":[117],"coronary":[119],"heart":[120],"disease,":[121],"-\u00a30.75":[122],"stroke":[124],"-\u00a37.79":[126],"microvascular":[128],"events.":[129],"mean":[131],"number":[132],"medicines":[134],"used":[135],"decreased":[136],"0.5":[138],"baseline":[140],"0.37":[142],"(-13.1%).":[146],"This":[147],"produced":[148],"an":[149,176],"actual":[150],"saving":[151,157,179],"\u00a344.28,":[153],"further":[156],"\u00a398.78,":[159],"compared":[160],"modelled":[163,225],"increase":[164],"medicine":[166],"use":[167],"over":[168,184,229],"time.":[169],"All":[170],"these":[172],"translated":[174],"overall":[177],"gross":[178],"\u00a3193.89":[181],"per":[182,200],"participant":[183],"model":[187],"timeframe.":[188,232],"These":[189],"savings":[190,228],"exceeded":[191],"average":[193],"cost":[194,227],"delivering":[196],"(\u00a396.17":[199],"participant).":[201],"Conclusion":[202],"Participation":[203],"associated":[213,223],"improvements":[215],"against":[216],"range":[218],"clinical":[220],"parameters":[221],"net":[226]},"counts_by_year":[{"year":2024,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2019-10-25T00:00:00"}