Effects of a national checklist on recommended procedures among patients with type 2 diabetes

Abstract Background Type 2 diabetes (T2D) is a common, potentially disabling, and costly chronic condition that requires consistent management. In 2008, Norway introduced a national checklist outlining services to include in an annual T2D exam, along with a reimbursement code for general practitione...

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Main Authors: Øyvind Snilsberg, Tor Iversen, Anne Karen Jenum, Yuting Zhang
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-024-11940-x
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author Øyvind Snilsberg
Tor Iversen
Anne Karen Jenum
Yuting Zhang
author_facet Øyvind Snilsberg
Tor Iversen
Anne Karen Jenum
Yuting Zhang
author_sort Øyvind Snilsberg
collection DOAJ
description Abstract Background Type 2 diabetes (T2D) is a common, potentially disabling, and costly chronic condition that requires consistent management. In 2008, Norway introduced a national checklist outlining services to include in an annual T2D exam, along with a reimbursement code for general practitioners (GPs) to bill upon completing it. This study investigates whether GP adoption of the checklist improves adherence to recommended services for T2D patients. Methods To investigate the impact of GP checklist adoption, we use Norwegian registry data from 2006 to 2021 and apply two difference-in-differences (DID) methods that account for staggered adoption timing: the two-way fixed effects (TWFE) estimator and Callaway and Sant’Anna’s DID method for variation in exposure timing (CSDID) (Callaway B. et al., J Econom 225:200–30, 2021). Results We find that installing the electronic form has modest effects on the use of some recommended procedures. Conclusions Our study suggests that using the electronic form can have a positive effect on recommended services. However, the modest impact indicates that installing the form does not necessarily translate into its active regular use.
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spelling doaj-art-7446cc8a79164eaab6a5cbd46fde29d02025-08-20T02:08:19ZengBMCBMC Health Services Research1472-69632024-11-0124111010.1186/s12913-024-11940-xEffects of a national checklist on recommended procedures among patients with type 2 diabetesØyvind Snilsberg0Tor Iversen1Anne Karen Jenum2Yuting Zhang3Department of Health Management and Health Economics, University of OsloDepartment of Health Management and Health Economics, University of OsloGeneral Practice Research Unit (AFE), Department of General Practice, University of OsloMelbourne Institute: Applied Economic & Social Research, Faculty of Business and Economics, University of MelbourneAbstract Background Type 2 diabetes (T2D) is a common, potentially disabling, and costly chronic condition that requires consistent management. In 2008, Norway introduced a national checklist outlining services to include in an annual T2D exam, along with a reimbursement code for general practitioners (GPs) to bill upon completing it. This study investigates whether GP adoption of the checklist improves adherence to recommended services for T2D patients. Methods To investigate the impact of GP checklist adoption, we use Norwegian registry data from 2006 to 2021 and apply two difference-in-differences (DID) methods that account for staggered adoption timing: the two-way fixed effects (TWFE) estimator and Callaway and Sant’Anna’s DID method for variation in exposure timing (CSDID) (Callaway B. et al., J Econom 225:200–30, 2021). Results We find that installing the electronic form has modest effects on the use of some recommended procedures. Conclusions Our study suggests that using the electronic form can have a positive effect on recommended services. However, the modest impact indicates that installing the form does not necessarily translate into its active regular use.https://doi.org/10.1186/s12913-024-11940-xChecklistNational quality programPhysician incentivesDiabetes managementNorwegian Diabetes Register for Adults
spellingShingle Øyvind Snilsberg
Tor Iversen
Anne Karen Jenum
Yuting Zhang
Effects of a national checklist on recommended procedures among patients with type 2 diabetes
BMC Health Services Research
Checklist
National quality program
Physician incentives
Diabetes management
Norwegian Diabetes Register for Adults
title Effects of a national checklist on recommended procedures among patients with type 2 diabetes
title_full Effects of a national checklist on recommended procedures among patients with type 2 diabetes
title_fullStr Effects of a national checklist on recommended procedures among patients with type 2 diabetes
title_full_unstemmed Effects of a national checklist on recommended procedures among patients with type 2 diabetes
title_short Effects of a national checklist on recommended procedures among patients with type 2 diabetes
title_sort effects of a national checklist on recommended procedures among patients with type 2 diabetes
topic Checklist
National quality program
Physician incentives
Diabetes management
Norwegian Diabetes Register for Adults
url https://doi.org/10.1186/s12913-024-11940-x
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