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J Occup Environ Med. 2015 Nov;57(11):1147-53. doi: 10.1097/JOM.0000000000000548.

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

Author information

1
Division of Research (Ms Adams, Ms Wiley, Dr Neugebauer, and Dr Schmittdiel), Kaiser Permanente Northern California; and Customer Analytics and Reporting (Ms Fargeix, Ms George), Kaiser Permanente, Program Offices, Oakland, California. Ms George has now retired.

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.

PMID:
26539761
PMCID:
PMC4636035
DOI:
10.1097/JOM.0000000000000548
[Indexed for MEDLINE]
Free PMC Article

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