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

J Occup Environ Med

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.

Published: November 2015

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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636035PMC
http://dx.doi.org/10.1097/JOM.0000000000000548DOI Listing

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