Evidence of CDSMP Effectiveness
A key feature of CDSMP is the strength of evidence about its impact. Based on a review of major published studies, CDSMP results in significant, measurable improvements in healthand quality of life for people with chronic conditions. These include considerable upgradesin health status, self-efficacy, and psychological well-being; increased physical activity;fewer social role limitations and reduced fatigue; and enhanced partnerships withphysicians. Research on cost savings has also shown impressive results:
One U.S. study published in
found a 2.5 visit reduction in ER andoutpatient visits per participant over 2 years, and a 0.49 day reduction inhospitalizations in the first 6 months of the study.
Another U.S. study published in
Effective Clinical Practice
of CDSMP participantsrecruited from Kaiser Permanente hospitals and clinics and the Group HealthCooperative of Puget Sound found that, over a 1-year period, participants had a mean0.97 day reduction in hospitalization and averaged 0.2 fewer ER visits. This suggestsan estimated savings of about $1,000 per participant in the first year.
In a 2010 United Kingdom study, 50% of CDSMP participants reported fewerunscheduled visits to their primary care physician, and 35% reported reducing theamount of medication they used after attending CDSMP. Total cost savings wereapproximately $2,934 per CDSMP participant per year.
According to a 2008 Lewin Group analysis, improving access to CDSMP could saveMedicare approximately $280 million per year, or almost $1.5 billion over 10 years.