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News & Analysis Evidence of Effectiveness reduces total spending. Although some in- well. Many of the factors that influence Is there evidence that PHM interventions terventions may be cost-effective, they are health are not areas where clinicians neces- are working? There have been surprisingly almost never cost-saving. For example, a sarily have expertise, and engaging others, few carefully done assessments of the study of a diabetes prevention program from social workers to housing experts, is impact of PHM interventions on health found that the program was effective in re- critically important. outcomes. The evidence that does exist is ducing the incidence of diabetes but added The challenge is that many advocates somewhat mixed but leans toward these about $143 000 in medical costs per healthy of PHM have suggested that it is a solution interventions being beneficial. year added. Additionally, analyses of Hous- to our high health care expenditure, with One systematic review found that more ing First programs show that while they do little or no supporting evidence. As health studies show positive health effects than often lead to decreased health expendi- care organizations and policy makers con- not, although the size of these benefits var- ture, the
JAMA – American Medical Association
Published: Aug 6, 2019
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