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RESEARCH PRODUCT
Developing and testing a discrete event simulation model to evaluate budget impacts of diabetes prevention programs
Janne KalmariKaroliina KaasalainenToni Ruohonensubject
mallintaminenProcess (engineering)Computer scienceCost-Benefit AnalysisPsychological interventiondiabetes preventionHealth InformaticsCoaching03 medical and health sciences0302 clinical medicineResource (project management)Cost SavingsIntervention (counseling)Humansbudget impact analysissimulointiComputer Simulation030212 general & internal medicineDiscrete event simulationLife Style030304 developmental biologydiscrete event simulation0303 health sciencesdiabetesbusiness.industryBehavior changeSix SigmaComputer Science Applicationshealth behavior changeDiabetes Mellitus Type 2Risk analysis (engineering)terveyskäyttäytymineninterventiohoitoennaltaehkäisybusinessaikuistyypin diabetesdescription
Type 2 diabetes (T2D) is one of the most rapidly increasing non-communicable diseases worldwide. Lifestyle interventions are effective in preventing T2D but also resource intensive. This study evaluated with discrete event simulation (DES) the relative budget impacts of three hypothetical diabetes prevention programs (DPP), including group-based contact intervention, digital program with human coaching and fully automated program. The data for simulation were derived from research literature and national health and population statistics. The model was constructed using the iGrafx Process for Six Sigma software and simulations were carried out for 10 years. All simulated interventions produced cost savings compared to the situation without any intervention. However, this was a modeling study and future studies are needed to verify the results in real-life. Decision makers could benefit the predictive models regarding the long-term effects of diabetes prevention interventions, but more data is needed in particular on the usage, acceptability, effectiveness and costs of digital intervention tools. peerReviewed
year | journal | country | edition | language |
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2020-05-29 | Journal of Biomedical Informatics |