Page 173 - 20211214_OHKF_Health_Finance_Research_Report_E (1)

Title Overview of Study & Key Findings
Evolution of Diabetes Care in Hong (a) Demonstrates evidence in support of incorporating
Kong: From the HKDR to JADE- multi-component in the programme design for
PEARL Program to RAMP and PEP improving DM care in Hong Kong;
Program (Ng et al., 2018)
(b) Highlights elements such as a team-based integrated
care approach, information technological, and patient
empowerment programs to substantially improve care
provision and reduce incidence of diabetic
complications, hospitalisation, and mortality;
(c) Calls for the strengthening of financing schemes through
the adoption of PPP to provide integrated care as a
feasible and cost-effective solution.
Annual direct medical costs (a) Estimated the direct medical costs associated with
associated with diabetes-related DM-related complications and observed a wide variation
complications in the event year and in estimated costs across major diabetic-related
in subsequent years in Hong Kong complications;
(Jiao et al., 2017)
(b) Formulated a cost prediction model to enable economic
evaluation of DM management programmes;
(c) Insightful for the cost-effectiveness analysis (CEA) for
RAMP-DM care study (e.g., Jiao et al., 2018) to estimate
cost-saved in reduction of DM associated complications.
Effectiveness of the (a) Assessed resultant development of three subtypes of
multidisciplinary RAMP-DM for diabetic microvascular complications over three years
diabetic microvascular follow-up in DM patients compared to those receiving
complications: A population-based regular primary care;
cohort study (Jiao et al., 2016) (b) Patients receiving RAMP-DM intervention were
associated with a reduction in microvascular
complications except in neuropathy over a three-year
follow-up period.
Long-term effects of the (a) Assessed risks of cardiovascular complications and
multidisciplinary RAMP-DM: all-cause mortality in diabetic patients;
A population-based cohort study (b) Patients receiving RAMP-DM care by a multidisciplinary
(Jiao et al., 2015) team observed a reduction in occurrence of coronary
heart disease (CHD), stroke, heart failure, total
cardiovascular disease, and all-cause mortality;
(c) RAMP-DM intervention therefore is effective in the
reduction of cardiovascular complications and all-cause
mortality over three years follow-up.
Evaluation of the quality of care of (a) Highlights the importance of a multi-disciplinary
multidisciplinary risk factor team approach to DM care;
assessment and management (b) Forms the empirical basis for RAMP-DM care to be led
programme for diabetic patients
(Fung et al., 2012) by a multi-disciplinary team;
(c) Calls for studies to evaluate the effectiveness of
RAMP-DM care.

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