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First, the self-reported recall period of one year related to health care utilization in the questionnaires might suffer from the recall bias.
Health services utilization data will be collected from the Saskatchewan Health Administrative Database for all subjects one year prior and one year after study enrolment.
Other healthcare costs are the costs of health care utilization during the one year follow-up.
As a consequence we could effectively only observe patients' long-term care utilization up to one year.
The pre-joining costs were calculated by obtaining all utilization costs for one year before entering the program.
In the WHEDA-study, the adapted RUD is applied at every measurement time point after recruitment, in order to record the full resource utilization until the one year follow up.
At one year of follow-up, health care utilization outcomes were similar for the GLA and PMX cohorts, except for the number of endocrinology visits, which was higher for PMX than for GLA (1.97 versus 1.68, P = 0.01).
The study specifically compared: 1) HbA1C levels at diagnosis and one year post-diagnosis; and 2) healthcare utilization and costs associated with the provision of type 1 diabetes education and care during the first year from date of diagnosis in both healthcare settings.
Finally, this analysis was limited to one year of observation and did not assess utilization patterns after that period.
Table 1 shows demographic clinical utilization characteristics during the one year prior to the index date by the different samples.
These estimates of incremental effects were obtained by calculating the difference in service utilization (institutional deliveries and PNC) one year prior to the program implementation (December 2008 November 200909), and during the one year of implementation (June 2010 May 201111) for both control and intervention areas.
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