Hypothesis | Rationale | Model adjustment method |
Economic potential of a given investment |
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H1: Increased investments in primary care | Focus on patient self-care initiatives and improved health among patients with diabetes can be expected to move patients from secondary to primary care. | 5% annual increase in costs per PYRS in primary care (200% increase in 2040) |
H2: Increased investments in pharmaceuticals | Investments in new and better pharmaceuticals plus a more proactive medication of PwD can be expected to increase pharmaceutical costs. | 2.5% annual increase in costs per PYRS for pharmaceuticals |
H3: Increased investments in secondary prevention such as telemedicine | Telemedicine for patients with chronic diseases as diabetes are in rapid development [38] [39] . Investments in telemedicine have the potential to reduce patients’ need for health care services and improve their daily regulation. Increased investments in secondary prevention to increase self-management can be expected to improve the regulation of diabetes patients, who have not yet developed complications from their disease. | 2.5% annual increase in cost per PYRS for ―H3a SMBG ―H3b patient education ―H3c patients’ own time for managing their disease |