Health service utilization and related costs attributable to diabetes

Diabetic Medicine : a Journal of the British Diabetic Association
K N O'NeillP M Kearney

Abstract

To estimate the health service use and direct healthcare costs attributable to diabetes using best available data and methods. A nationally representative sample of adults aged ≥50 years was analysed (n=8107). Health service use in the previous 12 months included the number of general practitioner visits, outpatient department visits, hospital admissions, and accident and emergency department attendances. Multivariable negative binomial regression was used to estimate the associations between diabetes and frequency of visits. Average marginal effects were applied to unit costs for each health service and extrapolated to the total population, calculating the incremental costs associated with diabetes. The prevalence of diabetes was 8.0% (95% CI: 7.4, 8.6). In fully adjusted models, diabetes was associated with additional health service use. Compared to those without diabetes, people with diabetes have, on average, 1.49 (95% CI: 1.10, 1.88) additional general practitioner visits annually. Diabetes was associated with an 87% increase in outpatient visits, a 52% increase in hospital admissions and a 33% increase in accident and emergency department attendances (P<0.001). The incremental cost of this additional service use, national...Continue Reading

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Citations

Apr 4, 2021·International Journal of Environmental Research and Public Health·Jamie M SmithCharlotte Thomas-Hawkins
Jun 3, 2021·International Journal of Environmental Research and Public Health·Jamie M SmithOlga F Jarrín
Jul 27, 2021·Frontiers in Psychology·Mythily SubramaniamSiow Ann Chong
Aug 28, 2021·International Journal of Environmental Research and Public Health·Chaozhou MouJuncheng Lyu
Nov 29, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Kathleen M FrielMatthew Manktelow
Dec 28, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Shikha SharmaSean F Dinneen

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