Stern E, Benbassat C A, Nahshoni A, Blum I
Institute of Endocrinology, Department of Medicine, Rabin Medical Center (Beilinson Campus), Petah Tiqva, Israel.
Isr Med Assoc J. 2001 Jan;3(1):21-3.
Diabetes mellitus is a serious, costly and growing public health problem. Very few studies have been published on the economic impact of diabetes in Israel.
To estimate health fund expenditures and rates of hospitalization for general conditions among the diabetic population in Israel.
The total number of hospitalizations in Israel in 1998 of beneficiaries of the General Sick Fund (Kupat Holim Clalit) was obtained from its bureau of statistics. The diabetic and general populations were compared for age and gender distribution, days of hospitalization and cost of hospitalization. All hospitals in Israel were included.
There were 618,317 general admissions for a total of 3,005,288 hospitalization days. The diabetic population accounted for 11.5% of all admissions and 13.7% of all hospitalization days. Analysis by age revealed that diabetic patients over age 45 represented 18.3% of all admissions and 17.5% of all hospitalization days. The average stay in hospital was 4.8 days per patient for the general population and 5.3 days for diabetic patients. The overall hospital expenditure of the GSF for general medical conditions among diabetic patients in 1998 was estimated at US $173,455,790, of which 57% accounted for the daily hospitalization cost. Of the total hospital expenditures for that year, 13.3% was allocated to patients with diabetes of whom 96.4% were over 45 years old. No significant difference was found between males and females.
Hospital expenditures for diabetic people increase with patient age and represent one-fifth of the total health insurance expenditure for the middle-aged and elderly population.
糖尿病是一个严重、代价高昂且日益严重的公共卫生问题。关于糖尿病对以色列经济影响的研究发表得很少。
估计以色列糖尿病患者人群的健康基金支出以及一般疾病的住院率。
从以色列普通疾病基金（克拉利特健康基金）统计局获取了1998年以色列所有受益人的住院总数。比较了糖尿病患者人群和普通人群的年龄和性别分布、住院天数和住院费用。以色列所有医院均纳入研究。
共有618317例普通住院病例，总计住院天数达3005288天。糖尿病患者人群占所有住院病例的11.5%，占所有住院天数的13.7%。按年龄分析显示，45岁以上的糖尿病患者占所有住院病例的18.3%，占所有住院天数的17.5%。普通人群平均住院时间为每人4.8天，糖尿病患者为5.3天。1998年普通疾病基金用于糖尿病患者一般医疗状况的总体医院支出估计为173455790美元，其中57%为每日住院费用。在该年的总医院支出中，13.3%分配给了糖尿病患者，其中96.4%为45岁以上患者。男性和女性之间未发现显著差异。
糖尿病患者的医院支出随患者年龄增加，占中年和老年人群健康保险总支出的五分之一。
