Ballesta Miguel, Carral Florentino, Olveira Gabriel, Girón José Antonio, Aguilar Manuel
Primary Health Care District Bahía de Cádiz-La Janda, Cadiz, Spain.
Eur J Health Econ. 2006 Dec;7(4):270-5. doi: 10.1007/s10198-006-0367-9.
An observational descriptive study was carried out of the healthcare resources consumed during 1 year by a sample of patients with type II diabetes of a healthcare area in southern Spain. A total of 517 patients with a mean duration of disease of 9.7+/-8 years were assessed. A total annual health cost of 4,278 euro/patient was calculated (direct 2,504 euro; indirect 1,774 euro). Multiple regression analysis showed an independent association between total costs and obesity, male sex, number of hospitalizations related to diabetes, permanent disability, macrovascular complications, and both micro- and macrovascular complications. Our findings confirm both the high economic cost associated with type II diabetes and the direct relationship between the costs of the disease and the presence of obesity, male sex, hospitalizations related to diabetes, permanent disability and chronic complications.
对西班牙南部一个医疗区域的II型糖尿病患者样本在1年期间消耗的医疗资源进行了一项观察性描述性研究。共评估了517例患者，平均病程为9.7±8年。计算出每位患者的年度总医疗费用为4278欧元（直接费用2504欧元；间接费用1774欧元）。多元回归分析显示，总费用与肥胖、男性、与糖尿病相关的住院次数、永久性残疾、大血管并发症以及微血管和大血管并发症之间存在独立关联。我们的研究结果证实了与II型糖尿病相关的高经济成本，以及该疾病的费用与肥胖、男性、与糖尿病相关的住院、永久性残疾和慢性并发症之间的直接关系。
