Division of Diabetes Translation, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Diabetes Res Clin Pract. 2010 Mar;87(3):293-301. doi: 10.1016/j.diabres.2010.01.026. Epub 2010 Feb 19.
To estimate the global health expenditure on diabetes among people aged 20-79 years for the years 2010 and 2030.
Country-by-country expenditures for 193 countries, expressed in United States Dollars (USD) and in International Dollars (ID), were estimated based on the country's age-sex specific diabetes prevalence and population estimates, per capita health expenditures, and health expenditure ratios per person with and without diabetes. Diabetes prevalence was estimated from studies in 91 countries. Population estimates and health expenditures were from the United Nations and the World Health Organization. The health expenditure ratios were estimated based on utilization and cost data of a large health plan in the U.S. Diabetes expenditures for the year 2030 were projected by considering future changes in demographics and urbanization.
The global health expenditure on diabetes is expected to total at least USD 376 billion or ID 418 billion in 2010 and USD 490 billion or ID 561 billion in 2030. Globally, 12% of the health expenditures and USD 1330 (ID 1478) per person are anticipated to be spent on diabetes in 2010. The expenditure varies by region, age group, gender, and country's income level.
Diabetes imposes an increasing economic burden on national health care systems worldwide. More prevention efforts are needed to reduce this burden. Meanwhile, the very low expenditures per capita in poor countries indicate that more resources are required to provide basic diabetes care in such settings.
估计 20-79 岁人群糖尿病的全球卫生支出，数据为 2010 年和 2030 年。
根据各国特定年龄和性别的糖尿病患病率和人口估计数、人均卫生支出以及有和无糖尿病患者的人均卫生支出比例，估算了 193 个国家的国家间支出。糖尿病患病率来自 91 个国家的研究。人口估计数和卫生支出来自联合国和世界卫生组织。根据美国一家大型医保计划的使用和成本数据估算了卫生支出比例。考虑到人口统计学和城市化的未来变化，预测了 2030 年的糖尿病支出。
预计全球糖尿病卫生支出 2010 年至少将达到 3760 亿美元或 4180 亿国际元，2030 年将达到 4900 亿美元或 5610 亿国际元。全球卫生支出的 12%和每人 1330 美元（或 1478 国际元）预计将用于 2010 年的糖尿病。支出因地区、年龄组、性别和国家收入水平而异。
糖尿病给全球各国的医疗保健系统带来了越来越大的经济负担。需要采取更多的预防措施来减轻这一负担。同时，贫困国家的人均支出非常低，表明需要在这些环境中投入更多资源来提供基本的糖尿病护理。
