Department of Epidemiology, Pharmatelligence, Cardiff, UK.
Diabet Med. 2010 Sep;27(9):1066-73. doi: 10.1111/j.1464-5491.2010.03086.x.
Diabetes represents a notable burden to health payers. The purpose of this study was to estimate acute hospital care costs of treating people with diabetes with reference to the costs of treating those without.
This was a retrospective study. Data from routine hospital practice were available from a large health region (439 000 people), with an estimated prevalence of diabetes of 3.4%. Common records were identified using probabilistic record linkage. Cost estimates were attributed to admissions using healthcare resource group software. Outpatient costs were attributed using published values. Data described are for 2004, and prices in pounds sterling for 2005. Standardised cost ratios were estimated to compare the costs observed in the diabetes population with those expected from the non-diabetic reference population.
The total annual cost of admissions was pound28 944 811 per 100 000 people, of which pound3 650 869 per 100 000 (12.6%) was diabetes related. The standardised cost rate of inpatient treatment was 2.9. The total cost of outpatient attendances was pound6 589 971 per 100 000, of which pound711 431 per 100 000 (10.8%) was diabetes related. The standardised cost ratio for outpatient care was 4.1. The total cost of hospital care for patients with diabetes was pound11 206 986 per 100 000, or 12.3% of acute hospital expenditure. The combined standardised cost ratio was 3.1. Costs of care for inpatient treatment increased from 8.7% of revenue in 1994 to 12.3% in 2004.
The costs of acute hospital care for treating people with diabetes increased markedly over a decade, and now exceed 12% of revenue.
糖尿病给医疗付费方带来了巨大的负担。本研究旨在估计患有糖尿病的人群的急性住院治疗费用，并与非糖尿病人群的治疗费用进行比较。
这是一项回顾性研究。数据来自一个大型健康区域（439000 人）的常规医院记录，估计糖尿病患病率为 3.4%。使用概率记录链接识别常见记录。使用医疗资源组软件将成本估计归因于住院治疗。使用已发表的数值将门诊费用归因于就诊。描述的数据是 2004 年的，2005 年的价格以英镑表示。使用标准化成本比来比较糖尿病患者的实际成本与非糖尿病参考人群的预期成本。
每 10 万人的住院总费用为 2894.481 英镑，其中每 10 万人 365.0869 英镑（12.6%）与糖尿病有关。住院治疗的标准化成本率为 2.9。每 10 万人的门诊就诊总费用为 658.9971 英镑，其中每 10 万人 71.1431 英镑（10.8%）与糖尿病有关。门诊护理的标准化成本比为 4.1。糖尿病患者的总住院治疗费用为每 10 万人 1120.6986 英镑，占急性医院支出的 12.3%。总的标准化成本比为 3.1。1994 年，住院治疗费用占收入的 8.7%，到 2004 年上升至 12.3%。
治疗糖尿病患者的急性住院治疗费用在过去十年中显著增加，现在超过了收入的 12%。
