Vicente-Herrero M Teófila, Terradillos García M Jesús, Capdevila García Luisa M, Ramírez Iñiguez de la Torre M Victoria, López-González Angel Arturo
Grupo Correos-Valencia, España; Grupo Investigación Medicina del Trabajo.
Endocrinol Nutr. 2013 Oct;60(8):447-55. doi: 10.1016/j.endonu.2013.02.004. Epub 2013 May 29.
To ascertain the socioeconomic impact of diabetes, it is essential to estimate overall costs, including both direct and indirect costs (premature retirements, working hours lost, or sick leaves). This study analyzed indirect costs for temporary disability (TD) due to diabetes and its complications in Spain in 2011 by assessing the related ICD-9 MC codes.
For this purpose, the number of TD processes and their mean duration were recorded. The indirect costs associated to loss of working days were also estimated.
In 2011, diabetes and its complications were related to 2.567 TD processes, which resulted in the loss of 154.214 days. In terms of costs, this disease represented for Spanish public health administrations an expense of 3,297.095.3 €, with an estimated cost per patient and year of 141 €.
These data suggest an urgent need to devise plans for prevention and early diagnosis of diabetes and its complications, as well as programs to optimize the available health care resources by creating multidisciplinary teams where occupational medical services assume an important role. A decrease in absenteeism would result in benefits for diabetic patients, society overall, and companies or public institutions.
为确定糖尿病的社会经济影响，估算包括直接和间接成本（提前退休、工作时间损失或病假）在内的总成本至关重要。本研究通过评估相关的国际疾病分类第九版临床修订本（ICD - 9 MC）编码，分析了2011年西班牙糖尿病及其并发症导致的临时残疾（TD）的间接成本。
为此，记录了TD病例数及其平均病程。还估算了与工作日损失相关的间接成本。
2011年，糖尿病及其并发症与2567例TD病例相关，导致154214个工作日的损失。在成本方面，这种疾病给西班牙公共卫生管理部门带来了3297095.3欧元的费用，估计每位患者每年的成本为141欧元。
这些数据表明迫切需要制定糖尿病及其并发症的预防和早期诊断计划，以及通过组建多学科团队（其中职业医疗服务发挥重要作用）来优化现有医疗资源的方案。缺勤率的降低将使糖尿病患者、整个社会以及公司或公共机构受益。
