McKendry J B
Can J Public Health. 1989 Mar-Apr;80(2):124-8.
205 unselected Ottawa area patients with diabetes completed questionnaires indicating their annual utilization of equipment, supplies, professional and institutional services. Respondents' average age was 47.3 and average duration of diabetes 18.3 years. About 70% used self-testing of blood glucose. Calculations of costs were based on prevailing local prices. Annual treatment-related costs for the 9.3% on anti-diabetic tablets averaged $236.40, for the 79% on injected insulin $362.34, and for the 7.3% on insulin-by-pump $1603.20. Averaged over all respondents, routine care costs were $962.01 annually, of which 23.4% was for at-home testing, 45.3% for treatment supplies, 20.9% for physicians' services and 10.4% for miscellaneous items. Non-routine care costs averaged $1982.24 with all except $45.84 for emergency room charges being in-hospital care costs. Cost of routine plus non-routine care averaged $2944.25 annually of which 64.4% was for hospital services, 13.9% for treatment needs, 9.6% for physicians' services and 7.7% for testing supplies. This type of survey, particularly if carried out with help from diabetes association volunteers, offers an affordable means to monitor utilization trends and costs of supplies and services for patient care.
205名来自渥太华地区的未经过挑选的糖尿病患者填写了问卷，问卷表明了他们每年对设备、耗材、专业及机构服务的使用情况。受访者的平均年龄为47.3岁，糖尿病平均病程为18.3年。约70%的患者使用自我血糖检测。成本计算基于当地现行价格。服用抗糖尿病药片的9.3%的患者每年的治疗相关成本平均为236.40美元，注射胰岛素的79%的患者为362.34美元，使用胰岛素泵的7.3%的患者为1603.20美元。在所有受访者中，常规护理成本平均每年为962.01美元，其中23.4%用于居家检测，45.3%用于治疗耗材，20.9%用于医生服务，10.4%用于杂项。非常规护理成本平均为1982.24美元，除了45.84美元的急诊室费用外，其余均为住院护理成本。常规护理与非常规护理的成本平均每年为2944.25美元，其中64.4%用于医院服务，13.9%用于治疗需求，9.6%用于医生服务，7.7%用于检测耗材。这类调查，特别是在糖尿病协会志愿者的帮助下进行的调查，提供了一种经济实惠的方式来监测患者护理用品和服务的使用趋势及成本。
