Estimated costs of acute hospital care for people with diabetes in the United Kingdom: a routine record linkage study in a large region*
Estimated costs of acute hospital care for people with diabetes in the United Kingdom: a routine record linkage study in a large region*
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DOI：
10.1111/j.1464-5491.2010.03086.x
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发表时间：
2010-09-01
影响因子：
3.5
通讯作者：
Currie, C. J.
中科院分区：
文献类型：
--
作者：
Morgan, C. Ll;Peters, J. R.;Currie, C. J.
糖尿病对医疗费用支付者来说是一个显著的负担.本研究的目的是估计急性住院治疗糖尿病患者的费用与治疗那些没有。常规医院实践的数据来自一个大型卫生区域（439 000人），估计糖尿病患病率为3.4%。使用概率记录链接识别共同记录。成本估计归因于使用医疗资源组软件的入院。门诊费用使用公布的数值进行归因。所述数据为2004年数据，2005年价格以英镑计。标准化的成本比估计比较观察到的糖尿病人群与预期的非糖尿病reference population.ResultsThe每年的总成本入院为28磅944 811每10万人，其中3磅650 869每10万（12.6%）是糖尿病相关。住院治疗的标准化成本率为2.9。门诊总费用为每10万人6磅589 971，其中每10万人711磅431（10.8%）与糖尿病有关。门诊护理的标准化成本比率为4.1。糖尿病患者住院治疗的总费用为每10万人11 206 986英镑，占急性住院费用的12.3%。综合标准化成本比为3.1。住院治疗的护理费用从1994年的8.7%增加到2004年的12.3%。结论糖尿病患者的急性住院护理费用在十年内显著增加，现在超过了收入的12%。
P>AimsDiabetes 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.MethodsThis 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.ResultsThe total annual cost of admissions was 28 pound 944 811 per 100 000 people, of which 3 pound 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 6 pound 589 971 per 100 000, of which 711 pound 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 11 pound 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.ConclusionsThe costs of acute hospital care for treating people with diabetes increased markedly over a decade, and now exceed 12% of revenue.