The economic and social cost of type 2 diabetes by health inequalities

健康不平等造成 2 型糖尿病的经济和社会成本

• 批准号: 2606816
• 金额: --
• 依托单位: King's College London
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2606816
• 关键词: economic; social; cost; type; diabetes

Diabetes is a common condition that can lead to significant ill health and early death. It is also expensive to manage. Health impacts include foot amputation, blindness, kidney failure and early death. It is estimated that around 10% of the NHS's budget is spent on managing diabetes and illness caused by it. The data upon which these estimates are based are old. Understanding the cost of diabetes care, the impact on patient health and how this is influenced by management of the condition is important. Understanding the impact of ethnicity and deprivation can help the NHS improve care in those who might benefit most. This study will review the current literature to highlight what is already known about the progression of diabetes over time, the cost impact and the factors which influence disease progression. This study will then update that understanding by utilizing extensive English health records. The study will access routine data from GP notes and hospital records to quantify the cost of diabetes and the impact on patient health as the disease progresses from diagnosis. It will examine the impact of good blood sugar control on costs and key health impacts such as amputation and stroke over time. It will then examine how ethnicity, poverty and living in an urban or rural area influence diabetes costs and outcomes, both directly, and indirectly though their impact on blood sugar control. Health care commissioners are moving towards the use of linked data on health and social care to better manage patients with long term health conditions. The student will work with local commissioners to access this linked data and use to understand the impact of diabetes and the rate of disease progression on social care costs. This analysis will exploit more detailed data on social support and mental health to understand the impact of these factors on the rate of disease progression. The project will undertake interviews with health care commissioners and patients with diabetes to understand the practical barriers and facilitators of good management of diabetes and access to care for people with diabetes. The study will update our understanding of the long term costs and outcomes of diabetes and the impact of maintenance of healthy blood sugar levels. It will identify how environmental and social factors influence diabetes management and the progression of the disease. Interviews with patients and commissioners will contextualize these factors and help to understand why poor management of disease occurs and what can be done to improve it. These results will help commissioners of care to manage diabetes more effectively and target support to patients most at need whilst containing costs within available budgets.

糖尿病是一种常见疾病，可导致严重健康不良和过早死亡。管理起来也很昂贵。健康影响包括足部截肢、失明、肾衰竭和早逝。据估计，NHS 预算的 10% 左右用于管理糖尿病及其引起的疾病。这些估计所依据的数据是旧的。了解糖尿病护理的费用、对患者健康的影响以及病情管理如何影响这一点非常重要。了解种族和贫困的影响可以帮助 NHS 改善对那些可能受益最多的人的护理。这项研究将回顾当前的文献，以强调关于糖尿病随时间的进展、成本影响以及影响疾病进展的因素的已知信息。然后，这项研究将通过利用广泛的英语健康记录来更新这一认识。该研究将访问全科医生记录和医院记录中的常规数据，以量化糖尿病的成本以及随着疾病从诊断开始进展对患者健康的影响。它将研究良好的血糖控制对成本的影响以及随着时间的推移截肢和中风等关键健康影响。然后，它将研究种族、贫困和居住在城市或农村地区如何直接或间接地影响糖尿病的成本和结果，以及它们对血糖控制的影响。卫生保健专员正在努力使用健康和社会保健方面的关联数据来更好地管理患有长期健康状况的患者。学生将与当地专员合作访问这些关联数据，并用于了解糖尿病的影响以及疾病进展率对社会护理成本的影响。该分析将利用有关社会支持和心理健康的更详细数据来了解这些因素对疾病进展速度的影响。该项目将采访卫生保健专员和糖尿病患者，以了解良好管理糖尿病和糖尿病患者获得护理的实际障碍和促进因素。该研究将更新我们对糖尿病的长期成本和结果以及维持健康血糖水平的影响的理解。它将确定环境和社会因素如何影响糖尿病管理和疾病进展。与患者和专员的访谈将了解这些因素的背景，并有助于理解为什么会出现疾病管理不善的情况以及可以采取哪些措施来改善这种情况。这些结果将帮助护理专员更有效地管理糖尿病，并向最需要的患者提供有针对性的支持，同时将成本控制在可用预算范围内。