Comparative hospitalization cost and length of stay between patients with and without diabetes in a large tertiary hospital in Johannesburg, South Africa

Ncube-Zulu, Tryphine; Danckwerts, Michael P.

doi:10.1007/s13410-013-0173-8

Cited by 15 publications

(23 citation statements)

References 8 publications

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“…The explanatory variables in this study were selected on the basis of results from previous studies [9] [17] [18] [27] [28]. The Female Dummy (0: male, 1: female) was used for gender.…”

Section: Results Of Estimationmentioning

confidence: 99%

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Evaluation of Length of Hospital Stay Joining Educational Programs for Type 2 Diabetes Mellitus Patients: Can We Control Medical Costs in Japan?

Nawata

Kawabuchi

2015

Health

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Diabetes has become a growing concern in Japan, both medically and financially. The medical cost of diabetes was estimated at 1215 billion yen for fiscal year 2011. We analyzed the length of stay (LOS) in a hospital for type 2 diabetes mellitus patients who participated in educational programs to determine factors affecting LOS. Data on 991 patients obtained from 28 Red Cross hospitals in 2008 were used. For the analysis, we used the Box-Cox transformation model and Hausman test. The results revealed that patients aged 75 years and above and those with comorbidities and complications were prone to longer LOS. The analysis also revealed significant differences in LOS across the hospitals, even after controlling for patient characteristics. Finally, we applied the least squares method to determine the effects of hospital and regional factors and revealed that patients' LOS was affected by the region's average LOS. Regional corporations and networks appeared to be important in improving educational programs.

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“…The explanatory variables in this study were selected on the basis of results from previous studies [9] [17] [18] [27] [28]. The Female Dummy (0: male, 1: female) was used for gender.…”

Section: Results Of Estimationmentioning

confidence: 99%

“…The N-estimator is used if the assumption of homoscedasticity is accepted, and the robust estimator otherwise. Unlike the previous test, estimating the variances in Equations (9) and 10is often difficult. However, since…”

Section: Testing the Assumption Of Homoscedasticitymentioning

confidence: 98%

Evaluation of Length of Hospital Stay Joining Educational Programs for Type 2 Diabetes Mellitus Patients: Can We Control Medical Costs in Japan?

Nawata

Kawabuchi

2015

Health

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“…A number of studies has demonstrated the high societal and medical costs of DM from a community perspective . However, there exist few studies that have specifically quantified hospital costs in patients with and without diabetes . Furthermore, previous reports within Australia have looked at the average per‐separation cost for people admitted with a primary diagnosis related directly to DM.…”

Section: Discussionmentioning

confidence: 99%

“…[17][18][19] However, there exist few studies that have specifically quantified hospital costs in patients with and without diabetes. 20,21 Furthermore, previous reports within Australia have looked at the average perseparation cost for people admitted with a primary diagnosis related directly to DM. However, our study looked at all patients with DM, not just those admitted due to DM as primary diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Quantifying the hidden healthcare cost of diabetes mellitus in Australian hospital patients

Karahalios

Somarajah

Hamblin

et al. 2018

Internal Medicine Journal

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“…They reported that two-thirds of the costs were direct medical costs ($857 billion) and one-third were indirect costs, such as reductions in productivity. Diabetes as a comorbidity prolongs the length of stay (LOS) in a hospital [7]- [15]. The costs and economic burden of diabetes are a serious worldwide issue and have been the subject of various studies [16]- [28].…”

Section: Introductionmentioning

confidence: 99%

An Analysis of the Medical Costs of and Factors Affecting Diabetes Using the Medical Checkup and Payment Dataset in Japan: Can We Reduce the Prevalence of Diabetes?

Nawata¹,

Kimura²

2017

Health

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Background: The cost and economic burden of diabetes are a serious worldwide issue. In this study, we evaluated medical payments for persons diagnosed with diabetes and the factors that led to a person having diabetes to reduce its prevalence. Methods: A dataset containing 113,979 medical checkups and 3,671,783 monthly medical, dental, care-giving and pharmacy payment records of one health insurance society was used. The dataset contains information of normal and healthy persons. The sample period ran from April, 2013 to March, 2016. The medical payments for persons diagnosed with diabetes were calculated. The regression analysis was used to remove the effects of age and gender. The probit analysis was used to analyze the factors that led to a person having diabetes. Results: In 2.9% of cases, the person undergoing the checkup was diagnosed with diabetes, and the medical payments for these patients were 2.7 times as much as the average medical payment per person. This result did not change significantly even if age and gender were considered. The results of the probit analysis suggested that body mass index, high systolic blood pressure, low diastolic blood pressure, eating habits, physical activities, smoking, drinking alcohol and sleeping were important factors for diabetes. Conclusion: The diabetes might be a costlier disease than previously thought in Japan. By the estimation, 8% of all medical payments were made for these persons with diabetes, which is much higher than the result shown by national survey data. However, overall prevalence could be recused by efforts such as prevention of overweight and obesity.

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Comparative hospitalization cost and length of stay between patients with and without diabetes in a large tertiary hospital in Johannesburg, South Africa

Cited by 15 publications

References 8 publications

Evaluation of Length of Hospital Stay Joining Educational Programs for Type 2 Diabetes Mellitus Patients: Can We Control Medical Costs in Japan?

Evaluation of Length of Hospital Stay Joining Educational Programs for Type 2 Diabetes Mellitus Patients: Can We Control Medical Costs in Japan?

Quantifying the hidden healthcare cost of diabetes mellitus in Australian hospital patients

An Analysis of the Medical Costs of and Factors Affecting Diabetes Using the Medical Checkup and Payment Dataset in Japan: Can We Reduce the Prevalence of Diabetes?

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