Factors Influencing the Hospitalization Costs of Patients With Type 2 Diabetes

Abstract

This study aims to research the factors influencing the hospitalization costs of patients with type 2 diabetes, so as to provide some references for reducing their economic burden. Based on the Hospital Information System of a 3A grade hospital in China, we analyzed 2970 cases with type 2 diabetes during 2005-2012. Both the number of inpatients and the hospitalization costs had increased in the study period. Using multiple linear regression analysis, we found that patients in Urban Employee Basic Medical Insurance had higher costs than those in New Rural Cooperative Medical Scheme. We also found hospitalization costs to be higher in male patients and older patients, patients who stayed more days at hospital and who had surgeries, patients who had at least 1 complication, and patients whose admission status was emergency. After standardizing the regression coefficients, we found that the hospital stay, the forms of payment, and presence of complications were the first 3 factors influencing hospitalization costs in our study. In conclusion, the hospitalization costs of patients with type 2 diabetes could be influenced by age, gender, forms of payment, hospital stay, admission status, complications, and surgery. Medical workers in the studied region should take actions to reduce the duration of hospital stay for diabetic patients and prevent relevant complications. What is more, medical insurance needs further improvement.

The burden of common infections in children and adolescents with diabetes mellitus: A Pediatric Health Information System study

“…Thus, an additional understanding of how the body shields epithelial surfaces from invading pathogens in DM states is vital to enhancing innate defenses and developing novel therapies to improve patient care and reduce rising healthcare costs.Our data show that infection-related healthcare costs have steadily increased for children and adolescents with DM since 2008.In part, these rising costs are due to increased ED evaluations, inpatient hospitalizations, and prolonged hospitalizations. Consistent with prior studies, the PHIS data demonstrate that people with DM whose hospital stay includes infection management are more likely to have a prolonged hospitalization compared to DM patients without infection and non-DM patients with infection 11,12,[69][70][71]. These prolonged hospitalizations could be attributable to the infection itself or associated repercussions-including alterations in glucose homeostasis, dehydration, or ketoacidosis 72.…”

Comparing the Economic Burden of Type 2 Diabetes Mellitus Patients with and without Medical Insurance: A Cross-Sectional Study in China

“…First, despite quality controls, there may be some measurement errors in ICD-10 codes, which could cause misclassifications of T2DM and other comorbidities when identifying patients. Second, information on glucose, blood pressure, insulin, and other drugs was not available, but these factors could have a significant influence on diabetic comorbidities and hospitalization costs [ 18 ]. Finally, we only compared the economic burden of patients with and without MI, and preliminarily analyzed the corresponding reasons.…”

Direct cost of dengue hospitalization in Zhongshan, China: Associations with demographics, virus types and hospital accreditation

“…As the results, male patients may have had greater severity when they were hospitalized. Additionally, the impact of different physiologies can not be ruled out [ 46 ].…”