Hospital admissions in diabetic and non-diabetic patients: A case-control study

Tomlin, Andrew; Tilyard, Murray; Dovey, Susan; Dawson, Alexander G.

doi:10.1016/j.diabres.2006.01.008

Cited by 41 publications

(37 citation statements)

References 13 publications

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“…Although the renal hospital admission rates among NZ European diabetes patients observed in this study are in agreement with previously reported rates from the predominantly European Southlink Health [11] diabetes register in Dunedin, New Zealand, we have demonstrated that there are huge disparities in renal admission between Maori and NZ European diabetes patients. We have also shown that disparities between Maoris and NZ Europeans in mortality from renal disease observed in the South Auckland area in the early 1990s still hold true after a decade.…”

Section: Discussionsupporting

confidence: 81%

Ethnic differences in the natural progression of nephropathy among diabetes patients in New Zealand: hospital admission rate for renal complications, and incidence of end-stage renal disease and renal death

et al. 2009

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Section: Discussionsupporting

confidence: 81%

Ethnic differences in the natural progression of nephropathy among diabetes patients in New Zealand: hospital admission rate for renal complications, and incidence of end-stage renal disease and renal death

et al. 2009

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“…Diabetes-related ICD-9 codes were identified based on existing literature [36]. The last HgbA1c level recorded during the outcome period was used to construct the HgbA1c outcome variable.…”

Section: Methodsmentioning

confidence: 99%

Exploring the Impact of Language Services on Utilization and Clinical Outcomes for Diabetics

et al. 2012

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BackgroundSignificant health disparities exist between limited English proficient and English-proficient patients. Little is known about the impact of language services on chronic disease outcomes such as for diabetes.Methods/Principal FindingsTo determine whether the amount and type of language services received during primary care visits had an impact on diabetes-related outcomes (hospitalization, emergency room utilization, glycemic control) in limited English proficient patients, a retrospective cohort design was utilized. Hospital and medical record data was examined for 1425 limited English proficient patients in the Cambridge Health Alliance diabetes registry. We categorized patients receiving usual care into 7 groups based on the amount and combination of language services (language concordant providers, formal interpretation and nothing) received at primary care visits during a 9 month period. Bivariate analyses and multiple logistic regression were used to determine relationships between language service categories and outcomes in the subsequent 6 months. Thirty-one percent of patients (445) had no documentation of interpreter use or seeing a language concordant provider in any visits. Patients who received 100% of their primary care visits with language concordant providers were least likely to have diabetes-related emergency department visits compared to other groups (p<0001) in the following 6 months. Patients with higher numbers of co-morbidities were more likely to receive formal interpretation.Conclusions/SignificanceLanguage concordant providers may help reduce health care utilization for limited English proficient patients with diabetes. However, given the lack of such providers in sufficient numbers to meet patients' communication needs, strategies are needed to both increase their numbers and ensure that the highest risk patients receive the most appropriate language services. In addition, systems serving diverse populations must clarify why some limited English proficient patients do not receive language services at some or all of their visits and whether this has an impact on quality of care.

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“…The rate of hospitalization in whole population, according to the information available on Iran Supreme Council of Insurance, was almost 100 in a thousand populations (10%), in 2009. As reported, diabetic patients have more chances of hospitalization and experience longer durations of stay compared to non-diabetic patients [14][15][16]. According to Berardis et al (2011) diabetes can increase the likelihood of hospitalization by 2 to 6 times [25].…”

Section: Estimating the Hospitalized Diabetic Patientsmentioning

confidence: 90%

“…Table 1 summarizes the results of studies conducted on the prevalence of diabetes in different areas of Iran. The evidences show that the use of health care services in diabetic patients is much higher than many other diseases [12][13][14][15][16][17]. These led to diabetes to be responsible for 11.6% of the world's medical expenses in 2010 varying from 5% to 13% in different countries [1].…”

Section: Introductionmentioning

confidence: 99%

The National Financial Burden of Hospitalization of Diabetes in Iran

Ghaffari¹,

Hashemi²,

Atabaki³

2012

J of clin res gov

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Ab s t r a c tPurpose: To determine hospitalization cost of diabetes in Iran. Methods:The cost-of-illness analysis, using bottom-up and prevalence approach has been conducted. Cost information of 4002 diabetic inpatients, based on ICD-10 coding standard, were collected and analyzed. Results:The study shows that the mean age of diabetic patients was 58.3 years and the average length of stay was 6.2. The average cost of diabetic patients irrespective of their type of diabetes was US $716. Every one day of hospitalization of a diabetic patient imposes US$117 on a typical buyer of service. With 4% prevalence rate of diabetes and presuming that diabetes raises the event of hospitalization by at least 3 times, about 884,591 diabetic patients were estimated to be hospitalized in 2009, in Iran. For buyers and based on the national tariff, the diabetes inpatients cost was amounted to US $633.97 million, in 2009, while for providers this amount can increase up to US $887.31 million. Diabetes hospitalizations consume 3.2 to 4.5 percent of the total health expenditure in Iran. Conclusion:Diabetes hospitalization imposes a significant financial burden on individual, insurer, government and the society. This burden will increase as the prevalence of diabetes as well as the cost and rate of hospitalization increases.

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Hospital admissions in diabetic and non-diabetic patients: A case-control study

Cited by 41 publications

References 13 publications

Ethnic differences in the natural progression of nephropathy among diabetes patients in New Zealand: hospital admission rate for renal complications, and incidence of end-stage renal disease and renal death

Ethnic differences in the natural progression of nephropathy among diabetes patients in New Zealand: hospital admission rate for renal complications, and incidence of end-stage renal disease and renal death

Exploring the Impact of Language Services on Utilization and Clinical Outcomes for Diabetics

The National Financial Burden of Hospitalization of Diabetes in Iran

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