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Trends of hospitalization costs of people treated for diabetes, France (2007-2008)

Author(s): Ricci P | Weill A | Ricordeau P | Allemand H

Journal: Pratiques et Organisation des Soins
ISSN 1952-9201

Volume: 41;
Issue: 4;
Start page: 293;
Date: 2010;
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Keywords: Diabetes mellitus | PMSI | cost and cost analysis | diabetes complications | France.

Aims: To describe reimbursed health expenditure for hospitalizations of diabetic patients and to analyse their evolutions between 2007 and 2008.Methods: Data from the national hospital discharge database and the outpatients medications reimbursement database were linked for all patients covered by the general health insurance scheme (70% of the French population). Diabetic patients were identified by at least three refunds for antidiabetic medications within a year. Results: Hospitalization costs of people treated for diabetes increased from 3.7 to 3.9 billion euros between 2007 and 2008. However their yearly hospitalization rate fell from 31.9 to 31.6%. Around 20% of hospitalization admissions were linked to the diabetes endocrinology, microvascular and macrovascular complications)and accounted for 43% of hospitalization costs. The hospitalization rate for monitoring, equilibration and treatment of diabete decreased from 6.7 to 6.3% between 2007 and 2008, and so did the one for cardiovascular complications. On the contrary, hospitalizations for cataract and dialysis raised as hospitalizations not associated with diabetes. Thus, the increase of hospitalization costs of people treated for diabetes (3% between 2007 and 2008) was mainly due to the growth of the number of people treated for diabetes and the rise of hospitalization costs without link with diabete. Conclusion: Regarding the cost increase for society, it is now essential to improve care efficiency, both cares for diabetic people and hospitalized people. Prat Organ Soins. 2010;41(4):293-301

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