The financial and health burden of diabetic ambulatory care sensitive hospitalisations in Mexico

被引：4
作者：
Lugo-Palacios, David G. [1 ]
Cairns, John [1 ]
机构：
[1] London Sch Hyg & Trop Med, Dept Hlth Serv Res & Policy, London WC1H 9SH, England
来源：
SALUD PUBLICA DE MEXICO | 2016年 / 58卷 / 01期
关键词：
ambulatory care sensitive hospitalisations; primary care; diabetes; Mexico; CHALLENGES; COSTS;
D O I：
10.21149/spm.v58i1.7665
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Objective. To estimate the financial and health burden of diabetic ambulatory care sensitive hospitalisations (ACSH) in Mexico during 2001-2011. Materials and methods. We identified ACSH due to diabetic complications in general hospitals run by local health ministries and estimated their financial cost using diagnostic related groups. The health burden estimation assumes that patients would not have experienced complications if they had received appropriate primary care and computes the associated Disability-Adjusted Life Years (DALYs). Results. The financial cost of diabetic ACSH increased by 125% in real terms and their health burden in 2010 accounted for 4.2% of total DALYs associated with diabetes in Mexico. Conclusion. Avoiding preventable hospitalisations could free resources within the health system for other health purposes. In addition, patients with ACSH suffer preventable losses of health that should be considered when assessing the performance of any primary care intervention.
引用
收藏
页码：33 / 40
页数：8
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