Health service utilization and related costs attributable to diabetes

O'Neill, Kate N.; McHugh, Sheena M.; Tracey, Marsha L.; Fitzgerald, Anthony P.; Kearney, Patricia M.

Access to this article is restricted until 12 months after publication by request of the publisher.. Restriction lift date: 2019-08-28

Health service utilization and related costs attributable to diabetes

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dc.check.date	2019-08-28
dc.check.info	Access to this article is restricted until 12 months after publication by request of the publisher.	en
dc.contributor.author	O'Neill, Kate N.
dc.contributor.author	McHugh, Sheena M.
dc.contributor.author	Tracey, Marsha L.
dc.contributor.author	Fitzgerald, Anthony P.
dc.contributor.author	Kearney, Patricia M.
dc.contributor.funder	Atlantic Philanthropies	en
dc.contributor.funder	Department of Health and Children, Ireland
dc.contributor.funder	Irish Life plc
dc.date.accessioned	2018-09-11T11:38:39Z
dc.date.available	2018-09-11T11:38:39Z
dc.date.issued	2018-08-28
dc.date.updated	2018-09-06T08:39:47Z
dc.description.abstract	Aims: To estimate the health service use and direct healthcare costs attributable to diabetes using best available data and methods. Methods: A nationally representative sample of adults aged ≥50 years was analysed (n=8107). Health service use in the previous 12 months included the number of general practitioner visits, outpatient department visits, hospital admissions, and accident and emergency department attendances. Multivariable negative binomial regression was used to estimate the associations between diabetes and frequency of visits. Average marginal effects were applied to unit costs for each health service and extrapolated to the total population, calculating the incremental costs associated with diabetes. Results: The prevalence of diabetes was 8.0% (95% CI 7.4, 8.6). In fully adjusted models, diabetes was associated with additional health service use. Compared to those without diabetes, people with diabetes have, on average, 1.49 (95% CI 1.10, 1.88) additional general practitioner visits annually. Diabetes was associated with an 87% increase in outpatient visits, a 52% increase in hospital admissions and a 33% increase in accident and emergency department attendances (P<0.001). The incremental cost of this additional service use, nationally, is an estimated €88,894,421 annually, with hospital admissions accounting for 67% of these costs. Conclusion: Using robust methods, we identified substantially increased service use attributable to diabetes across the health system. Our findings highlight the urgent need to invest in the prevention and management of diabetes.	en
dc.description.status	Peer reviewed	en
dc.description.version	Accepted Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.citation	O'Neill, K. N., McHugh, S. M., Tracey, M. L., Fitzgerald, A. P. and Kearney, P. M. (2018) 'Health service utilization and related costs attributable to diabetes', Diabetic Medicine. doi:doi:10.1111/dme.13806	en
dc.identifier.doi	doi:10.1111/dme.13806
dc.identifier.issn	0742-3071
dc.identifier.issn	1464-5491
dc.identifier.journaltitle	Diabetic Medicine	en
dc.identifier.uri	https://hdl.handle.net/10468/6748
dc.language.iso	en	en
dc.publisher	John Wiley & Sons, Inc.	en
dc.rights	© 2018, John Wiley & Sons Inc. This is the peer reviewed version of the following article: O'Neill, K. N., McHugh, S. M., Tracey, M. L., Fitzgerald, A. P. and Kearney, P. M. (2018) 'Health service utilization and related costs attributable to diabetes', Diabetic Medicine. doi:10.1111/dme.13806, which has been published in final form at https://doi.org/10.1111/dme.13806. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.	en
dc.subject	Diabetes	en
dc.subject	Prevention and management of diabetes	en
dc.subject	Increased service use	en
dc.subject	Health service	en
dc.title	Health service utilization and related costs attributable to diabetes	en
dc.type	Article (peer-reviewed)	en