科研之友
微信
新浪微博
Facebook
分享链接
摘要
Background: Type 1 diabetes is the most common form of childhood diabetes and its incidence is increasing in Canada at annual rates of 3% to 5%. Multidisciplinary education and outpatient management is associated with better compliance and quality of life, and endorsed by the Canadian Diabetes Association. Few studies have assessed the healthcare costs associated with newly diagnosed patients and their initial education and management. %26lt;br%26gt;Methods: We undertook a retrospective chart review of children with newly diagnosed type 1 diabetes seen at the Stollery Children%26apos;s Hospital in Edmonton from 2007 to 2008. We gathered demographics, hospital admissions, pediatric intensive care unit admissions and medical comorbidities. Review of physician billing, service logs for clinic, telephone and home care, and meal costs provided multidisciplinary cost estimation from January 1, 2007 to December 31, 2008. We compared healthcare costs associated with the current outpatient management model with a more historic inpatient care model. %26lt;br%26gt;Results: A total of 189 eligible patients were included with 87 (46.1%) female, and the mean (standard deviation) age at diagnosis was 8.8 (4.1) years. Seventy-three (38.6%) patients were admitted to any hospital at diagnosis, of which 57 (30.2%) were admitted to our tertiary care facility. Total cost per patient was estimated to be $2140. If managed exclusively as an inpatient, cost per patient was estimated to be $5517, or 2.5 times greater than the outpatient model ($1443 per capita if not hospitalized in a tertiary centre). %26lt;br%26gt;Conclusion: Our study is the first health system cost comparison of models for inpatient and outpatient management of newly diagnosed children with diabetes, with multidisciplinary team member costs included. This economic data further endorses outpatient management models in Canada.
- 出版日期2012-6
