2016, Number 1
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salud publica mex 2016; 58 (1)
The financial and health burden of diabetic ambulatory care sensitive hospitalisations in Mexico
Lugo-Palacios DG, Cairns J
Language: English
References: 22
Page: 33-40
PDF size: 233.59 Kb.
ABSTRACT
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.
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