engleski

Cost of Diabetes in Croatia Impact of Complications on the Costs of Type II Diabetes

The prevalence of diabetes continues to grow, and it is estimated that in Croatia we have 315.900 adults with diabetes (9.2% adult population), although in many patients the disease has not yet been diagnosed. Majority of patients - 92, 8% suffers from diabetes mellitus type 2. The objectives of this study are to quantify the economic burden of illness caused by increased health resource use and to provide detailed breakdown of the costs attributed to diabetes. Prevalence-based cost-of-illness methodology was used to estimate the direct costs (hospital care, drugs, physician care, institutional care, additional costs) and indirect costs (sickness leave) associated with micro and macro vascular complications, diabetes monitoring and drugs analyzed by types of diabetes complication and health resource categories. Total cost of diabetes mellitus type 2 in Croatia sums to 11, 49% of national insurer‘s budget, i.e. 351, 7 mil EUR in 2009. Direct medical costs include 50, 2 mil EUR to directly treat and monitor diabetes, and 301, 5 mil EUR to treat diabetes-related chronic complications. Diabetes medications make 8, 75% of total illness cost. The largest components of medical expenditures are hospital inpatient care (36, 75%) and prescriptions for treating complications (28, 49%). Hypertension and cardiopathy incur largest amount of expenditures related to diabetes complications (76, 2 mil EUR), followed by acute myocardial infarction (68, 6 mil EUR) and peripheral vascular disease (52 mil EUR). Indirect costs equal 4, 6 mil EUR. An average expenditure per person with diagnosed diabetes type 2 in Croatia is 1.956 EUR yearly. These cost data provide additional rationale for better disease monitoring and complication prevention.

Croatia; Complications; Costs; Type II Diabetes

nije evidentirano