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Vol 3, No 1 (2014)
Original articles (submitted)
Published online: 2014-03-03
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Diabetological health provisions in Upper Silesia region in the years 2009–2012

Maciej Gawęda, Magdalena Wolak, Agata Chobot, Igor Radziewicz-Winnicki
Diabetologia Kliniczna 2014;3(1):12-16.

open access

Vol 3, No 1 (2014)
Original articles (submitted)
Published online: 2014-03-03

Abstract

Introduction. Due to its commonness, diabetes and its complications comprise a major health, social and economical burden. As a chronic, progressive and common disease, diabetes demands adequate and long-lasting solutions of the healthcare system. The study aimed to analyze the specialist diabetes care in the Upper Silesia province in the years 2009–2012.

Material and methods. Data concerning the population of the Upper Silesia province were obtained from the Main Statistical Office. Raw data concerning the number of patients, visits and their costs — divided into age groups and subsequent years — were obtained from the database of the national healthcare provider (Narodowy Fundusz Zdrowia). The analysis covered only patients with the main diagnosis E10 (non-insulin dependant diabetes) or E11 (insulin dependant diabetes) according to IC D-10 (International Classification of Diseases). Based on the collected data following parameters were calculated: morbidity, number of consultations/ health provisions within the primary health care (POZ), outpatient specialist care (AOS), complex outpatient specialist care (KAOS) and hospitalizations. The cost of the mentioned above health provisions was also assessed.

Results. In the analyzed population and years there was a 0.54% decrease of the population. At the same time the number of people with diabetes rose about 4.4% and morbidity — 0.7%. In the years 2009–2012 a decrease of health provisions within POZ as well as a decrease of the number of hospitalizations was observed (respectively by 24.1% i 14.3%). On the other hand an increase of health provisions within AOS (by 0.9%) as well as KAOS (by 37%). The value of the AOS and KAOS health consultations for patients with diabetes in the Upper Silesia region rose in the analyzed period by 17.1%. There was also a 7.7% increase of the mean cost of hospitalization per person with diabetes. However the value of inpatient treatment of diabetes decreased in Upper Silesia by 7.8%. The total cost of treating one patient with diabetes within the inpatient system rose by 226.23 PLN and decreased within the out-patient system by 19.22 PLN.

Conclusions. Diabetes morbidity in the Upper Silesia province shows an increasing trend. The number of patients and obtained by them healthcare provisions in the out patient system (AOS and KAOS) rose, but decreased the number of provisions within POZ as well as hospitalizations. The cost of out-patient (AOS and KAOS) healthcare provisions rose systematically. The dynamics of the changes in diabetes morbidity and specialist healthcare costs demands to seek for solutions that will secure the needs of patients with diabetes and expand prophylactic actions.

Abstract

Introduction. Due to its commonness, diabetes and its complications comprise a major health, social and economical burden. As a chronic, progressive and common disease, diabetes demands adequate and long-lasting solutions of the healthcare system. The study aimed to analyze the specialist diabetes care in the Upper Silesia province in the years 2009–2012.

Material and methods. Data concerning the population of the Upper Silesia province were obtained from the Main Statistical Office. Raw data concerning the number of patients, visits and their costs — divided into age groups and subsequent years — were obtained from the database of the national healthcare provider (Narodowy Fundusz Zdrowia). The analysis covered only patients with the main diagnosis E10 (non-insulin dependant diabetes) or E11 (insulin dependant diabetes) according to IC D-10 (International Classification of Diseases). Based on the collected data following parameters were calculated: morbidity, number of consultations/ health provisions within the primary health care (POZ), outpatient specialist care (AOS), complex outpatient specialist care (KAOS) and hospitalizations. The cost of the mentioned above health provisions was also assessed.

Results. In the analyzed population and years there was a 0.54% decrease of the population. At the same time the number of people with diabetes rose about 4.4% and morbidity — 0.7%. In the years 2009–2012 a decrease of health provisions within POZ as well as a decrease of the number of hospitalizations was observed (respectively by 24.1% i 14.3%). On the other hand an increase of health provisions within AOS (by 0.9%) as well as KAOS (by 37%). The value of the AOS and KAOS health consultations for patients with diabetes in the Upper Silesia region rose in the analyzed period by 17.1%. There was also a 7.7% increase of the mean cost of hospitalization per person with diabetes. However the value of inpatient treatment of diabetes decreased in Upper Silesia by 7.8%. The total cost of treating one patient with diabetes within the inpatient system rose by 226.23 PLN and decreased within the out-patient system by 19.22 PLN.

Conclusions. Diabetes morbidity in the Upper Silesia province shows an increasing trend. The number of patients and obtained by them healthcare provisions in the out patient system (AOS and KAOS) rose, but decreased the number of provisions within POZ as well as hospitalizations. The cost of out-patient (AOS and KAOS) healthcare provisions rose systematically. The dynamics of the changes in diabetes morbidity and specialist healthcare costs demands to seek for solutions that will secure the needs of patients with diabetes and expand prophylactic actions.

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Keywords

diabetes, health care, outpatient specialist care, complex outpatient specialist care, hospitalizations

About this article
Title

Diabetological health provisions in Upper Silesia region in the years 2009–2012

Journal

Clinical Diabetology

Issue

Vol 3, No 1 (2014)

Pages

12-16

Published online

2014-03-03

Bibliographic record

Diabetologia Kliniczna 2014;3(1):12-16.

Keywords

diabetes
health care
outpatient specialist care
complex outpatient specialist care
hospitalizations

Authors

Maciej Gawęda
Magdalena Wolak
Agata Chobot
Igor Radziewicz-Winnicki

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