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Statements

Subject Item
n2:RIV%2F00216208%3A11130%2F14%3A10287525%21RIV15-MSM-11130___
rdf:type
n9:Vysledek skos:Concept
rdfs:seeAlso
http://www.ejbi.org/img/ejbi/2014/2/Horak_en.pdf
dcterms:description
Introduction: Organization of the care is important factor for success, cost effectiveness and quality of the care for large scale chronic diseases such as diabetes mellitus. Valid data are needed for decision support. Aim: To calculate real prevalence of diabetes in the population from incomplete data sources originally created for billing to the insurance company, to establish how these patients are treated and collect markers of quality of the care. Methods: In data sources diabetic patients were identified by combining diagnoses from coded procedures with data about medical prescription and procedures directly linked to diabetes. Results: 6% increase in real incidence rate of diabetes mellitus patients since 2002 was observed as well as 23% (2003-2009) decrease in mortality rate (50% decrease between 1980 to 2009). Data also show not only higher average expenses for treatment of patients with diabetes mellitus compared to average expenses incurred for treatments of all other diagnoses, but also a crucial relationship of costs with presence or absence of diabetes mellitus complications. Conclusion: Study overcame disadvantage of data sources which would otherwise lead to underestimation of numbers of diabetic patients. Our analysis bring additional information and showed possible financial impact for the future, if problem with prevention, regional differences in the care and incomplete adherence to guidelines will not be properly addressed. Introduction: Organization of the care is important factor for success, cost effectiveness and quality of the care for large scale chronic diseases such as diabetes mellitus. Valid data are needed for decision support. Aim: To calculate real prevalence of diabetes in the population from incomplete data sources originally created for billing to the insurance company, to establish how these patients are treated and collect markers of quality of the care. Methods: In data sources diabetic patients were identified by combining diagnoses from coded procedures with data about medical prescription and procedures directly linked to diabetes. Results: 6% increase in real incidence rate of diabetes mellitus patients since 2002 was observed as well as 23% (2003-2009) decrease in mortality rate (50% decrease between 1980 to 2009). Data also show not only higher average expenses for treatment of patients with diabetes mellitus compared to average expenses incurred for treatments of all other diagnoses, but also a crucial relationship of costs with presence or absence of diabetes mellitus complications. Conclusion: Study overcame disadvantage of data sources which would otherwise lead to underestimation of numbers of diabetic patients. Our analysis bring additional information and showed possible financial impact for the future, if problem with prevention, regional differences in the care and incomplete adherence to guidelines will not be properly addressed.
dcterms:title
Pharmacoeconomy of Diabetes Mellitus and its Implications for Organization and Quality of the Care in the Czech Republic Pharmacoeconomy of Diabetes Mellitus and its Implications for Organization and Quality of the Care in the Czech Republic
skos:prefLabel
Pharmacoeconomy of Diabetes Mellitus and its Implications for Organization and Quality of the Care in the Czech Republic Pharmacoeconomy of Diabetes Mellitus and its Implications for Organization and Quality of the Care in the Czech Republic
skos:notation
RIV/00216208:11130/14:10287525!RIV15-MSM-11130___
n3:aktivita
n18:V
n3:aktivity
V
n3:cisloPeriodika
2
n3:dodaniDat
n12:2015
n3:domaciTvurceVysledku
n10:1789880
n3:druhVysledku
n6:J
n3:duvernostUdaju
n4:S
n3:entitaPredkladatele
n11:predkladatel
n3:idSjednocenehoVysledku
36376
n3:idVysledku
RIV/00216208:11130/14:10287525
n3:jazykVysledku
n13:eng
n3:klicovaSlova
organization of the care; quality of the care; pharmacoeconomy; Diabetes mellitus
n3:klicoveSlovo
n7:pharmacoeconomy n7:quality%20of%20the%20care n7:organization%20of%20the%20care n7:Diabetes%20mellitus
n3:kodStatuVydavatele
CZ - Česká republika
n3:kontrolniKodProRIV
[C54BD054BA0D]
n3:nazevZdroje
European Journal for Biomedical Informatics
n3:obor
n15:FB
n3:pocetDomacichTvurcuVysledku
1
n3:pocetTvurcuVysledku
2
n3:rokUplatneniVysledku
n12:2014
n3:svazekPeriodika
10
n3:tvurceVysledku
Kvapil, Milan Horák, Pavel
s:issn
1801-5603
s:numberOfPages
6
n16:organizacniJednotka
11130