Complications of diabetes in China: health system and economic implications

Autor: Chi-Man Winnie Yip, Wen Chen, Wenhui Mao
Rok vydání: 2018
Předmět:
medicine.medical_specialty
China
Referral
030209 endocrinology & metabolism
Economic burden
Diabetes Complications
03 medical and health sciences
0302 clinical medicine
Sex Factors
Cost of Illness
Risk Factors
Diabetes mellitus
Health care
Epidemiology
medicine
Diabetes Mellitus
Prevalence
Humans
Health system
030212 general & internal medicine
Intensive care medicine
Health Education
Referral and Consultation
Aged
Aged
80 and over
Medical Assistance
business.industry
Financial risk
Public health
lcsh:Public aspects of medicine
Health Policy
Prevention
Public Health
Environmental and Occupational Health
Age Factors
Diabetes and its complications
lcsh:RA1-1270
Health Services
Middle Aged
medicine.disease
Government Programs
Health education
Female
Biostatistics
Health Expenditures
business
Research Article
Zdroj: BMC Public Health
BMC Public Health, Vol 19, Iss 1, Pp 1-11 (2019)
ISSN: 1471-2458
Popis: Background The prevalence of diabetes and diabetic complications increased alarmingly which also brought heavy burden to patients and health system. Methods We used mix approaches to summarize evidence from published articles and policy documents on the extent and trends of diabetic complications, potential causes, and awareness and services utilization of diabetes in China. Results The annual direct medical expense per patient varied among different types of complications and increased dramatically with the number of diabetic complication and patients were exposed to great financial risk. The number of health policies and strategies on diabetes and its complications at the national level is limited. Primary and secondary preventions such as health education and early diagnosis are necessary. Conclusions With an increasingly burden of non-communicable diseases such as diabetes and its complications, efforts should be invested in education, early screening mechanism and patient management programs to improve the primary and secondary prevention of diabetes and its complications. An integrated services delivery system centered on primary level is recommended to promote education, early case-detection and screening, patient management, referral and care-coordination between primary, secondary and tertiary health care providers. Electronic supplementary material The online version of this article (10.1186/s12889-019-6569-8) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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