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Is hypoglycemia expensive in China?

Kuixu Lan1,2,3, Jian Wang4,5, Stephen Nicholas6,7,8,9

  • 1School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan.

Medicine
|February 17, 2021
PubMed
Summary

Hypoglycemia events significantly increase hospital costs in China, costing an estimated $67.52 million annually. Older patients and those with free health insurance incur higher costs, necessitating better prevention and treatment strategies.

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Area of Science:

  • Health Economics
  • Diabetes Management
  • Public Health Policy

Background:

  • Hypoglycemia is a common diabetes emergency impacting hospital resources.
  • Assessing the economic burden of hypoglycemia on China's healthcare system is crucial.

Purpose of the Study:

  • To evaluate the additional hospital costs associated with hypoglycemia in China.
  • To identify patient subgroups with higher hypoglycemia-related expenditures.

Main Methods:

  • Analysis of 7110 diabetes episodes (1417 with hypoglycemia) from Shandong province.
  • Comparison of hospitalization costs between diabetic patients with and without hypoglycemia.
  • Estimation of China-wide annual costs based on adjusted additional costs and prevalence rates.

Main Results:

  • Total hospital costs for hypoglycemia patients were $3020.61 versus $1642.91 for non-hypoglycemia patients.
  • Average additional cost per event was $1377.70, higher for severe hypoglycemia.
  • Estimated total annual additional hospital costs for hypoglycemia in China: $67.52 million.

Conclusions:

  • Hypoglycemia imposes a substantial financial burden on China's hospitals.
  • Older patients and those with free health insurance utilize more resources for hypoglycemia treatment.
  • Recommendations include improved prevention/treatment, health insurance reform, and cost control for free services.