Related Experiment Videos
The impact of diabetes on formal and informal care
Katerina Gousia1, Olena Nizalova1, Gintare Malisauskaite1
1School of Social Sciences, Care and Outcomes Research Centre (COReC), University of Kent, London and South East University Group (LASE), UK.
Abstract:
There is limited evidence on how chronic conditions affect the demand and costs for long-term care (LTC), restricting our ability to evaluate interventions. This paper estimates the causal effect of type 2 diabetes (T2D), a highly prevalent chronic condition among the elderly, on formal and informal LTC utilization. We used data from eight waves (2002-2017) of the English Longitudinal Study of Ageing (ELSA) (n = 18,166) and employed a Mendelian Randomization approach to address the endogeneity of diabetes status in LTC demand. Our results indicate that T2D increases the probability of using formal care by 6 percentage points and informal care by 27 percentage points. When adjusting for possible pleiotropy via obesity, the impact on informal care reduces to 25 percentage points. Exploration of mechanisms shows that diabetes increases the likelihood of limitations in activities of daily living (ADLs) and instrumental activities of daily living (IADLs). These results highlight the broader burden of T2D beyond healthcare costs and can be used in future decision analytic models to evaluate the cost-effectiveness of diabetes interventions.
Related Concept Videos
Complications of Diabetes Mellitus
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Diabetes Mellitus: Type 2 and Gestational
Type I Diabetes III: Clinical Manifestations
Diabetes Mellitus: Introduction
Diabetes: Symptoms, Diagnosis, and Complications