西班牙糖尿病患者的医疗保健资源利用情况:基于人口的调查趋势,2014-2020年
Luyi Zeng-Zhang1, Natividad Cuadrado-Corrales2, Rodrigo Jiménez-García2
1Endocrinology and Nutrition Department, Hospital Universitario Infanta Leonor, Universidad Complutense de Madrid, Madrid, Spain.
Endocrinologia, diabetes y nutricion
|March 9, 2026
概括
糖尿病患者 (DM) 使用更多的医疗保健资源,但他们的住院和急诊从2014年到2020年减少了. 糟糕的自我评估健康和心脏问题预测DM患者更高的医疗保健使用率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 糖尿病 (DM) 对医疗保健系统构成重大负担.
- 了解DM中的医疗保健资源利用对于服务优化至关重要.
- 这项研究调查了西班牙DM患者的医疗保健使用情况,将其与非糖尿病患者进行比较.
研究的目的:
- 在西班牙检查和比较患有糖尿病和没有糖尿病的人之间的医疗保健利用模式.
- 确定2014年至2020年DM患者医疗保健资源使用趋势.
- 确定DM人口中住院和急诊室访问的预测因素.
主要方法:
- 分析了2014年和2020年西班牙欧洲采访健康调查 (EHISS) 的数据.
- 根据性别,年龄,EHISS版本和居住地,将患有DM (病例) 的人与没有DM (对照) 的人匹配.
- 依赖变量包括住院和急诊室访问;独立变量包括社会人口统计学,生活方式和并发症.
主要成果:
- 该研究包括7854名参与者 (3927名患有DM,3927名对照).
- 与对照组相比,DM患者的住院率 (17.5%对11.1%) 和急诊室访问率 (32.3%对24.6%) 显著提高.
- 在2014年至2020年期间,DM患者的住院病例 (19.0%至16.1%) 和急诊次数 (36.2%至28.7%) 减少.
结论:
- 患有DM的个人表现出更高的医疗保健利用率,从2014年到2020年观察到明显的下降趋势.
- 糟糕的自我评估健康和心脏缺血被确定为住院和急诊室访问的关键预测因素.
- 识别这些预测因素可以帮助开发干预措施来管理与DM相关的医疗保健成本,尽管由于数据限制,结果应该谨慎解释.
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