Diabetes tied to a third of California hospital stays, driving health care costs higher.

Ying-Ying Meng, Melissa C Pickett, Susan H Babey, Anna C Davis, Harold Goldstein
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Abstract

Increasing diabetes prevalence has been found to be a primary driver of increased health care costs in the United States. This policy brief examines the impact of diabetes on hospitalizations and related hospitalization costs in California. Using 2011 hospital patient discharge data and annual financial data from the Office of Statewide Health Planning and Development (OSHPD), this study found that patients with diabetes represented 31 percent of hospitalizations in California in 2011 among patients 35 years or older, including 39 percent of African-American and Asian-American patients and 43 percent of Latino patients. Moreover, these hospitalizations cost nearly $2,200 more per hospitalization than those for patients without diabetes, regardless of the primary reason for the hospitalization. Given that approximately 90-95 percent of diagnosed diabetes among adults is type 2 diabetes and is therefore preventable, public health measures can and should be taken to relieve the burden of type 2 diabetes. Such measures include promoting a healthy diet and regular physical activity and providing adequate access to primary and specialty care.

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加州有三分之一的住院患者与糖尿病有关,这推高了医疗成本。
越来越多的糖尿病患病率已被发现是美国医疗保健费用增加的主要驱动因素。本政策简报探讨了糖尿病对加州住院治疗和相关住院费用的影响。利用2011年医院病人出院数据和来自全州健康规划与发展办公室(OSHPD)的年度财务数据,这项研究发现,2011年在加州35岁及以上的住院患者中,糖尿病患者占31%,其中包括39%的非裔美国人和亚裔美国人患者以及43%的拉丁裔患者。此外,无论住院的主要原因是什么,这些患者每次住院的费用比非糖尿病患者高出近2 200美元。鉴于成年人中大约90- 95%的确诊糖尿病是2型糖尿病,因此是可以预防的,可以而且应该采取公共卫生措施来减轻2型糖尿病的负担。这些措施包括促进健康饮食和定期体育活动,并提供充分的初级和专科护理。
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