Projected impact of diabetes on the Costa Rican healthcare system
| العنوان: | Projected impact of diabetes on the Costa Rican healthcare system |
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| المؤلفون: | Melina Montero-López, Carolina Santamaría-Ulloa |
| المصدر: | International Journal for Equity in Health, Vol 19, Iss 1, Pp 1-14 (2020) International Journal for Equity in Health, vol.19(172), pp.1-14 Kérwá Universidad de Costa Rica instacron:UCR International Journal for Equity in Health |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Costa Rica, Population ageing, Longitudinal study, Diabetes risk, Epidemiology, Population Dynamics, DIABETES MELLITUS - PACIENTES - ATENCION MEDICA, Diabetes mortality rates, SERVICIOS DE SALUD - ADMINISTRACION - COSTA RICA, Metabolic control, 03 medical and health sciences, Life Expectancy, 0302 clinical medicine, Cost of Illness, Diabetes complications, Ambulatory care, Quality of life, Risk Factors, Diabetes Mellitus, Humans, Medicine, Longitudinal Studies, 030212 general & internal medicine, Aged, 030505 public health, business.industry, Research, lcsh:Public aspects of medicine, Health Policy, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, Health Care Costs, Middle Aged, Epidemiological transition, Years of potential life lost, Life expectancy, Female, SERVICIOS DE SALUD - ASPECTOS ECONOMICOS - COSTA RICA, 0305 other medical science, business, Delivery of Health Care, Demography |
| الوصف: | Introduction Costa Rica, similar to many other Latin American countries is undergoing population aging at a fast pace. As a result of the epidemiological transition, the prevalence of diabetes has increased. This condition impacts not only individual lives, but also the healthcare system. The goal of this study is to examine the expected impact of diabetes, in terms of economic costs on the healthcare system and lives lost. We will also project how long it will take for the number of elderly individuals who are diabetic to double in Costa Rica. Methods CRELES (Costa Rican Longevity and Healthy Aging Study), a three-wave nationally representative longitudinal study, is the main source of data for this research (n = 2827). The projected impact of diabetes was estimated in three ways: length of time for the number of elderly individuals with diabetes to double; projected economic costs of diabetes-related hospitalizations and outpatient care; and years of life lost to diabetes at age 60. Data analyses and estimations used multiple regression models, longitudinal regression models, and Lee-Carter stochastic population projections. Results Doubling time of the diabetic elderly population is projected to occur in 13 calendar years. This will cause increases in hospitalization and outpatient consultation costs. The impact of diabetes on life expectancy at age 60 around the year 2035 is estimated to lead to a loss of about 7 months of life. The rapid pace at which the absolute number of elderly people with diabetes will double is projected to result in a negative economic impact on the healthcare system. Lives will also be lost due to diabetes. Conclusion Population aging will inevitably lead to an increasing number of elderly individuals, who are at greater risk for diabetes due to their lifelong exposure to risk factors. Actions to increase the quality of life of diabetic elderly are warranted. Decreasing the burden of diabetes on elderly populations and the Costa Rican healthcare system are necessary to impact the quantity and quality of life of incoming cohorts. Health promotion and prevention strategies that reduce diabetes risk factors are needed to improve the health of elderly populations. |
| تدمد: | 1475-9276 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::528747641604a396c2257829ecaaf173Test https://doi.org/10.1186/s12939-020-01291-4Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....528747641604a396c2257829ecaaf173 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14759276 |
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