+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Health-care charges generated by patients with diabetes

Health-care charges generated by patients with diabetes

Endocrine Practice 4(4): 237-239

For assessment of health-care charges generated by patients with diabetes, 50 patients (25 who were older than 65 years and 25 who were age 65 or younger) whose primary care had been delivered between 1990 and 1995 by a single diabetologist were randomly selected. Institutional health-care bills were accessed from all but three medical center billing offices (dermatology, psychiatry, and radiation oncology areas did not respond). For each dollar billed by endocrinology, the hospital billed 25.90 dollars, other medical specialties 2.70 dollars, surgery 1.10 dollars, radiology 0.70 dollars and pathology 0.60 dollars. The charges generated by the endocrinologist-diabetologist account for approximately 3% of the total charges for the care of the patient with diabetes mellitus in a fee-for-service practice. Although the endocrinologist-diabetologist provides the most cost-effective medical service for patients with diabetes, low reimbursement jeopardizes the practice of this subspecialty.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 049195525

Download citation: RISBibTeXText

PMID: 15251738

DOI: 10.4158/ep.4.4.237

Related references

Evaluation of diabetes primary care and effects on health care charges in elderly patients with diabeties. American Journal of the Medical Sciences 335(6): 426-430, 2008

Prevalence of other diabetes-associated complications and comorbidities and its impact on health care charges among patients with diabetic neuropathy. Journal of Diabetes and its Complications 24(1): 9-19, 2010

All-cause health care charges among managed care patients with constipation and comorbid irritable bowel syndrome. Postgraduate Medicine 123(3): 122-132, 2011

Cost of care for patients with human immunodeficiency virus infection. Patterns of utilization and charges in a public health care system. Archives of Internal Medicine 153(2): 219-225, 1993

Diabetic ketoacidosis charges relative to medical charges of adult patients with type I diabetes. Diabetes Care 20(3): 349-354, 1997

The association of diabetes specialist care with health care practices and glycemic control in patients with type 1 diabetes: a cross-sectional analysis from the Pittsburgh epidemiology of diabetes complications study. Diabetes Care 23(4): 472-476, 2000

Opioid use and health care charges at the end of life in patients with metastatic cancer. Managed Care Interface 17(4): 28-34, 2004

German patients angered by new charges for consultations. Health-care reforms aim to increase efficiency by making patients think twice about visiting a doctor. Lancet 363(9409): 630, 2004

Health care charges for patients with ocular hypertension or primary open-angle glaucoma. Ophthalmology 115(4): 633-638.E4, 2008

Characteristics of adult primary care patients as predictors of future health services charges. Medical Care 39(11): 1170-1181, 2001

Penalizing patients and rewarding providers: user charges and health care utilization in Vietnam. Health Policy and Planning 20(2): 90-99, 2005

Obesity is associated with increased health care charges in patients undergoing outpatient plastic surgery. Plastic and Reconstructive Surgery 135(5): 1396-1404, 2015

Results of specialized ambulatory diabetes care among diabetes patients at the level of primary health care--in the light of nationwide research. Advances in Clinical and Experimental Medicine 21(1): 63-68, 2012

"I Do My Best To Listen to Patients": Qualitative Insights Into DAWN2 (Diabetes Psychosocial Care From the Perspective of Health Care Professionals in the Second Diabetes Attitudes, Wishes and Needs Study). Clinical Therapeutics 37(9): 1986-1998.E12, 2015

Factors determining diabetes care outcomes in patients with type 1 diabetes after transition from paediatric to adult health care: a systematic review - Protocol. Jbi Library of Systematic Reviews 7(34 Suppl.): 1-17, 2009