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Identification of higher hospital costs and more frequent admissions among mid-aged Australian women who self-report diabetes mellitus
Umeå University, Faculty of Medicine, Department of Public Health and Clinical Medicine, Epidemiology and Global Health. Research Centre for Gender, Health and Ageing, University of Newcastle, Australia.
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2016 (English)In: Maturitas, ISSN 0378-5122, E-ISSN 1873-4111, Vol. 90, 58-63 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To ascertain whether the hospital costs for mid-aged Australian women who self-reported diabetes mellitus (DM) and who had one or more hospital admission during an eight and a half year period were higher than the hospital costs for other similarly aged non-DM women. Methods: The sample comprised 2,392 mid-aged women, resident in New South Wales (NSW) Australia and participating in the Australian Longitudinal Study on Women’s Health (ALSWH), who had any NSW hospital admissions during the eight and a half year period 1 July 2000 to 31 December 2008. Analyses were conducted on linked data from ALSWH surveys and the NSW Admitted Patient Data Collection (APDC). Hospital costs were compared for the DM and non-DM cohorts of women. A generalized linear model measured the association between hospital costs and self-reported DM. Results: Eight and a half year hospital costs were 41% higher for women who self-reported DM in the ALSWH surveys (p < 0.0001). On average, women who self-reported DM had significantly (p < 0.0001) more hospital admissions (5.3) than women with no reported DM (3.4). The average hospital stay per admission was not significantly different between the two groups of women. Conclusions: Self-reported DM status in mid-aged Australian women is a predictor of higher hospital costs. This simple measure can be a useful indicator for public policy makers planning early-stage interventions that target people in the population at risk of DM.

Place, publisher, year, edition, pages
Elsevier, 2016. Vol. 90, 58-63 p.
Keyword [en]
Economic, Population, Health, Promotion, Intervention, Policy
National Category
Public Health, Global Health, Social Medicine and Epidemiology Health Care Service and Management, Health Policy and Services and Health Economy Geriatrics
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URN: urn:nbn:se:umu:diva-121779DOI: 10.1016/j.maturitas.2016.04.008ISI: 000378956400010OAI: oai:DiVA.org:umu-121779DiVA: diva2:934291
Available from: 2016-06-08 Created: 2016-06-08 Last updated: 2016-08-04Bibliographically approved

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Stewart Williams, Jennifer
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Epidemiology and Global Health
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Public Health, Global Health, Social Medicine and EpidemiologyHealth Care Service and Management, Health Policy and Services and Health EconomyGeriatrics

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