Efficiency of the Outpatient Diabetes Care System in Czechia: A Geodemographic Perspective

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11150%2F24%3A10488205" target="_blank" >RIV/00216208:11150/24:10488205 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216208:11310/24:10488205

Výsledek na webu

<a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=5o~ju7aqLw" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=5o~ju7aqLw</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.54694/dem.0346" target="_blank" >10.54694/dem.0346</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Efficiency of the Outpatient Diabetes Care System in Czechia: A Geodemographic Perspective

Popis výsledku v původním jazyce

The paper examines the intensity and structure of the use of health services and outlines the current functioning thereof in the context of diabetes care in Czechia. The aim is to assess the various healthcare aspects influenced by the settings of the Czech system. The patients studied had all been diagnosed with type 2 diabetes mellitus and used health services in Czechia in 2019. The selected segments of the health system that concern the management of diabetes care comprise outpatient diabetology, general practice and internal medicine. A total of 466,679 patients were included. The variables of age, sex and size category of the municipality of residence of the patient were monitored in the follow-up of the use of outpatient diabetes care. Most diabetes patients used outpatient diabetologist services, whereas less than one-third of patients visited a general practitioner. Furthermore, a large proportion of patients was less likely to be referred to a medical examination than is recommended. Conversely, the overuse of healthcare was evident for those patients that required a higher level of specialization, particularly physicians with the same competencies. We assume that changes in the coordination and provision of diabetes care and an improvement in surveillance would enhance the efficiency of diabetes care and improve the response to the increase in the occurrence of type 2 diabetes in the future.

Název v anglickém jazyce

Efficiency of the Outpatient Diabetes Care System in Czechia: A Geodemographic Perspective

Popis výsledku anglicky

The paper examines the intensity and structure of the use of health services and outlines the current functioning thereof in the context of diabetes care in Czechia. The aim is to assess the various healthcare aspects influenced by the settings of the Czech system. The patients studied had all been diagnosed with type 2 diabetes mellitus and used health services in Czechia in 2019. The selected segments of the health system that concern the management of diabetes care comprise outpatient diabetology, general practice and internal medicine. A total of 466,679 patients were included. The variables of age, sex and size category of the municipality of residence of the patient were monitored in the follow-up of the use of outpatient diabetes care. Most diabetes patients used outpatient diabetologist services, whereas less than one-third of patients visited a general practitioner. Furthermore, a large proportion of patients was less likely to be referred to a medical examination than is recommended. Conversely, the overuse of healthcare was evident for those patients that required a higher level of specialization, particularly physicians with the same competencies. We assume that changes in the coordination and provision of diabetes care and an improvement in surveillance would enhance the efficiency of diabetes care and improve the response to the increase in the occurrence of type 2 diabetes in the future.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

50402 - Demography

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2024

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Demografie

ISSN

0011-8265

e-ISSN

1805-2991

Svazek periodika

66

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

13

Strana od-do

211-223

Kód UT WoS článku

001398405200002

EID výsledku v databázi Scopus

2-s2.0-85208182210