Estimating the cost of inpatient diabetes care in an Irish public hospital

Kathleen Michelle Friel, Patrick Gillespie, Vivien Coates, Claire-Odile McCauley, Michael McCann, Matthew Manktelow, Amjed Khamis, Maurice OKane, Karen McGuigan

Research output: Contribution to journalSpecial issuepeer-review

Abstract

Estimating the cost of inpatient diabetes care in an Irish public hospital

Aim
This paper generated a dataset of diabetes-related hospitalisations from an Irish public hospital and estimated and examined the costs associated with the care of type 1 and type 2 diabetes.

Methods
A retrospective audit of inpatient admissions for the period 2013-2017 was undertaken to establish the primary causes and costs of diabetes-related hospital admissions. The data sample comprised of 7,548 admissions with diabetes related hospitalisations. A series of descriptive, univariate and multivariate analyses were undertaken to estimate and examine the associated costs.

Results
Discharge destination was significant for inpatient costs with each unit increase in discharge destination showing an increased inpatient cost of €794.86 for type 2 diabetes and €1362.31 for type 1 diabetes. Unscheduled admissions cost approximately €1889.05 less than elective type 2 diabetes admissions while those with diabetes complications cost an average of €720.88 more than their diabetic counterparts with no diabetes complications. In type 1 diabetes admissions, female inpatient admissions cost approximately €842.92 less than male inpatients. As length of stay increases, so too does the inpatient costs per case wherein for each additional day spent in hospital, costs increase by approximately €131.79 for type 2 diabetes and €118.31 for those with type 1 diabetes.

Conclusion
This paper estimates the costs of inpatient diabetes care in an Irish public hospital and provides a critical look at current costs of diabetes care nationally and contributes information to the long-term diabetes strategy to improve diabetes care as recommended by Diabetes Ireland.
Original languageEnglish
Article numberP201
Pages (from-to)75-75
Number of pages1
JournalDiabetic medicine
Volume38
Issue numberS1
DOIs
Publication statusPublished - 18 Apr 2021

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