Health disparities from economic burden of diabetes in middle-income countries: evidence from México
The rapid growth of diabetes in middle-income countries is generating disparities in global health. In this context we conducted a study to quantify the health disparities from the economic burden of diabetes in México. Evaluative research based on a longitudinal design, using cost methodology by in...
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description | The rapid growth of diabetes in middle-income countries is generating disparities in global health. In this context we conducted a study to quantify the health disparities from the economic burden of diabetes in México. Evaluative research based on a longitudinal design, using cost methodology by instrumentation. For the estimation of epidemiological changes during the 2010-2012 period, several probabilistic models were developed using the Box-Jenkins technique. The financial requirements were obtained from expected case management costs by disease and the application of an econometric adjustment factor to control the effects of inflation. Comparing the economic impact in 2010 versus 2012 (p |
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In this context we conducted a study to quantify the health disparities from the economic burden of diabetes in México. Evaluative research based on a longitudinal design, using cost methodology by instrumentation. For the estimation of epidemiological changes during the 2010-2012 period, several probabilistic models were developed using the Box-Jenkins technique. The financial requirements were obtained from expected case management costs by disease and the application of an econometric adjustment factor to control the effects of inflation. Comparing the economic impact in 2010 versus 2012 (p<0.05), there was a 33% increase in financial requirements. The total amount for diabetes in 2011 (US dollars) was $7.7 billion. It includes $3.4 billion in direct costs and $4.3 in indirect costs. The total direct costs were $.4 billion to the Ministry of Health (SSA), serving the uninsured population; $1.2 to the institutions serving the insured population (Mexican Institute for Social Security-IMSS-, and Institute for Social Security and Services for State Workers-ISSSTE-); $1.8 to users; and $.1 to Private Health Insurance (PHI). If the risk factors and the different health care models remain as they currently are in the analyzed institutions, health disparities in terms of financial implications will have the greatest impact on users' pockets. In middle-income countries, health disparities generated by the economic burden of diabetes is one of the main reasons for catastrophic health expenditure. Health disparities generated by the economic burden of diabetes suggests the need to design and review the current organization of health systems and the relevance of moving from biomedical models and curative health care to preventive and socio-medical models to meet expected challenges from diseases like diabetes in middle-income countries.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0068443</identifier><identifier>PMID: 23874629</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Chronic illnesses ; Cost of Illness ; Costs ; Developing Countries - economics ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus - economics ; Diabetes Mellitus - epidemiology ; Disease control ; Econometrics ; Economic impact ; Economics ; Epidemiology ; Global health ; Health care ; Health Care Costs ; Health services ; Healthcare Disparities - economics ; Humans ; Impact analysis ; Income ; Institutions ; Instrumentation ; Insurance, Health - economics ; Mathematical models ; Medicine ; Mexico - epidemiology ; Mortality ; Occupational health ; Population ; Probabilistic models ; Public health ; Quality of life ; Risk analysis ; Risk factors ; Social and Behavioral Sciences ; Social security ; Workers</subject><ispartof>PloS one, 2013-07, Vol.8 (7), p.e68443-e68443</ispartof><rights>2013 Arredondo, Reyes. This is an open-access article distributed under the terms of the Creative Commons Attribution License: https://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2013 Arredondo, Reyes 2013 Arredondo, Reyes</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c526t-d2c36949111d9d651b1f5387034f846b95d43d9fa34ba6fc55aa753e693c92ff3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3709919/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3709919/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23874629$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Folli, Franco</contributor><creatorcontrib>Arredondo, Armando</creatorcontrib><creatorcontrib>Reyes, Gabriela</creatorcontrib><title>Health disparities from economic burden of diabetes in middle-income countries: evidence from México</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The rapid growth of diabetes in middle-income countries is generating disparities in global health. In this context we conducted a study to quantify the health disparities from the economic burden of diabetes in México. Evaluative research based on a longitudinal design, using cost methodology by instrumentation. For the estimation of epidemiological changes during the 2010-2012 period, several probabilistic models were developed using the Box-Jenkins technique. The financial requirements were obtained from expected case management costs by disease and the application of an econometric adjustment factor to control the effects of inflation. Comparing the economic impact in 2010 versus 2012 (p<0.05), there was a 33% increase in financial requirements. The total amount for diabetes in 2011 (US dollars) was $7.7 billion. It includes $3.4 billion in direct costs and $4.3 in indirect costs. The total direct costs were $.4 billion to the Ministry of Health (SSA), serving the uninsured population; $1.2 to the institutions serving the insured population (Mexican Institute for Social Security-IMSS-, and Institute for Social Security and Services for State Workers-ISSSTE-); $1.8 to users; and $.1 to Private Health Insurance (PHI). If the risk factors and the different health care models remain as they currently are in the analyzed institutions, health disparities in terms of financial implications will have the greatest impact on users' pockets. In middle-income countries, health disparities generated by the economic burden of diabetes is one of the main reasons for catastrophic health expenditure. Health disparities generated by the economic burden of diabetes suggests the need to design and review the current organization of health systems and the relevance of moving from biomedical models and curative health care to preventive and socio-medical models to meet expected challenges from diseases like diabetes in middle-income countries.</description><subject>Chronic illnesses</subject><subject>Cost of Illness</subject><subject>Costs</subject><subject>Developing Countries - economics</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus - economics</subject><subject>Diabetes Mellitus - epidemiology</subject><subject>Disease control</subject><subject>Econometrics</subject><subject>Economic impact</subject><subject>Economics</subject><subject>Epidemiology</subject><subject>Global health</subject><subject>Health care</subject><subject>Health Care Costs</subject><subject>Health services</subject><subject>Healthcare Disparities - economics</subject><subject>Humans</subject><subject>Impact analysis</subject><subject>Income</subject><subject>Institutions</subject><subject>Instrumentation</subject><subject>Insurance, Health - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arredondo, Armando</au><au>Reyes, Gabriela</au><au>Folli, Franco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Health disparities from economic burden of diabetes in middle-income countries: evidence from México</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2013-07-12</date><risdate>2013</risdate><volume>8</volume><issue>7</issue><spage>e68443</spage><epage>e68443</epage><pages>e68443-e68443</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The rapid growth of diabetes in middle-income countries is generating disparities in global health. In this context we conducted a study to quantify the health disparities from the economic burden of diabetes in México. Evaluative research based on a longitudinal design, using cost methodology by instrumentation. For the estimation of epidemiological changes during the 2010-2012 period, several probabilistic models were developed using the Box-Jenkins technique. The financial requirements were obtained from expected case management costs by disease and the application of an econometric adjustment factor to control the effects of inflation. Comparing the economic impact in 2010 versus 2012 (p<0.05), there was a 33% increase in financial requirements. The total amount for diabetes in 2011 (US dollars) was $7.7 billion. It includes $3.4 billion in direct costs and $4.3 in indirect costs. The total direct costs were $.4 billion to the Ministry of Health (SSA), serving the uninsured population; $1.2 to the institutions serving the insured population (Mexican Institute for Social Security-IMSS-, and Institute for Social Security and Services for State Workers-ISSSTE-); $1.8 to users; and $.1 to Private Health Insurance (PHI). If the risk factors and the different health care models remain as they currently are in the analyzed institutions, health disparities in terms of financial implications will have the greatest impact on users' pockets. In middle-income countries, health disparities generated by the economic burden of diabetes is one of the main reasons for catastrophic health expenditure. Health disparities generated by the economic burden of diabetes suggests the need to design and review the current organization of health systems and the relevance of moving from biomedical models and curative health care to preventive and socio-medical models to meet expected challenges from diseases like diabetes in middle-income countries.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>23874629</pmid><doi>10.1371/journal.pone.0068443</doi><oa>free_for_read</oa></addata></record> |
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subjects | Chronic illnesses Cost of Illness Costs Developing Countries - economics Diabetes Diabetes mellitus Diabetes Mellitus - economics Diabetes Mellitus - epidemiology Disease control Econometrics Economic impact Economics Epidemiology Global health Health care Health Care Costs Health services Healthcare Disparities - economics Humans Impact analysis Income Institutions Instrumentation Insurance, Health - economics Mathematical models Medicine Mexico - epidemiology Mortality Occupational health Population Probabilistic models Public health Quality of life Risk analysis Risk factors Social and Behavioral Sciences Social security Workers |
title | Health disparities from economic burden of diabetes in middle-income countries: evidence from México |
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