uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Changing healthcare utilization patterns in diabetes mellitus: case-control studies 1 year and 8 years after diagnosis
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine.
Show others and affiliations
2012 (English)In: Diabetic Medicine, ISSN 0742-3071, E-ISSN 1464-5491, Vol. 29, no 6, 784-791 p.Article in journal (Refereed) Published
Abstract [en]

Aims To describe healthcare utilization patterns in young and middle-aged patients with diabetes 1 year and 8 years after diagnosis and to compare with the general population at two time points, 16 years apart.

Methods Four cohorts with disease duration of 1 year or 8 years were selected from the Diabetes Incidence Study in Sweden, which registers all incident cases of diabetes in the 15- to 34-year age group. Control subjects were selected from the population register matched by age, sex and county of residence. A postal questionnaire was sent to the 1983 and 1992 cohorts in 1991 and 1993, and to the 1999 and 2008 cohorts in 2007 and 2009. Nine hundred and thirteen patients with diabetes and 1679 control subjects responded.

Results One year after diagnosis, 49% of patients with diabetes in the 1992 cohort compared with 4.2% in the 2008 cohort reported visits to departments of internal medicine and endocrinology. A similar pattern was seen 8 years after diagnosis. The use of day care was 45 times higher among patients with diabetes compared with control subjects. Utilization of outpatient hospital care was higher among patients with diabetes compared with control subjects, even when excluding visits to diabetes clinics.

Conclusions Excess use of health care among patients with diabetes remained 16 years after the first follow-up. Utilization patterns were stable, except for a major decrease in inpatient care 1 year after diagnosis and an increase in day care 8 years after diagnosis. Observed changes probably reflect successive reforming of diabetes care in Sweden.

Place, publisher, year, edition, pages
2012. Vol. 29, no 6, 784-791 p.
Keyword [en]
case-control studies, diabetes, healthcare utilization, health services
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-176210DOI: 10.1111/j.1464-5491.2011.03514.xISI: 000304087700016OAI: oai:DiVA.org:uu-176210DiVA: diva2:535294
Available from: 2012-06-19 Created: 2012-06-18 Last updated: 2012-06-19Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Wahlström, Rolf
By organisation
Family Medicine and Preventive Medicine
In the same journal
Diabetic Medicine
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 162 hits
ReferencesLink to record
Permanent link

Direct link