Trends in the representation of specialties caring for patients with diabetes in the Czech Republic
Authors:
Milan Kvapil 1; Martina Nováková 1; Klára Benešová 2,3; Jiří Jarkovský 2,3; Ladislav Dušek 2,3
Authors‘ workplace:
Geriatrická interní klinika 2. LF UK a FN Motol, Praha
1; Ústav zdravotnických informací a statistiky ČR
2; Institut biostatistiky a analýz LF MU v Brně
3
Published in:
Čas. Lék. čes. 2024; 163: 115-119
Category:
Original Article
Overview
The increasing prevalence of diabetes mellitus (DM) leads to the differentiation of the registration of diabetics in individual specialties. Objective of this paper was the evaluation of changes in the representation of expertise providing care for patients with DM (pDM) in the Czech Republic, based on data analysis from the National Register of Paid Health Services (NRHZS) 2010–2021.
In the entire pDM group, the number of patients treated by a diabetologist (DIA) increased from 491,490 (57.0 %) to 537,430 (50.4 %), with a general practitioner (GP) from 27,719 (3.2 %) to 181,330 (17.0 %) and by internist (INT) from 172,918 (20.0 %) to 161,291 (15.1 %). In 2021, 57.9 % DIA, 17 % GP, 12.2 % INT were treated from the group treated with antidiabetics (813,873). In 2021, 84,345 were treated with insulin alone (87.2 % DIA), 129,127 were treated with a combination of insulin and non-insulin antidiabetics; 115,604 (91.6 %) in DIA, 322 (0.3 %) in GP and 7,983 (6.3 %) in INT. 603,331 treated only with non-insulin antidiabetic drugs, of which 281,929 (46.7 %) DIA, 137,744 (22.8 %) GP and 85,273 (14.1 %) INT. For other specialties, 98,385 (16.3 %) persons. 185,838 patients without reported DIA/GP/INT control, of which 80,144 without therapy.
The increasing prevalence of DM and changes in reimbursement conditions are reflected in the dynamic development of the distribution of diabetes care by individual specialties.
Keywords:
specialist caring for diabetics, diabetes register
Sources
- Národní registr hrazených zdravotních služeb (NRHZS). ÚZIS ČR. Dostupné na: www.uzis.cz/index.php?pg=registry-sber-dat--narodni-registr-hrazenych-zdravotnich-sluzeb
- Van den Boom L, Kaiser M, Kostev K. Prevalence of insulin as a first-line therapy and associated factors in people with type 2 diabetes in German primary care practices. Diabet Med 2020; 37: 1333–1339.
- Kvapil M. Projekt SPACE (Stav pacientů akceptovaných diabetologem cestou exportu). Vnitřní lékařství 2016; 62: 22–27.
Labels
Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental HygienistArticle was published in
Journal of Czech Physicians
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