Vnitr Lek 2020, 66(5):e33-e37 | DOI: 10.36290/vnl.2020.095

Comparison of different approaches for estimation of prevalence of type 2 diabetes mellitus in the Czech Republic

MUDr. Pavel Hroboň, M.S.1, Magdalena Škodová2, Petra Kučová2, Jana Votápková2
1 Kabinet veřejného zdravotnictví 3. lékařské fakulty Univerzity Karlovy
2 Institut ekonomických studií, Fakulta sociálních věd, Univerzita Karlova v Praze

Prevalence of type 2 diabetes in the Czech Republic can be estimated from data reported by health care providers either to the statistical office or to health insurers. The latter include both diagnosis and prescribed drugs. Patient classification to a certain chronic condition based on consumption of drugs (Pharmacy-based Cost Groups classification) has been used in the Czech Republic for the purpose of redistribution of collected funds among health insurers since the beginning of 2018. This article compares prevalence of diabetes estimated from statistical data and from data reported to health insurers, and discusses current and future advantages and disadvantages of all methodologies. Diagnoses reporting in outpatient care are considered to be inaccurate, on the other hand peroral antidiabetics do not seem to be prescribed to all indicated patients. The appropriate approach to prevalence estimation from data reported to health insurers is becoming even more important after the creation of National Diabetes Register based on insurance data and the related abatement of direct reporting to the statistical office.

Keywords: diagnosis, PCG classification, pharmacotherapy, prevalence, type 2 diabetes mellitus.

Published: August 1, 2020  Show citation

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Hroboň P, Škodová M, Kučová P, Votápková J. Comparison of different approaches for estimation of prevalence of type 2 diabetes mellitus in the Czech Republic. Vnitr Lek. 2020;66(5):e33-37. doi: 10.36290/vnl.2020.095.
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References

  1. International Diabetes Federation. IDF Diabetes Atlas - 8th Edition. International Diabetes Federation 2017. (cit. 2019-05-13). Dostupné z WWW: http://www.diabetesatlas.org/
  2. Votápková J, Hroboň P, Kučová P. Pacienti s diabetem mellitem 2. typu v ČR - prevalence stanovená na základě spotřeby léčiv a náklady na tyto pacienty. Ekonomie ve zdravotnictví 2017; 3. ročník: 7-13. ISSN 2464-6164.
  3. ÚZIS ČR. ZDRAVOTNICTVÍ ČR: Stručný přehled činnosti oboru diabetologie a endokrinologie za období 2007-2017. Národní zdravotnický informační systém (NZIS) Report č. K/1. ÚZIS ČR 08/2018. (cit. 2019-05-18). Dostupné z WWW: http://www.uzis.cz/rychle‑informace/strucny‑prehled‑cinnosti‑oboru‑diabetologie‑endokrinologie‑za‑obdobi-2007-2017
  4. Medical Tribune. Rekonstruovaný Národní diabetologický registr představil výsledky. Medical Tribune 22/2018. (cit. 2019-05-18). Dostupné z WWW: https://www.tribune.cz/clanek/44027-rekonstruovany‑narodni‑diabetologicky‑registr‑predstavil‑vysledky
  5. Kocová M. The Population of Diabetics in the Czech Republic from Demographic Point of View. In: Actual demographic research of young demographers (not only) in Europe (p. 7472). Praha 2015, Česká republika
  6. Horák P. Farmakoekonomika léčby diabetu - Trendy u nás. Vnitr Lek 2009; 55(4), 331-340. Go to PubMed...
  7. Škrha J, Pelikánová T, Kvapil M. Doporučený postup péče o diabetes mellitus 2. typu. DMEV 2017; 20(3), 142-150. Go to original source...
  8. Škodová M. Analýza nákladů veřejného zdravotního pojištění na pacienty s diabetem mellitem 2. typu v ČR. Praha, 2018. 56 s. Bakalářská práce (Bc.) Univerzita Karlova, Fakulta sociálních věd, Institut ekonomických studií. Vedoucí diplomové práce MUDr. Pavel Hroboň, M.S.
  9. Kučová P, Votápková J. Type 2 Diabetes Mellitus in the Czech Republic: Prevalence and Association with Individual Costs. IES Occasional Paper 01/2017, IES FSV. Karlova Univerzita.
  10. Česká diabetologická společnost. Standardy péče o diabetes mellitus 2. typu. DMEV 2007; 10(4), 191-98.
  11. ÚZIS ČR. MKN-10 Seznam zrušených kódů, nově zavedených kódů a upravených názvů diagnóz k 1. 4. 2014. ÚZIS ČR 2014. (cit. 2018-04-20). Dostupné z WWW: http://www.uzis.cz/katalog/klasifikace/mkn




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