Diabetes mellitus (un)met care in the Czech Republic in the covid-19 pandemic (economic data analyses by Czech health insurance companies from 2016 until 2020)
DOI:
https://doi.org/10.61357/sehs.v15i1.24Keywords:
diabetes, diabetic healthcare, COVID-19 unmet careAbstract
The aim of the paper is to map and explain the consequences of the COVID-19 pandemic on the (un)met care in diabetes mellitus in the Czech Republic in the period between March and December 2020. The significance of the verification stems from the fact that more than 900 thousand Czech people (8.5% of the population) suffer from diabetes and unmet care may result in inadequate glycemic control, increased morbidity and mortality, and higher incurred costs of outpatient care, emergency room visits, hospitalization and managing complications of diabetes. The paper analyzes economic data of three Czech health insurance companies from 2016 until 2020, concluding that diabetic care in the period from March to December 2020 was unmet. However, the volume of unmet care was not higher in regions with characteristically worse availability of healthcare. In terms of health absorption, the volume of diabetes care increased slightly in the summer months, but in the autumn and in the second wave of COVID-19 measures the values dropped to the level of 2016.
References
BLUMENTHAL, D., E. J. FOWLER, M. ABRAMS & S. R. COLLINS (2020). Covid-19 – Implications for the Health Care System. New England Journal of Medicine [online]. [cit. 2021-07-27]. 383(15):1483-1488. Available at: http://www.nejm.org/doi/10.1056/NEJMsb2021088
BÖRSCH-SUPAN, A., M. BRANDT, K. HANK & M. SCHRÖDER (2011). The Individual and the Welfare State. Berlin, Heidelberg: Springer Berlin Heidelberg.
CENTRUM PRO VÝZKUM VEŘEJNÉHO MÍNĚNÍ, SOCIOLOGICKÝ ÚSTAV AV ČR, v.v.i. (2021) [press release]. Martin Spurný. Nový typ koronaviru – obavy, média, informace a narativy - Naše společnost - speciál – únor 2021 [online]. [cit. 2022-03-20]. Available at: https://cvvm.soc.cas.cz/media/com_form2content/documents/c2/a5367/f9/oz210325.pdf
CHO, E., E. B. RIMM, M. J. STAMPFER, W. C. WILLETT & F. B. HU (2002). The impact of diabetes mellitus and prior myocardial infarction on mortality from all causes and from coronary heart disease in men. Journal of the American College of Cardiology. 2002 Sep, 40 (5). pp. 954–960.
ČPZP (2018). Počet pacientů s diabetem stoupá. Mezi klienty ČPZP jde za deset let téměř o dvojnásobek. In: cpzp.cz [online]. [cit. 2022-03-20]. Available at https://www.cpzp.cz/clanek/5375-0-Pocet-pacientu-s-diabetem-stoupa-Mezi-klienty-CPZP-jde-za-deset-let-temer-o-dvojnasobek.html
ČTK (2021). Lidé kvůli covidu už rok méně chodí na preventivní vyšetření, České noviny. In: ceskenoviny.cz [online]. [cit. 2021-07-27] . Available at: https://www.ceskenoviny.cz/zpravy/lide-kvuli-covidu-uz-rok-mene-chodi-na-preventivni-vysetreni/1995192
DAGENAIS, G. R., A. ST-PIERRE, P. GILBERT, B. LAMARCHE, J.-P. DESPRÉS, P.-M. BERNARD & P. BOGATY (2009). Comparison of prognosis for men with type 2 diabetes mellitus and men with cardiovascular disease. CMAJ , 180 (1). pp. 40-47; DOI: 10.1503/cmaj.071027
EUROFOUND (2020). Living, working and COVID-19 dataset. In: eurofound.europa.eu [online]. [cit. 2022-03-20]. Available at: http://eurofound.link/covid19data
EUROSTAT (2021) Unmet health care needs statistics. In: ec.europa.eu [online].[cit. 2021-07-27]. Available at: https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Unmet_health_care_needs_statistics
EUROZPRÁVY (2020). Kolik bude za deset let v ČR diabetiků? Asociace prozradila víc. In: eurozpravy.cz [online]. [cit. 2022-03-20]. Available at: https://eurozpravy.cz/domaci/zivot/kolik-bude-za-deset-let-v-cr-diabetiku-asociace-prozradila-vic.fe05294c/
GARAFFA, E., R. LEVAGGI, R. MINIACI & C. PAOLILLO (2020). When fear backfires: Emergency department accesses during the Covid-19 pandemic. Health Policy [online]. 2020 [cit. 2021-07-27]. 124(12):1333-1339. Available at: https://linkinghub.elsevier.com/retrieve/pii/S016885102030261X
HAYMANN, D., L. CHEN, K. TAKEMU, D. P. FIDLER, J. W. TAPPERO, M. J. THOMAS et al. (2015) Global health security: the wider lessons from the west African Ebola virus disease epidemic. The Lancet: Public Policy. 385(9980):1884-1901. [online]. [cit. 2022-03-20]. Available at: https://doi.org/10.1016/S0140-6736(15)60858-3
HERR, M., J.-J. ARVIEU, P. AEGERTER, J.-M. ROBINE & J. ANKRI (2014). Unmet health care needs of older people: prevalence and predictors in a French cross-sectional survey. The European Journal of Public Health [online]. [cit. 2021-07-27]. 24(5):808-813. Available at: https://academic.oup.com/eurpub/article-lookup/doi/10.1093/eurpub/ckt179
HNILICOVÁ, H., K. DOBIÁŠOVÁ & E. TULUPOVÁ (2021). Behaviorální aspekty pandemie COVID-19 v České republice: Survey. WHO, 1.LF UK, MZ ČR.
KOSINSKI, C. , A. ZANCHI & A. WOJTUSCISZYN (2020) Diabète et infection à COVID-19. Rev Med Suisse. 16(692):939-943. PMID: 32374541.
LAL, A., N. A. ERONDU, D. HEYMANN, G. GITAHI &R. YATES (2020). Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage. The Lancet.397(2):61–67. [online]. [cit. 2022-03-20]. Available at: https://doi.org/10.1016/ S0140-6736(20)32228-5
OCHRANA, F. (2012). Methodology of Science. An Introduction. Praha: Karolinum.
OCHRANA, F. (2019). Metodologie, metody a metodika vědeckého výzkumu. Praha: Karolinum.
PAŽITNÝ, P., D. KANDILAKI, R. MUŽIK & B. BENKOVÁ (2021). COVID-19 case fatality rate in the context of healthcare system organization and EHCI performance: Focus on the Visegrad (V4) countries, Acta Oeconomica, 71(S1), pp. 35–52. [online]. [cit. 2022-02-25]. Available at: https://akjournals.com/view/journals/032/71/S1/article-p35.xml
POLONSKY, W. & R. HENRY (2016). Poor medication adherence in type 2 diabetes: recognizing the scope of the problem and its key contributors. Patient Preference and Adherence [online]. [cit. 2021-07-29]. 10:1299-1307. Available at: https://www.dovepress.com/poor-medication-adherence-in-type-2-diabetes-recognizing-the-scope-of--peer-reviewed-article-PPA
PRIGOGINE, I. & I. STENGERSOVÁ (2001). Řád z chaosu. (Nový dialog člověka s přírodou). Praha, Mladá fronta.
RBP (2019). Horizont 1 – projekt RBP pro diabetiky. In: rbp213.cz [online]. [cit. 2022-03-20]. Available at https://www.rbp213.cz/cs/horizont-1-projekt-rbp-pro-diabetiky/a-396/
RYBKA, J. (2007). Diabetes mellitus – komplikace a přidružená onemocnění: diagnostické a léčebné postupy. Praha: Grada.
SABAT, I., S. NEUMAN-BÖHME,N. E. VARGHESE P. P. BARROS, W. BROUWER, J. VAN EXEL et al. (2020). United but divided: Policy responses and people’s perceptions in the EU during the COVID-19 outbreak. Health Policy [online]. [cit. 2021-07-27]. 124(9):909-918. Available at: https://linkinghub.elsevier.com/retrieve/pii/S0168851020301639
SVAČINA, Š. (2010). Diabetologie. Prague: Triton. ISBN 978-80-7387-348.
TOP CLASS MEDICAL s.r.o. (n. d.). Diabetes mellitus – vybrané statistiky In: topclassmedical.cz [online]. [cit. 2022-03-20]. Available at http://www.topclassmedical.cz/diabetes-mellitus-vybrane- statistiky
UNRUH, L., S. ALLIN, G. MARCHILDON, S. BURKE, S. BARRY, R. SIERSBAECK et al. (2021). A comparison of health policy responses to the COVID-19 pandemic in Canada, Ireland, the United Kingdom, and the United States of America. Health Policy [online]. [cit. 2021-07-27]. Available at: https://linkinghub.elsevier.com/retrieve/pii/S016885102100169X
ÚSTAV ZDRAVOTNICKÝCH INFORMACÍ ZIS (2020). Statistika vybraných ekonomických témat. In. uzis.cz [online]. [cit. 2022-03-20]. Available at: https://www.uzis.cz/index.php?pg=vystupy--statistika-vybranych-ekonomickych-temat-- ekonomicke-vysledky
VAN DOORSLAER, E. (2006). Inequalities in access to medical care by income in developed countries. Canadian Medical Association Journal [online]. [cit. 202107-27]. 174(2):177-183. Available at: http://www.cmaj.ca/cgi/doi/10.1503/cmaj.050584
VZP. (2020). S cukrovkou se léčí každý desátý pojištěnec VZP. In: vzp.cz [online]. [cit. 2022-03-20]. Available at: https://www.vzp.cz/o-nas/aktuality/s-cukrovkou-se-leci-kazdy-desaty-pojistenec-vzp
WANG, W., J. LU, W. GU, Y. ZHANG & G. NING (2020). Care for diabetes with COVID‐19: Advice from China. Journal of Diabetes [online]. [cit. 2021-07-29]. 12(5):417-419. Available at: https://onlinelibrary.wiley.com/doi/10.1111/1753-0407.13036
WEBB, E., C. HERNÁNDEZ-QUEVEDO, G. WILLIAMS, G. SCARPETTI, S. REED & D. PANTELI (2021). Providing health services effectively during the first wave of COVID-19: A cross-country comparison on planning services, managing cases, and maintaining essential services. Health Policy [online]. [cit. 2021-07-27];. Available at: https://linkinghub.elsevier.com/retrieve/pii/S0168851021001147
WINKELMANN, J., E. WEBB, G. A. WILLIAMS, C. HERNÁNDEZ-QUEVEDO, C. B. MAIER & D. PANTELI (2021). European countries’ responses in ensuring sufficient physical infrastructure and workforce capacity during the first COVID-19 wave. Health Policy [online]. [cit. 2021-07-27]; Available at: https://linkinghub.elsevier.com/retrieve/pii/S016885102100172X
WORLD HEALTH ORGANIZATION (2021). Second round of the national pulse survey on continuity of essential health services during the COVID-19 pandemic. Interim report. World Health Organization, Geneva.
WORLD HEALTH ORGANIZATION (2021). WHO Diabetes. Geneva: WHO. [online]. [cit. 2021-07-27]. Available at: https://www.who.int/health-topics/diabetes#tab=tab_1
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