Health care resource utilization among individuals with diabetes in Spain: Trends from population-based surveys, 2014–2020

IF 1.9 4区医学 Q4 ENDOCRINOLOGY & METABOLISM

Endocrinologia Diabetes Y Nutricion Pub Date : 2026-03-01 Epub Date: 2026-03-07 DOI:10.1016/j.endien.2026.501684

Luyi Zeng-Zhang , Natividad Cuadrado-Corrales , Rodrigo Jiménez-García , Ana López-de-Andrés , Zichen Ji , Jose J. Zamorano-León , Andrés Bodas-Pinedo , Ana Jiménez-Sierra , Elena Labajo-Gonzalez , Javier de Miguel-Diez

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Abstract

Background

Diabetes mellitus (DM) has a high health care burden. Understanding health care resource use in DM is essential for optimizing services. This study examines health care utilization among individuals with DM in Spain, comparing them to individuals without DM.

Methods

This study analyzed data from the 2014 and 2020 European Interview Health Survey for Spain (EHISS). Participants who reported a diagnosis of DM were classified as cases and matched to controls without DM by sex, age, EHISS edition and place of residence. The dependent variables studied were hospitalizations and emergency department visits during the 12 months. Independent variables included sociodemographics, lifestyle, and comorbidity factors.

Results

The study included a total of 7854 participants (3927 cases and 3927 controls). A comparison between 2014 and 2020 showed fewer hospitalizations (19.0% vs 16.1%, p = 0.018) and emergency department visits (36.2% vs 28.7%, p < 0.001) among individuals with DM. Individuals with DM had significantly higher rates of hospitalization (17.5% vs 11.1%; p < 0.001) and emergency department visits (32.3% vs 24.6%; p < 0.001) vs those without DM. The identified common predictors of hospitalization and emergency department visits were poor self-rated health and cardiac ischemia.

Conclusion

We observed a higher health care utilization among individuals with DM and a downward trend from 2014 to 2020. Identifying predictors of health care use may facilitate the development of interventions to reduce health care costs. The results should be interpreted with caution due to limitations, particularly the lack of data on DM type and glycemic control.

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西班牙糖尿病患者的医疗保健资源利用：2014-2020年基于人群调查的趋势

背景：糖尿病（DM）具有较高的医疗负担。了解糖尿病患者的卫生保健资源使用情况对于优化服务至关重要。本研究调查了西班牙糖尿病患者的医疗保健利用情况，并将其与非糖尿病患者进行了比较。方法：本研究分析了2014年和2020年西班牙欧洲访谈健康调查（EHISS）的数据。报告诊断为糖尿病的参与者被分类为病例，并根据性别、年龄、EHISS版本和居住地与未患糖尿病的对照组相匹配。研究的因变量是12个月内的住院和急诊就诊情况。独立变量包括社会人口统计学、生活方式和合并症因素。结果：该研究共纳入7854名参与者（3927例病例和3927例对照）。2014年和2020年的比较显示，住院率（19.0%对16.1%,p=0.018）和急诊科就诊率（36.2%对28.7%,p=0.018）均有所下降。结论：我们观察到糖尿病患者的医疗保健利用率较高，且从2014年到2020年呈下降趋势。确定卫生保健使用的预测因素可能有助于制定降低卫生保健费用的干预措施。由于局限性，特别是缺乏糖尿病类型和血糖控制的数据，对结果的解释应谨慎。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Endocrinologia Diabetes Y Nutricion Multiple-

CiteScore

2.10

自引率

10.50%

发文量

期刊介绍： Endocrinología, Diabetes y Nutrición is the official journal of the Spanish Society of Endocrinology and Nutrition (Sociedad Española de Endocrinología y Nutrición, SEEN) and the Spanish Society of Diabetes (Sociedad Española de Diabetes, SED), and was founded in 1954. The aim of the journal is to improve knowledge and be a useful tool in practice for clinical and laboratory specialists, trainee physicians, researchers, and nurses interested in endocrinology, diabetes, nutrition and related disciplines. It is an international journal published in Spanish (print and online) and English (online), covering different fields of endocrinology and metabolism, including diabetes, obesity, and nutrition disorders, as well as the most relevant research produced mainly in Spanish language territories. The quality of the contents is ensured by a prestigious national and international board, and by a selected panel of specialists involved in a rigorous peer review. The result is that only manuscripts containing high quality research and with utmost interest for clinicians and professionals related in the field are published. The Journal publishes Original clinical and research articles, Reviews, Special articles, Clinical Guidelines, Position Statements from both societies and Letters to the editor. Endocrinología, Diabetes y Nutrición can be found at Science Citation Index Expanded, Medline/PubMed and SCOPUS.