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An Exploratory Research of 18 Years on the Economic Burden of Diabetes for the Romanian National Health Insurance System

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  • Claudiu Morgovan

    (Preclinical Department, Faculty of Medicine, “Lucian Blaga” University of Sibiu, 2A Lucian Blaga St., 550169 Sibiu, Romania
    These authors contributed equally to this work.)

  • Smaranda Adina Cosma

    (Department of Hospitality Services, Faculty of Business, “Babeș-Bolyai” University, 7 Horea St., 400174 Cluj-Napoca, Romania
    These authors contributed equally to this work.)

  • Madalina Valeanu

    (Department of Medical Informatics and Biostatistics, Faculty of Medicine, “Iuliu Haţieganu” University Medicine and Pharmacy, 4 Louis Pasteur St., 400349 Cluj-Napoca, Romania)

  • Anca Maria Juncan

    (Preclinical Department, Faculty of Medicine, “Lucian Blaga” University of Sibiu, 2A Lucian Blaga St., 550169 Sibiu, Romania)

  • Luca Liviu Rus

    (Preclinical Department, Faculty of Medicine, “Lucian Blaga” University of Sibiu, 2A Lucian Blaga St., 550169 Sibiu, Romania)

  • Felicia Gabriela Gligor

    (Preclinical Department, Faculty of Medicine, “Lucian Blaga” University of Sibiu, 2A Lucian Blaga St., 550169 Sibiu, Romania)

  • Anca Butuca

    (Preclinical Department, Faculty of Medicine, “Lucian Blaga” University of Sibiu, 2A Lucian Blaga St., 550169 Sibiu, Romania)

  • Delia Mirela Tit

    (Department of Pharmacy, University of Oradea, 29 Nicolae Jiga St., 410028 Oradea, Romania
    These authors contributed equally to this work.)

  • Simona Bungau

    (Department of Pharmacy, University of Oradea, 29 Nicolae Jiga St., 410028 Oradea, Romania
    These authors contributed equally to this work.)

  • Steliana Ghibu

    (Department of Pharmacology, Physiology and Pathophysiology, Faculty of Pharmacy, “Iuliu Haţieganu” University Medicine and Pharmacy, 4 Louis Pasteur St., 400349 Cluj-Napoca, Romania)

Abstract

The prevalence of diabetes mellitus (DM) rises constantly each year worldwide. Because of that, the funds allocated for the DM treatment have increased over time. Regarding the number of DM cases, Romania is among the top ten countries in Europe. Based on the National Diabetes Programme (NDP), antidiabetic drugs and other expenditures (Self-monitoring blood glucose (SMBG) test, HbA1c, insulin pumps/insulin pumps supplies) are free of charge. This programme has undergone many changes in drugs supply, in the last two decades: re-organizing the NDP, authorization of new molecules with high prices (e.g., SGLT-2 inhibitors, etc.) or new devices (e.g., insulin pumps, etc.) The main purpose of this study is to identify and analyse the impact of the DM costs on the Romanian health budget and to highlight the evolution of these costs. A retrospective longitudinal research on the official data regarding the DM costs from 2000 to 2017 was performed. The DM funds (DMF) were adjusted with the inflation rate. In this period, the average share of DMF in the total funds allocated for health programmes was 21.3 ± 3.4%, and DMF average growth rate was 25.4% (r = 0.488, p = 0.047). On the other hand, the DMF increased more than 14 times, in spite of the patients’ number having increased only about 2.5 times. Referring to the structure of DMF, the mean value of the antidiabetic drugs cost was of 96,045 ± 67,889 thousand EUR while for other expenditures it was of 11,530 ± 7922 thousand EUR (r = 0.945, p < 0.001). Between 2008 and 2017, the total DMF was 181,252 ± 74,278 thousand EUR/year. Moreover, the average patients’ number was 667,384 ± 94,938 (r = 0.73, p = 0.016), and the cost of treatment was 215 ± 36 EUR/patient/year. Even if the cost is rising, the correct and optimal treatment is a main condition for the diabetic patient’s health and for the prevention of its complications, which have multiple socio-economic repercussions.

Suggested Citation

  • Claudiu Morgovan & Smaranda Adina Cosma & Madalina Valeanu & Anca Maria Juncan & Luca Liviu Rus & Felicia Gabriela Gligor & Anca Butuca & Delia Mirela Tit & Simona Bungau & Steliana Ghibu, 2020. "An Exploratory Research of 18 Years on the Economic Burden of Diabetes for the Romanian National Health Insurance System," IJERPH, MDPI, vol. 17(12), pages 1-16, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4456-:d:374412
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    References listed on IDEAS

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    1. Bernard Charbonnel & Dominique Simon & Jean Dallongeville & Isabelle Bureau & Sylvie Dejager & Laurie Levy-Bachelot & Julie Gourmelen & Bruno Detournay, 2018. "Direct Medical Costs of Type 2 Diabetes in France: An Insurance Claims Database Analysis," PharmacoEconomics - Open, Springer, vol. 2(2), pages 209-219, June.
    2. Michelle Quarti Machado Rosa & Roger Dos Santos Rosa & Marcelo G. Correia & Denizar V. Araujo & Luciana R. Bahia & Cristiana M. Toscano, 2018. "Disease and Economic Burden of Hospitalizations Attributable to Diabetes Mellitus and Its Complications: A Nationwide Study in Brazil," IJERPH, MDPI, vol. 15(2), pages 1-17, February.
    3. Andrei Cătălin Muntean & Claudiu Morgovan & Smaranda Cosma & Smaranda Cosma & Anca Butucă & Anca Maria Juncan & Luca Liviu Rus & Andreea Loredana Vonica & Felicia Gabriela Gligor & Steliana Ghibu, 2019. "Study Of Life Quality And Treatment Satisfaction Of Romanian Diabetic Patients," CBU International Conference Proceedings, ISE Research Institute, vol. 7(0), pages 771-777, September.
    4. Grégoire Lagasnerie & Anne-Sophie Aguadé & Pierre Denis & Anne Fagot-Campagna & Christelle Gastaldi-Menager, 2018. "The economic burden of diabetes to French national health insurance: a new cost-of-illness method based on a combined medicalized and incremental approach," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(2), pages 189-201, March.
    5. Smaranda Adina Cosma & Marius Bota & Cristina Fleșeriu & Claudiu Morgovan & Mădălina Văleanu & Dan Cosma, 2020. "Measuring Patients’ Perception and Satisfaction with the Romanian Healthcare System," Sustainability, MDPI, vol. 12(4), pages 1-16, February.
    6. Till Seuring & Olga Archangelidi & Marc Suhrcke, 2015. "The Economic Costs of Type 2 Diabetes: A Global Systematic Review," PharmacoEconomics, Springer, vol. 33(8), pages 811-831, August.
    7. Kyu-Tae Han & Geum Joon Cho & Eui Hyeok Kim, 2018. "Evaluation of the Association between Gestational Diabetes Mellitus at First Pregnancy and Cancer within 10 Years Postpartum Using National Health Insurance Data in South Korea," IJERPH, MDPI, vol. 15(12), pages 1-9, November.
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    2. Cornelia Bala & Adriana Rusu & Dana Ciobanu & Gabriela Roman, 2022. "Length of Hospital Stay, Hospitalization Costs, and Their Drivers in Adults with Diabetes in the Romanian Public Hospital System," IJERPH, MDPI, vol. 19(16), pages 1-13, August.
    3. Zhigang Guo & Lin Bai & Zhenhuan Luo & Mengyuan Fu & Liguang Zheng & Xiaodong Guan & Luwen Shi, 2021. "Factors Associated with Free Medicine Use in Patients with Hypertension and Diabetes: A 4-Year Longitudinal Study on Full Coverage Policy for Essential Medicines in Taizhou, China," IJERPH, MDPI, vol. 18(22), pages 1-10, November.
    4. Diana I. Sima & Cosmina I. Bondor & Ioan A. Vereşiu & Norina A. Gâvan & Cristina M. Borzan, 2021. "Hospitalization Costs of Lower Limb Ulcerations and Amputations in Patients with Diabetes in Romania," IJERPH, MDPI, vol. 18(5), pages 1-11, February.

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