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Healthcare Utilization and Adherence to Treatment Recommendations among Children with Type 1 Diabetes in Poland during the COVID-19 Pandemic

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  • Justyna Grudziąż-Sękowska

    (Centre of Postgraduate Medical Education, School of Public Health, 01-813 Warsaw, Poland)

  • Kuba Sękowski

    (Doctoral School, Law College, Kozmiński University, 03-301 Warsaw, Poland)

  • Bartosz Kobuszewski

    (Centre of Postgraduate Medical Education, School of Public Health, 01-813 Warsaw, Poland)

Abstract

Type 1 diabetes mellitus (T1D) is, next to obesity and asthma, the most common chronic disease in children in Poland. The results of T1D treatment strongly depend on the patient’s compliance with therapeutic recommendations, which entails the use of necessary health services. Based on a retrospective analysis of the data on health services provided in 2016–2020 to over 15.5 thousand patients with T1D in Poland, we assessed the compliance of the actual model of treatment of T1D in children with the current guidelines. It was found that only about 50% of patients received the number of diabetes consultations corresponding to the recognized standards, with about 15% of children with T1D remaining outside the public healthcare system. In the case of many outpatient services (ophthalmological, neurological, mental health), the number of consultations was extremely low—one order of magnitude lower than in general population and dropped even lower in 2020. This shows that the health needs of children with T1D are not being met within the public healthcare system. The COVID-19 pandemic caused significant limitations in access to healthcare in Poland. Compared to the pre-pandemic period there was a significant decrease (−27% compared to 2019) in the number of hospitalizations, and a substantial increase (+22% compared to 2019) in the number of diabetic ketoacidoses (DKA) cases. The proportion of hospitalizations caused by DKA rose to 8.9% compared to 7.3% in 2019.

Suggested Citation

  • Justyna Grudziąż-Sękowska & Kuba Sękowski & Bartosz Kobuszewski, 2022. "Healthcare Utilization and Adherence to Treatment Recommendations among Children with Type 1 Diabetes in Poland during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(8), pages 1-14, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4798-:d:794518
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    References listed on IDEAS

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    1. Tal Schiller & Taiba Zornitzki & Viviana Ostrovsky & Danielle Sapojnik & Lee Cohen & Tamila Kunyavski & Hilla Knobler & Alena Kirzhner, 2021. "Following the COVID-19 Experience, Many Patients with Type 1 Diabetes Wish to Use Telemedicine in a Hybrid Format," IJERPH, MDPI, vol. 18(21), pages 1-9, October.
    2. Arpita Kalla Vyas & Lavi Oud, 2021. "Temporal patterns of hospitalizations for diabetic ketoacidosis in children and adolescents," PLOS ONE, Public Library of Science, vol. 16(1), pages 1-14, January.
    3. Sylwia Nieszporska, 2017. "Priorities in the Polish health care system," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(1), pages 1-5, January.
    4. Alicia Núñez & S. D. Sreeganga & Arkalgud Ramaprasad, 2021. "Access to Healthcare during COVID-19," IJERPH, MDPI, vol. 18(6), pages 1-12, March.
    5. Justyna Grudziąż-Sękowska & Monika Zamarlik & Kuba Sękowski, 2021. "Assessment of Selected Aspects of the Quality of Life of Children with Type 1 Diabetes Mellitus in Poland," IJERPH, MDPI, vol. 18(4), pages 1-13, February.
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