title: [An analysis of the diabetic population in a Spanish rural are: morbidity profile, use of resources, complications and metabolic control].
abstract: OBJECTIVE
  To describe the characteristics of a diabetic population, morbidity profile, resource consumption, complications and degree of metabolic control.
  
  
  METHODS
  Cross-sectional study during 2010.
  
  
  METHODS
  Four Health Areas (91.301 people) where the integrated management organization Serveis de Salut integrated Baix Empordà completely provide healthcare assistance.
  
  
  METHODS
  4.985 diabetic individuals, identified through clinical codes using the ICD-9-MC classification and the 3M? Clinical Risk Groups software.
  
  
  METHODS
  Morbidity profile, related complications and degree of metabolic control were obtained for the target diabetic population. We analyzed the consumption of healthcare resources, pharmaceutical and blood glucose reagent strips. All measurements obtained at individual level.
  
  
  RESULTS
  99.3% of the diabetic population were attended at least once at a primary care center (14.9% of visits). 39.5% of primary care visits and less than 10% of the other scanned resources were related to the management of diabetes. The pharmaceutical expenditure was 25.4% of the population consumption (average cost ?1.014,57). 36.5% of diabetics consumed reagents strips (average cost ?120,65). The more frequent CRG are 5424-Diabetes (27%); 6144-Diabetes and Hypertension (25,5%) and 6143-Diabetes and Other Moderate Chronic Disease (17,2%). The degree of disease control is better in patients not consumers of antidiabetic drugs or treated with oral antidiabetic agents not secretagogues.
  
  
  CONCLUSIONS
  Comorbidity is decisive in the consumption of resources. Just a few part of this consumption is specifically related to the management of diabetes. Results obtained provide a whole population approach to the main existing studies in our national and regional context.
authors.affiliation: Avaluació i Recerca, Serveis de Salut Integrats Baix Empordà, Palamós, Girona, España; Grup de Recerca en Serveis Sanitaris i Resultats en Salut (GRESSiRES), España. Electronic address: jminoriza@ssibe.cat.
authors.forename: José M
authors.initials: JM
authors.lastname: Inoriza
authors.forename: Marc
authors.initials: M
authors.lastname: Pérez
authors.forename: Montse
authors.initials: M
authors.lastname: Cols
authors.forename: Inma
authors.initials: I
authors.lastname: Sánchez
authors.forename: Marc
authors.initials: M
authors.lastname: Carreras
authors.forename: Jordi
authors.initials: J
authors.lastname: Coderch
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001786:Blood Glucose; D003430:Cross-Sectional Studies; D048909:Diabetes Complications / Q000453:epidemiology* / Q000378:metabolism; D003920:Diabetes Mellitus / Q000453:epidemiology* / Q000378:metabolism / Q000628:therapy*; D005260:Female; D006295:Health Resources / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012423:Rural Health; D013030:Spain; D055815:Young Adult
chemical_list: D001786:Blood Glucose
keywords: Comorbidity; Comorbilidad; Complicaciones de la diabetes; Diabetes complications; Diabetes mellitus; Glycosylated haemoglobin A; Health resources; Hemoglobina A glucosilada; Reagent strips; Recursos en salud; Tiras reactivas