title: An indirect evaluation of the national program of diabetes mellitus--study case of Romania.
abstract: Diabetes mellitus (DM) represents an important problem of public health according to the worldwide statistical data. In Romania, the national program is facing the same situation: increasing incidence (both for children and adults) and prevalence of this disease.
  
  
  OBJECTIVE
  To evaluate the results of the national program for DM through some indirect indicators.
  
  
  METHODS
  This study represents a descriptive analysis of hospitalized DM cases between 1.01.2009 and 31.03.2013, in Romania. The lack of statistical data available from the Ministry of Public Health (the latest update on the web page for DM is from 2007) makes the evaluation of the outcomes of this program quite difficult. An indirect evaluation is possible using the national hospital registrations for DM complications, recorded by the National School of Management and Public Health. For diagnostic registration was used the classification for Diagnostic Related Group (DRG), version HCFA DRG v. 18.
  
  
  RESULTS
  Despite the facilities offered to diabetic patients through the program, the burden of DM over the health system is quite large due to the large number of patients having complications.
  
  
  CONCLUSIONS
  Even the objectives of the program appear to be accomplished; the indirect outcomes of the evaluation suggest that could be a gap between the hospital specialist and family doctors and a lack of health education for patients with DM.
authors: Discipline of Management and Public Health, Faculty of Medicine, University of Medicine and Pharmacy "Grigore T. Popa"- Iaşi.
authors: Maria Liliana
authors: ML
authors: Iliescu
authors: Dana Teodora
authors: DT
authors: Anton
mesh_terms: D000328:Adult; D002648:Child; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000453:epidemiology*; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D006306:Health Surveys / Q000379:methods; D006801:Humans; D015994:Incidence; D007902:Length of Stay / Q000706:statistics & numerical data*; D015995:Prevalence; D012383:Romania / Q000453:epidemiology