title: The financial and health burden of diabetic ambulatory care sensitive hospitalisations in Mexico.
abstract: OBJECTIVE
  To estimate the financial and health burden of diabetic ambulatory care sensitive hospitalisations (ACSH) in Mexico during 2001-2011.
  
  
  METHODS
  We identified ACSH due to diabetic complications in general hospitals run by local health ministries and estimated their financial cost using diagnostic related groups. The health burden estimation assumes that patients would not have experienced complications if they had received appropriate primary care and computes the associated Disability-Adjusted Life Years (DALYs).
  
  
  RESULTS
  The financial cost of diabetic ACSH increased by 125% in real terms and their health burden in 2010 accounted for 4.2% of total DALYs associated with diabetes in Mexico.
  
  
  CONCLUSIONS
  Avoiding preventable hospitalisations could free resources within the health system for other health purposes. In addition, patients with ACSH suffer preventable losses of health that should be considered when assessing the performance of any primary care intervention.
authors.affiliation: Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, Londres, Reino Unido.
authors.forename: David G
authors.initials: DG
authors.lastname: Lugo-Palacios
authors.affiliation: Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, Londres, Reino Unido.
authors.forename: John
authors.initials: J
authors.lastname: Cairns
mesh_terms: D000553:Ambulatory Care / Q000191:economics*; D017281:Cost of Illness; D003920:Diabetes Mellitus / Q000191:economics* / Q000628:therapy*; D006760:Hospitalization / Q000191:economics*; D006801:Humans; D008800:Mexico; D011320:Primary Health Care