Identification of higher hospital costs and more frequent admissions among mid-aged Australian women who self-report diabetes mellitus.
OBJECTIVE
To ascertain whether the hospital costs for mid-aged Australian women who self-reported diabetes mellitus (DM) and who had one or more hospital admission during an eight and a half year period were higher than the hospital costs for other similarly aged non-DM women.


METHODS
The sample comprised 2,392 mid-aged women, resident in New South Wales (NSW) Australia and participating in the Australian Longitudinal Study on Women's Health (ALSWH), who had any NSW hospital admissions during the eight and a half year period 1 July 2000 to 31 December 2008. Analyses were conducted on linked data from ALSWH surveys and the NSW Admitted Patient Data Collection (APDC). Hospital costs were compared for the DM and non-DM cohorts of women. A generalized linear model measured the association between hospital costs and self-reported DM.


RESULTS
Eight and a half year hospital costs were 41% higher for women who self-reported DM in the ALSWH surveys (p<0.0001). On average, women who self-reported DM had significantly (p<0.0001) more hospital admissions (5.3) than women with no reported DM (3.4). The average hospital stay per admission was not significantly different between the two groups of women.


CONCLUSIONS
Self-reported DM status in mid-aged Australian women is a predictor of higher hospital costs. This simple measure can be a useful indicator for public policy makers planning early-stage interventions that target people in the population at risk of DM.
Research Centre for Gender, Health and Ageing, University of Newcastle, Australia; Umeå Centre for Global Health Research, Unit of Epidemiology and Global Health, Faculty of Medicine, Umeå University, Sweden.
Jennifer
J
Stewart Williams
Faculty of Health and Medicine, University of Newcastle, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia. Electronic address: rod.ling@hmri.org.au.
Rod
R
Ling
Faculty of Health and Medicine, University of Newcastle, Australia; Hunter Medical Research Institute, New Lambton Heights, Australia.
Andrew M
AM
Searles
School of Human Health and Social Sciences, Central Queensland University, Australia.
Christopher M
CM
Doran
Research Centre for Gender, Health and Ageing, University of Newcastle, Australia.
Julie
J
Byles
D003920:Diabetes Mellitus / Q000453:epidemiology*; D005260:Female; D017721:Hospital Costs; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008875:Middle Aged; D009517:New South Wales / Q000453:epidemiology; D057566:Self Report
Economic; Health; Intervention; Policy; Population; Promotion