title: [Adapted Exercise in the management of Type II diabetes: a Budget Impact Analysis].
abstract: Type II diabetes has a high prevalence rate worldwide, especially in industrialized countries. By requiring increasing health expenditures and resources, the disease and its complications generate a considerable economic burden. Since many years several institutions promote awareness and information programs regarding the most effective strategies to prevent and control diabetes. By reducing the severity of the disease and its complications, Adapted Exercise therapy (AE) represents an ideal instrument to remodulate the Therapeutic Healthcare Management Protocol (THMP) of patients with type II diabetes and may be defined as a new health technology. On the basis of these considerations, a Budget Impact Analysis (BIA) was carried out from the healthcare management perspective to evaluate advantages deriving from the introduction of a structured program of AE for diabetics in Campania, one of the Italian regions with the highest prevalence of diabetes. The analysis has examined two scenarios: the basic one, in which is not provided a program of AE and alternative that, instead, contemplated it. In a horizon of 5 years, the implementation of integrated THMP would entail, as demonstrated by the present analysis, a decrease in the estimation of the number of diabetic subjects complicated and related costs. The sensitivity analysis, adapted to check the soundness of this result, has supported the basic assumptions.
authors: Dipartimento di Scienze Motorie e del Benessere, Università degli Studi di Napoli "Parthenope", Italia.
authors: Patrizia
authors: P
authors: Belfiore
authors: Dipartimento di Scienze Motorie e del Benessere, Università degli Studi di Napoli "Parthenope", Italia.
authors: Davide
authors: D
authors: Di Palma
authors: Dipartimento di Scienze Motorie e del Benessere, Università degli Studi di Napoli "Parthenope", Italia.
authors: Francesca
authors: F
authors: Gallé
authors: Dipartimento di Scienze e Tecnologie, Università degli Studi di Napoli "Parthenope", Italia.
authors: Valeria
authors: V
authors: Di Onofrio
authors: Dipartimento di Studi Aziendali ed Economici, Università di Napoli &quot;Parthenope&quot;, Italia.
authors: Alessandro
authors: A
authors: Scaletti
authors: Dipartimento di Scienze Motorie e del Benessere, Università degli Studi di Napoli "Parthenope", Italia.
authors: Giorgio
authors: G
authors: Liguori
mesh_terms: D020811:Biomedical Technology; D003365:Costs and Cost Analysis; D003924:Diabetes Mellitus, Type 2 / Q000191:economics / Q000517:prevention & control*; D005081:Exercise Therapy / Q000191:economics*; D005102:Health Expenditures; D006295:Health Resources / Q000191:economics; D006801:Humans; D007558:Italy