Professional Section Quarterly - Spring 2013 - (Page 2)

Clinical News cont. from page 1 continued from page 1 ■ ■ ■ antidiabetic agents and diabetes supplies (12%); physician office visits (9%); and nursing/residential facility stays (8%). The $69 billion in lost productivity is attributed to work-related absenteeism, reduced productivity at work, reduced productivity for those not in the labor force, inability to work as a result of chronic disability, and premature mortality. In addition, the study found that: ■ Medical expenditures for people with diabetes are 2.3 times higher than for those without diabetes. ■ The primary driver of increased costs is the increasing prevalence of diabetes in the U.S. population. ■ Most of the cost for diabetes care in the United States (62.4%) is paid for by government insurance (including Medicare, Medicaid, the Children’s Health Insurance Program, and the Indian Health Service), 34.4% is paid for by private insurance, and 3.2% is paid by the uninsured. ■ Care for people with diagnosed diabetes accounts for more than one in five health care dollars in the United States, and more than half of that expenditure is directly attributable to diabetes. ■ People with diabetes who do not have health insurance have 79% fewer physician office visits and are prescribed 68% fewer medications than people with insurance coverage—but they also have 55% more emergency department visits than people with insurance have. Diabetes Costs in Specific Populations Below are some of the key findings from the study’s analyses of costs by race/ethnicity, gender, age, and state: ■ Total per-capita health care expenditures are lower among Hispanics ($5,930) and higher among non-Hispanic blacks ($9,540) than among non-Hispanic whites ($8,101). ■ Non-Hispanic blacks have 75% more emergency department visits than the population with diabetes as a whole. ■ Compared to non-Hispanic whites, per-capita hospital inpatient costs are 41.3% higher among non-Hispanic blacks and 25.8% lower among Hispanics. ■ Total per-capita health expenditures are higher among women than men ($8,331 vs. $7,458). ■ Approximately 59% of all health care expenditures attributed to diabetes are for health resources used by people age 65 and older. ■ Among states, California has the highest total cost attributable to diabetes, at $27.6 billion. Florida comes in second, at $18.9 billion. This study highlights the enormous burden that diabetes imposes on American society, both in economic costs and in reduced quality of life. The study findings also show that the burden is increasing, even after population growth and inflation are factored in. Additional components of societal burden omitted from the study include intangibles from pain and suffering, the value of care provided by nonpaid caregivers, and the burden associated with undiagnosed diabetes. “Economic Costs of Diabetes in the U.S. in 2012” is available online at care.diabetesjournals.org/content/36/4/1033. ▲ 2 Association Names New Senior Vice President for Medical Affairs and Community Information P ediatric endocrinologist Jane Chiang, MD, joined the Association’s leadership team on April 15 as Senior Vice President, Medical Affairs and Community Information. Dr. Chiang will provide operational and strategic guidance and oversee the daily activities of the Association’s Medical Affairs, Prevention, Nutrition, Information Resources, Education Recognition, and Center for Information and Community Support functions. In her new position, she will support the Professional Practice Committee and lead the development and revision of the Association’s Clinical Practice Recommendations, including the annual Standards of Medical Care in Diabetes and other position statements. Dr. Chiang will also review all Association consumer and medical publications to ensure that they comply with Association standards and good clinical practice, and seek new dissemination opportunities for scientific journal content. Additionally, she will act as a consultative medical and scientific expert to our internal divisions and external organizations. In this role, she will facilitate collaboration on initiatives and projects and ensure consistent messaging of our mission from a clinical perspective. Before coming to the Association, Dr. Chiang served on the faculty of the University of California, San Francisco, and as an adjunct faculty member at Stanford University School of Medicine. As a senior scientist at Genentech, Inc., she was extensively involved in developing Professional Section Quarterly http://care.diabetesjournals.org/content/36/4/1033

Table of Contents for the Digital Edition of Professional Section Quarterly - Spring 2013

Professional Section Quarterly - Spring 2013
Contents
ADA Names New Senior Vice President
73rd Scientific Sessions News
New CE/CME Self-Assessment Program
Grant Opportunity Announcements

Professional Section Quarterly - Spring 2013