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. 2019 Mar 6;19(1):269.
doi: 10.1186/s12889-019-6569-8.

Complications of diabetes in China: health system and economic implications

Wenhui Mao  1   2 , Chi-Man Winnie Yip  3 , Wen Chen  4
Affiliations

Complications of diabetes in China: health system and economic implications

Wenhui Mao et al. BMC Public Health. .

Abstract

Background: The prevalence of diabetes and diabetic complications increased alarmingly which also brought heavy burden to patients and health system.

Methods: We used mix approaches to summarize evidence from published articles and policy documents on the extent and trends of diabetic complications, potential causes, and awareness and services utilization of diabetes in China.

Results: The annual direct medical expense per patient varied among different types of complications and increased dramatically with the number of diabetic complication and patients were exposed to great financial risk. The number of health policies and strategies on diabetes and its complications at the national level is limited. Primary and secondary preventions such as health education and early diagnosis are necessary.

Conclusions: With an increasingly burden of non-communicable diseases such as diabetes and its complications, efforts should be invested in education, early screening mechanism and patient management programs to improve the primary and secondary prevention of diabetes and its complications. An integrated services delivery system centered on primary level is recommended to promote education, early case-detection and screening, patient management, referral and care-coordination between primary, secondary and tertiary health care providers.

Keywords: Diabetes and its complications; Economic burden; Health system; Prevention.

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Conflict of interest statement

Ethics approval and consent to participate

This is a review and no ethics approval is applicable.

Consent for publication

Not Applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

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Figures

Fig. 1
Fig. 1
PRISMA flow chart
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References

    1. International Diabetes Federation. Title of subordinate document. In: Diabetes Atlas 6th ed.2014 Update. https://www.idf.org/e-library/epidemiology-research/diabetes-atlas/19-at.... Accessed 13 Mar 2016.
    1. Haffner SM, Lehto S, Ronnemaa T, et al. Mortality from coronary heart disease in subjects with type 2 diabetes and in nondiabetic subjects with and without prior myocardial infarction. N Engl J Med. 1998;339:229–234. - PubMed
    1. Brancati FL, Whelton PK, Randall BL, et al. Risk of end-stage renal disease in diabetes mellitus: a prospective cohort study of men screened for MRFIT: multiple risk factor intervention trial. JAMA. 1997;278:2069–2074. - PubMed
    1. Gu K, Cowie C, Harris M. Mortality in adults with and within diabetes in a national cohort of the US population, 1971-1993. Diabetes Care. 1998;21(7):1138–1145. - PubMed
    1. Diabetes Research Working group. Conquering Diabetes. Strategic Plan for the 21st Century. Bethesda, Md: National Institute of Health; 1999. NIH publication 99–4398.

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