Health care resource utilization among individuals with diabetes in Spain: Trends from population-based surveys, 2014-2020

Fuente: PubMed "essential OR oil extract"
Endocrinol Diabetes Nutr (Engl Ed). 2026 Mar;73(3):501684. doi: 10.1016/j.endien.2026.501684.ABSTRACTBACKGROUND: Diabetes mellitus (DM) has a high health care burden. Understanding health care resource use in DM is essential for optimizing services. This study examines health care utilization among individuals with DM in Spain, comparing them to individuals without DM.METHODS: This study analyzed data from the 2014 and 2020 European Interview Health Survey for Spain (EHISS). Participants who reported a diagnosis of DM were classified as cases and matched to controls without DM by sex, age, EHISS edition and place of residence. The dependent variables studied were hospitalizations and emergency department visits during the 12 months. Independent variables included sociodemographics, lifestyle, and comorbidity factors.RESULTS: The study included a total of 7854 participants (3927 cases and 3927 controls). A comparison between 2014 and 2020 showed fewer hospitalizations (19.0% vs 16.1%, p=0.018) and emergency department visits (36.2% vs 28.7%, p<0.001) among individuals with DM. Individuals with DM had significantly higher rates of hospitalization (17.5% vs 11.1%; p<0.001) and emergency department visits (32.3% vs 24.6%; p<0.001) vs those without DM. The identified common predictors of hospitalization and emergency department visits were poor self-rated health and cardiac ischemia.CONCLUSION: We observed a higher health care utilization among individuals with DM and a downward trend from 2014 to 2020. Identifying predictors of health care use may facilitate the development of interventions to reduce health care costs. The results should be interpreted with caution due to limitations, particularly the lack of data on DM type and glycemic control.PMID:41802896 | DOI:10.1016/j.endien.2026.501684