Does size matter? Hospital volume and resource use in paediatric diabetes care

Paediatric diabetes care has become increasingly specialised due to the multidisciplinary approach and technological developments. Guidelines recommend sufficient experience of treatment teams. This study evaluates associations between hospital volume and resource use and hospital expenditure in Dut...

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Bibliographic Details
Published in:Diabetic medicine 2024-05, Vol.41 (5), p.e15260-e15260
Main Authors: de Vries, Silvia A G, Bak, Jessica C G, Mul, Dick, Wouters, Michel W J M, Nieuwdorp, Max, Verheugt, Carianne L, Sas, Theo C J
Format: Article
Language:English
Subjects:
Diabetes
Diabetes mellitus
Expenditures
Glucose monitoring
Hospitals
Patients
Pediatrics
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Summary:Paediatric diabetes care has become increasingly specialised due to the multidisciplinary approach and technological developments. Guidelines recommend sufficient experience of treatment teams. This study evaluates associations between hospital volume and resource use and hospital expenditure in Dutch children with diabetes. Retrospective cohort study using hospital claims data of 5082 children treated across 44 Dutch hospitals (2019-2020). Hospitals were categorised into three categories; small (≥20-100 patients), medium (≥100-200 patients) and large (≥200 patients). All-cause hospitalisations, consultations, technology and hospital expenditure were analysed and adjusted for age, sex, socio-economic status (SES) and hospital of treatment. Fewer hospitalisations were observed in large hospitals compared to small hospitals (OR 0.48; [95% CI 0.32-0.72]; p 
ISSN:0742-3071
1464-5491
DOI:10.1111/dme.15260