Diabetes care cascade in Ukraine: an analysis of breakpoints and opportunities for improved diabetes outcomes.

ABSTRACT: BACKGROUND:Diabetes is one of the leading causes of poor health and high care costs in Ukraine. To prevent diabetes complications and alleviate the financial burden of diabetes care on patients, the Ukrainian government reimburses diabetes medication and provides glucose monitoring, but there are significant gaps in the care continuum. We estimate the costs of providing diabetes care and the most cost-effective ways to address these gaps in the Poltava region of Ukraine. METHODS:We gathered data on the unit costs of diabetes interventions in Poltava and estimated expenditure on diabetes care. We estimated the optimal combination of facility-based and outreach screening and investigated how additional funding could best be allocated to improve glucose control outcomes. RESULTS:Of the ~ 40,0

SUBMITTER: Stuart RM 

PROVIDER: S-EPMC7212677 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature