Socio‐economic disparities in hospital care among Dutch patients with diabetes mellitus
Authors' conclusion
Socio-economic disparities were observed in patients with diabetes treated in Dutch hospitals, where basic health care is covered. Patients with low SES were hospitalized more often, used less technology, and adults with high SES showed fewer cardiovascular complications. These inequities warrant attention to guarantee equal outcomes for all.
Study context
- Population
- Patients with diabetes (all types and ages) treated in 65 hospitals across the Netherlands, 2019–2020
- Participants
- 196,695 patients65 hospitals
- Exposure
- Low vs middle vs high socio-economic status (SES)
- Outcome
- Use of hospital care: hospitalizations, technology and cardiovascular complications
Methodological detailsmulticentre, reimbursement data
- Multicentre
- Reimbursement data
Main finding
As reported in the abstract
Hospitalization
Children hospitalized: low, middle, high SES
22%, 19% and 15%
p < .001
Adults hospitalized: low, middle, high SES
28%, 25% and 23%
p < .001
Observational data: associations, not effects.
Further findings
No technology use, children
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| CSII use, childrenHigh SESvs Low SES | 1.54 (1.35–1.76) | P < 0.001 | |
| CSII use, childrenMiddle SESvs Low SES | 1.41 (1.24–1.62) | P < 0.001 | |
| rtCGM use, childrenHigh SESvs Low SES | 1.39 (1.20–1.61) | P < 0.001 | |
| rtCGM use, childrenMiddle SESvs Low SES | 1.27 (1.09–1.47) | P = 0.002 | |
| Macrovascular complicationsHigh SESvs Low SES | 0.78 (0.75–0.80) | P < 0.001 | |
| Microvascular complicationsHigh SESvs Low SES | 0.95 (0.93–0.98) | P < 0.001 | |
| 0.512Odds ratio (log scale) |
Original publication
Socio‐economic disparities in hospital care among Dutch patients with diabetes mellitus. Diabetes Obes Metab. Published 16 January 2024. doi:10.
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