DÄ internationalArchive13/2008Prevalence of Diabetes Mellitus and Quality of Care in Hesse, Germany, 1998–2004: Valuable Data

Correspondence

Prevalence of Diabetes Mellitus and Quality of Care in Hesse, Germany, 1998–2004: Valuable Data

Dtsch Arztebl Int 2008; 105(13): 238. DOI: 10.3238/arztebl.2008.0238a

Hoß, J

LNSLNS The authors are to be congratulated, because the presented data are of great value both for setting out guidelines and recommendations and for health services research. It is a shame that only AOK data were presented, as the risk of bias due to the different insurance structures among the insured patients cannot be excluded. Another criticism relates to the fact that patients' use of services on the one hand is given equal weight to doctors' adherence to recommendations on the other hand, which every practitioner is familiar with. Although the overall trend is positive, it is notable that the percentage of patients treated in an inpatient setting is not falling. As this is economically highly relevant, the causes should be urgently studied, especially as in 1998-2004 the density of specialist outpatient centers for diabetes increased enormously. My subjective impression is that patients are still admitted unnecessarily who could have been treated as outpatients. DOI: 10.3238/arztebl.2008.0238a

Dr. med. Jürgen Hoß
Internist, Diabetologe
Stephanstr. 9–11
47799 Krefeld, Germany
dr.juergenhoss@gmx.de

Conflict of interest statement
Dr. Hoß has received honoraria for lecturing from several pharmaceutical companies (Sanofi-Aventis, Takeda, Lilly, NoroNordisc, Merck, Berlin-Chemie).

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