Management a analýza nákladovosti diabetes mellitus 2.typu pro potřeby HTA na Slovensku

Diabetes mellitus type 2 has significant health, economic and social impacts. The number of diabetic patients is on a rise and health expenses associated with this disease are increasing too. The theoretical part of this thesis includes a review of current scientific literature concerning epidemiology of diabetes mellitus type 2 in the world and in Slovakia, therapeutic procedures and standards, economic burden of this disease and health technology assessment. The research part of the thesis focused on the analysis of the dispensing of drugs, dietetic foods and medical aids, paid on the basis of public health insurance by health insurance companies in association with diabetes mellitus type 2 in Slovakia, and the analysis of institutional health care of insured persons with diabetes mellitus type 2 in Slovakia. Data for the research was derived from databases published by the Institute of Health Policy. The results of the analysis showed an increasing number of diabetes mellitus type 2 insured individuals who were prescribed medicines, dietetic foods and medical aids, as well as those who were in institutional care. In the analysed period, the reimbursement of institutional care by health insurance companies, as well as the cost of medicines, dietetic foods and medical aids, showed an increasing trend. The results document the real use of health care by insured patients with diabetes mellitus type 2 and can serve to assess the cost and cost-effectiveness of health technologies or in decision-making processes in management regarding diabetes mellitus type 2 in Slovakia.