Hypothesis | Rationale | Model adjustment method |
Potential for freeing of resourcesof a given political oradministrative initiative |
|
|
H4: Efficiency improvements in a) the health care sector b) nursing services | Annual productivity gains are achieved in the Danish health care sector/nursing sector. In the period 2003-2011, the annual productivity gains in the Danish health care sector has been 2.3% and in 2011 alone 5.3% [40] . | Annual 1% reduction ofcostper PYRS for H4a―primary andsecondary care H4b―all nursingcomponents |
H5: Reduced usage of nursing services | Patients with diabetes live longer and better with their diabetesand in comparison with 2006 estimates, the 2011 cost structureimplies relatively less costs fornursing [16] . This can also be aconsequence ofstructural changes in the Danish nursing sectorwith reduced services. If these developments are continued, theneed for/usage of nursing services per PYRS can be expectedto further decrease over time. The number of nursing homesand similar housing for elderly in 2011 have decreased with62% of the level in 2005 [41] . | Annual 2.5% reductionperPYRS in all nursingcost components |
H6: Reduced usage of secondary care services |
| Annual 2.5% reduction in costs per PYRS in secondary care |
H7: Reduced productivity loss among patients in CG0 | Improved regulation of diabetes patients who have not yet developed complications from their disease. If CG0 patients were able to contribute more equal to thediabetes- free population on the labour market, productivitylosses due to lower income and excess absence could bedecreased. | Annual 2.5% reduction perPYRS in productivity lossdue to difference in annualincome and excess absence for patients in CG0 |