Out of pocket payment for diabetes mellitus in a public hospital of Karachi.
J Pak Med Assoc
; 69(12): 1864-1875, 2019 Dec.
Article
em En
| MEDLINE
| ID: mdl-31853119
ABSTRACT
OBJECTIVE:
To estimate the out-of-pocket payment on routine management of type 2 diabetes in patients attending a public-sector facility.METHODS:
The cross-sectional study was conducted from December 2016 to May 2017 at Jinnah Postgraduate Medical Centre, Karachi, and comprised of persons with type 2 diabeties. A pretested questionnaire was administered to collect data from the patients. Comparisons of average out-of-pocket expenditure were done across different groups on the basis of gender, education, monthly income and duration of disease. SPSS 20 was used for data analysis.RESULTS:
Of the 336 subjects, 178(53%) were males and 158(47%) were females. Overall mean age was 52.20+/-12.64 years, and 170(50.6%) were illiterate. The monthly mean cost on diabetes care was PKR2227}2217.70. People with academic level matriculation or higher spent more on the disease (p<0.001). Expenditure increased with the increase in number of years of disease (p<0.001). Participants with income of less than PKR15000 spent higher percentage of their income compared to the participants earning more (p<0.001).CONCLUSIONS:
High out-of-pocket expenditure was incurred by people with diabeties. The coverage of social security nets and individual insurance should be broadened to help improve diabetes management.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Gastos em Saúde
/
Diabetes Mellitus Tipo 2
/
Hospitais Públicos
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Adult
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Female
/
Humans
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Male
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Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
J Pak Med Assoc
Ano de publicação:
2019
Tipo de documento:
Article