Estimating Medical Costs of Out-Patients among Diabetes Mellitus Patients in Community Hospital
Keywords:
Diabetes, Medical Costs, Community HospitalAbstract
A cross-sectional study was conducted to analyze the cost of hospitalization for diabetes mellitus patients in community hospital. Data were collected from hospital information system of 11,769 cases. The results showed that the patients were male 33.3%, female 66.7%, and 53 years old on average (min = 8, maximum = 93). Medical costs during 4-year period were 11,125,389 Baht (mean = 945 Baht). The age was not associated with medical unit cost, but the medical costs were increasing in every single year and patients who were older than 80 years had highest medical costs. This study suggests that medical cost trend is expected to increase among diabetic patients in out- patient department in community hospital could contribute to financial crisis of the community hospital.
References
Carter, Janette S., Jacqueline A. Pugh, and Ana Monterrosa. (1996), Non-insulin-dependent diabetes mellitus in minorities in the United States. Annals of internal medicine, 125(3), 221-232.
Chetthakul, Thanya, et al. (2006). Thailand diabetes registry project: prevalence of diabetic retinopathy and associated factors in type 2 diabetes mellitus. J Med Assoc Thai 89.Suppl 1, S27-36. (in Thai)
Harper, S. (2014). Ageing societies. Routledge.
Likitmaskul, Supawadee, et al. (2003). Increasing prevalence of type 2 diabetes mellitus in Thai
children and adolescents associated with increasing prevalence of obesity. Journal of Pediatric Endocrinology and Metabolism, 16(1), 71-78. (in Thai)
Li, Rui, et al (2010). Cost-effectiveness of interventions to prevent and control diabetes mellitus: a systematic review. Diabetes care, 33(8), 1872-1894
King, Hilary, and Marian Rewers. (1993). Global estimates for prevalence of diabetes mellitus and impaired glucose tolerance in adults. Diabetes care, 16(1), 157-177.
Norlund, A., et al. (2010). Cost of illness of adult diabetes mellitus underestimated if comorbidity is not considered. Journal of internal medicine 250(1), 57-65..
Porapakkham, Yaowarat, Junya Pattaraarchachai, and Wichai Aekplakorn. (2008). Prevalence, awareness, treatment and control of hypertension and diabetes mellitus among the elderly: the 2004 National Health Examination Survey III, Thailand. Singapore medical journal, 49(11), 868. (in Thai)
Riewpaiboon, Arthorn, Penkae Pornlertwadee, and Kwanjai Pongsawat. (2007). Diabetes cost model of a hospital in Thailand. Value in health, 10(4), 223-230.
Shaw, Jonathan E., Richard A. Sicree, and Paul Z. Zimmet. (2010). Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes research and clinical practice, 87(1), 4-14.
Rangsin R, MedResNet. An assessment on quality of care among patients diagnosed with type 2 diabetes and hypertension visiting hospitals of Ministry of Public Health and Bangkok Metropolitan Administration in Thailand. Bangkok, Thailand: National Health Security Office, 2014. (in Thai)
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