Economic Consequences of Treating Type-2 Diabetes Mellitus in a Private Hospital: A Fiscal, Analytical Approach (2013-2017)

Journal of Clinical and Diagnostic Research

Loan Thi Kim Nguyen¹  Nghiem Quan Le²  Trung Quang Vo³  Pol Van Nguyen⁴ 

[1] Head of Department, Department of Pharmacy, Van Hanh Hospital, Ho Chi Minh City, Vietnam.;Lecturer, Department of Pharmaceutical Industry, Faculty of Pharmacy, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.;Lecturer, Department of Pharmacy Administration, Faculty of Pharmacy, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.;Undergraduated student, Department of Pharmacy Administration, Faculty of Pharmacy, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.;

关键词: cost of illness;    diabetes mellitus;    economic burden;    hospital;    vietnam;   

DOI  :  10.7860/JCDR/2018/36676.11707

来源: DOAJ

【 摘 要 】

Introduction: Spread and the costs of Type-2 Diabetes Mellitus (T2DM) treatment are a burden on both Vietnam’s nascent economy and its society. Aim: Cost study with T2DM patients to evaluate the economicconsequence changes in T2DM treatment and strengthen the economic evidence base further. Materials and Methods: This retrospective study was based on perspectives of patients and third-party payers using ICD 10 code to filter data from the electronic medical records database. It estimated the overall economic impact, accounting for spillovers through the economy at a private hospital from January 2013 to December 2017. Results: The cases of 120,257 T2DM patients receiving treatment at a private hospital resulted in per patient expenditure of 29.0±11.5 USD (95% CI: 29.0-29.1) and 348.6±137.5 USD every year. The T2DM patients showed a higher prevalence of hypertension (64.1%), disorders of lipoprotein metabolism (42.5%) and gastritis (22.8%). The mean total cost for patients without any comorbidities was almost 27.1±10.8 USD (95% CI: 26.9-27.2) per month, while those having at least one comorbidity spent more (≥28.8 USD per month). The cost of drug and related products were 3,082,452.0 USD (87.4%), in which sulfonylurea (18.2%) and metformin (10.9%) were primarily responsible. Conclusion: From the results of the present study, it can be concluded that the direct medical costs for T2DM treatment in a private Vietnamese hospital are higher than the corresponding costs for a public hospital and T2DM will continue to be a heavy burden on health budgets.

【 授权许可】

Unknown