Comparing the Economic Burden of Type 2 Diabetes Mellitus Patients with and without Medical Insurance: A Cross-Sectional Study in China

Medical Science Monitor : International Medical Journal of Experimental and Clinical Research
Chao YangXiaoyuan Bao

Abstract

BACKGROUND The burden of diabetes has become a worldwide public health issue. Previous studies focused on the composition and influencing factors of hospitalization costs for insured patients. The aim of this study was to compare the economic burden of diabetic patients with and without medical insurance (MI) in China, from the aspects of types of medical costs and diabetic comorbidities. MATERIAL AND METHODS We identified 124 701 patients with type 2 diabetes mellitus in 2015 from electronic Hospitalization Summary Reports. The information on demographics, comorbidities, and hospitalization costs were extracted and evaluated. Differences between groups were analyzed by Mann-Whitney U test. RESULTS The mean age of patients was 58.0±13.4 years. Hypertensive diseases (63.5%), ischemic heart diseases (21.3%), and chronic kidney disease (17.5%) were the most common comorbidities. The median hospitalization costs for diabetic patients with and without MI were 9485.0 RMB and 9104.0 RMB, respectively. The insured patients' median out-of-pocket (OOP) cost was 1601.3 RMB, and they incurred more costs for laboratory tests, imaging examinations, and medical services, and less costs for prescribed drugs (p<0.05). Insured patients had highe...Continue Reading

Citations

Oct 20, 2019·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Yuanyuan DongXin Wang
Jul 21, 2020·Expert Review of Pharmacoeconomics & Outcomes Research·Aus AlzaidPetar Atanasov
Mar 11, 2020·Diabetes Therapy : Research, Treatment and Education of Diabetes and Related Disorders·Yichen ZhangLizheng Shi
Mar 4, 2021·Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy·Zhidao ShiXudong Zhao
Dec 24, 2021·Expert Review of Pharmacoeconomics & Outcomes Research·Chunchun DingLimin Tian

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