Out of pocket payment for diabetes mellitus in a public hospital of Karachi
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2019 |
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| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:69 |
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| Enthalten in: |
JPMA. The Journal of the Pakistan Medical Association - 69(2019), 12 vom: 18. Dez., Seite 1864-1875 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Ibrahim Hashmi, Syed Muhammad [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 15.06.2020 Date Revised 15.06.2020 published: Print Citation Status MEDLINE |
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| doi: |
10.5455/JPMA.298915 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM304538566 |
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| 100 | 1 | |a Ibrahim Hashmi, Syed Muhammad |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Out of pocket payment for diabetes mellitus in a public hospital of Karachi |
| 264 | 1 | |c 2019 | |
| 336 | |a Text |b txt |2 rdacontent | ||
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| 500 | |a Date Completed 15.06.2020 | ||
| 500 | |a Date Revised 15.06.2020 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: To estimate the out-of-pocket payment on routine management of type 2 diabetes in patients attending a public-sector facility | ||
| 520 | |a 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 | ||
| 520 | |a 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) | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Out of pocket, Diabetes, Public hospital, Non-communicable disease. | |
| 700 | 1 | |a Shaikh, Shiraz |e verfasserin |4 aut | |
| 700 | 1 | |a Tanzil, Sana |e verfasserin |4 aut | |
| 700 | 1 | |a Baig, Lubna |e verfasserin |4 aut | |
| 700 | 1 | |a Shahid, Nimra |e verfasserin |4 aut | |
| 700 | 1 | |a Abdullah, Amna |e verfasserin |4 aut | |
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