Cost of diabetes treatment among patients covered by the Employees State Insurance Scheme – expenses beyond direct medical cost
Journal Title: National Journal of Research in Community Medicine - Year 2016, Vol 0, Issue 0
Abstract
Background: Prevalence of diabetes is increasing in India. Diabetes is associated with significant direct costs. There are few studies which have focussed on indirect and intangible costs. Objective: To estimate the indirect and intangible costs associated with treatment of diabetes in patients covered by the Employees State Insurance Scheme. Methods: A cross sectional survey was conducted among 32 diabetic patients attending a tertiary hospital covered under the Employees State Insurance Scheme to measure the indirect cost of travel, food and beverages, wage loss and expenses for the attender and intangible costs in the form of reduced social participation, social support and psychological distress. Results: There is substantial indirect cost with a major proportion of it going towards travel costs, followed by wage loss and food and beverages for the patient and attenders. High intangible costs in the form of loss of social participation in leisure time activities (25/32), reduced socialization, poor financial support (14/32) and high rates of neutral and sad affect (24/32) were found. Conclusions: Despite being protected by the social security of the Employees State Insurance scheme there are substantial indirect and intangible costs of diabetes which need strengthening of the health care services at the primary care level and interventions to promote social support
Authors and Affiliations
Sanjai S, Vijayaprasad Gopichandran
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