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
Keywords
Related Articles
- EP ID EP215179
- DOI -
- Views 75
- Downloads 0
Medical Needs Assessment of Persons with Locomotor Disability in a Rural area in Karnataka.
Introduction: It is estimated by WHO that 5% of the population has one or other kind of disability in developing countries. In our country Disabled persons constitute about 2 per cent of the total population. Among the d...
HEALTH CARE OF BRICK KILN WORKERS IN SHOLAVARAM BLOCK OF TAMILNADU - SEEING BEYOND THE SMOG
Context: Brick kiln workers’ life style places them at high risk but not much is known about their health care needs as they work in secluded kilns away from the residential regions. Objective: To study the factors rela...
Massive Open Online Course
MOOC stands for a Massive Open Online Course. They are similar to university courses, but do not tend to offer academic credit. A number of web-based platforms (initiatives) supported by top universities, colleges and or...
The Association between Psychological Distress and Body Mass Index among Young Adults in Saudi Arabia
Objectives: To evaluate the association between psychological distress and BMI among young adults in Saudi Arabia. Methods: A cross-sectional study based on an 18-question self-reported survey on psychological distress w...
Component Skill Approach in Microteaching to Improve Teaching Skills of Faculty Members in a Medical College
Context: Medical teachers most often do not receive a special training in pedagogic techniques. It is not considered necessary for their recruitment. The class cannot be used as a learning platform for acquiring basic t...