Economic Burden of Type 2 Diabetes Mellitus among Patients in the Rural Field Practice Area of a Medical College in Davangere - A Cross Sectional Study
Journal Title: International Journal of Preventive, Curative & Community Medicine - Year 2018, Vol 4, Issue 4
Abstract
Background: Diabetes is rapidly emerging as a major health care problem, even in rural India. The earlier occurrence, delayed diagnosis and improper care leads to high complication rates, greater productivity loss and consequently higher costs. As the epidemiological burden of diabetes increases, the economic burden is expected to rise and the economically disadvantaged will be affected the most. Objectives: To assess the economic burden of diabetes among type 2 diabetic patients and to explore the factors associated with the economic burden of diabetes. Materials and Methods: Community based cross sectional study was carried out in rural field practice area of a medical college in Davangere for a period of six months during 2016-17 among 112 patients with type 2 diabetes mellitus. Information was collected using pretested predesigned questionnaire on socio-demographic details, health services utilization, expenditure incurred on diabetes care (both direct and indirect costs) in the past six months. Results: The direct cost accounted for 94.2% of the total cost of treatment, of which hospitalization for diabetes related complications and medications were major components. Source of health care significantly influenced the direct cost. About 8.9% of study subjects skipped medications at least once due to lack of money. Conclusions: Direct cost in the management of diabetes is major contributor to the expenditure. Availability of affordable essential quality diabetic medications and strengthening of public healthcare is crucial in reduction of these direct costs involved in diabetic management.
Authors and Affiliations
Aswin Kumarq
Public Perception Survey on Air Pollution in South Delhi
Background: According to a WHO study, 13 of the 20 most-polluted cities in the world are in India, which is more than half of the world’s most polluted cities. Delhi is at 11th position. Pollution in Delhi hit almost 30...
Comparison of Anthropometric Profile and Eating Behavior of Polycystic Ovarian Syndrome (PCOS) Patients with Healthy Controls
Introduction: Polycystic ovarian syndrome affects 4% to 23% women, worldwide. Obesity, insulin resistance and uncontrolled eating are usually reported in PCOS. However, there is paucity of data describing associations be...
Human, Organizational Factors (HOF) and workplace accidents among the Ferroalloy industries in Bhutan
Introduction: Human and organisational factors (HOF) are essential components of all types of industry. On one hand, HOF is found to be the influencing factor that contributes to the workplace injuries while on the other...
Morbidity Profile of Female Domestic Workers in an Urban Slum of Central Delhi
Objective: This study attempted to assess the morbidity profile of female domestic workers living in an urban slum of Central Delhi. Methods: A community based cross-sectional study using a pretested questionnaire was co...
History of Public Health in India
Public health has been considered to be an essential process and gained thrust to achieve Health for All. Public health efforts have resulted in making the Indian citizens healthier post independence almost 70 years ago....