EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

A COMMUNITY BASED SURVEY OF CATASTROPHIC HEALTH EXPENDITURE IN PATIENTS WITH TYPE II DIABETES MELLITUS IN A DEVELOPING COUNTRY

Saima Nazir, MD, Ashiq Rashid Mir, MD and Arshad Rashid, MS, FNB (MAS)*

ABSTRACT

Background: To manage the epidemic of DM effectively without compromising socio-economic development, it is imperative that program managers understand the magnitude of catastrophic health expenditure (CHE). The present study was carried out to assess its frequency. Methods: The present study was carried out in the rural and urban areas of district Tumkur, Karnataka. A total of 360 participants were included in this study. Data was collected using a pre-tested questionnaire, which was administered as a face-to-face interview during house-to-house visits by the second author. Results: The mean age of the participants was 62.68 ± 8.4 years in urban areas and 59.23 ± 6.2 years in rural areas (P = 0.8634). The mean total direct cost incurred on managing diabetes was 408.12 ± 23.37 INR/month in rural areas and 516.31 ± 43.52 INR/month, while as the total indirect cost was 145.88 ± 11.42 INR/month and 155.62 ± 15.15 INR/month, respectively (P < 0.0001). A total of 97 (27%) participants experienced CHE for managing DM. The CHE was seen more frequently with urban participants [54 (30%)] as compared to subjects from rural areas [43 (24%), P < 0.0001]. CHE was seen only in those participants who underwent hospitalization. Majority of the people [126 (70%) in rural and 130 (72%) in urban areas, P = 0.7659] mobilized cash savings to meet this CHE. Conclusion: The present study points to the ever-increasing cost of diabetes care. A significant chunk of people is pushed to the brink of poverty owing to catastrophic health expenditure. There is a glaring deficit of social insurance schemes that needs to be given a boost.

Keywords: Diabetes Mellitus; Catastrophic; Expenditure; India.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )