Evaluation of Direct Medical Costs in Hospitalized Diabetic Patients After Health Reform Plan

Authors

  • Barfar, E Assistant Professor of Health Economics, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  • Khammarnia, M Assistant Professor of Health Care Management, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  • Peyvand, M MSc of Epidemiology, Student Research Committee, Zahedan University of Medical Sciences, Zahedan, Iran
  • Rezaei, K MSc of Epidemiology, Student Research Committee, Zahedan University of Medical Sciences, Zahedan, Iran
  • Setoodehzadeh, F Assistant Professor of Health Policy, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
Abstract:

Background and Objectives: Diabetes is one of the most expensive chronic diseases and a global public health problem. One of the objectives of implementing the Health Reform Plan (HRP) was to reduce the out-of-pocket payments for hospitalized patients. The present study was carried out with the aim of determining the direct medical costs in hospitalized diabetic patients after implementation of the HRP.   Methods: This cross-sectional descriptive-analytical study was conducted in 2019. The records of diabetic patients hospitalized in Imam-Ali Hospital of Zahedan from March 2017 to June 2018 was reviewed by the census method and the direct medical costs were recorded in a researcher-made checklist. Data were analyzed using the SPSS version 22   Results: In this study, the direct medical costs of 704 hospitalized diabetic patients were evaluated. The majority of the study population was female (517, 73/5%) and 237 had gestational diabetes. The mean direct medical cost per hospitalized diabetic patient was 29,264,465 Rials and the mean out-of-pocket payment was 11.8%. Moreover, direct medical costs of diabetic patients increased with age (P<.001).   Conclusion: Diabetic hospital care imposes a high burden on basic health insurance. Despite the HRP, out-of-pocket payments for hospitalized diabetics are still significant. Government subsidies should focus on expanding access to care for diabetics, financial protection for disadvantaged residents and expanding public education on diabetes.

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Journal title

volume 16  issue 4

pages  363- 374

publication date 2021-03

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