Catastrophic health expenditure among type 2 diabetes mellitus patients: A province‐wide study in Shandong, China
Abstract Aims/Introduction Diabetes mellitus often causes high economic burden on the patients and their households. The present study aimed to assess the incidence and intensity of catastrophic health expenditure (CHE) relating to type 2 diabetes mellitus care, and to explore its determinants in Ch...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2019-03-01
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| Series: | Journal of Diabetes Investigation |
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| Online Access: | https://doi.org/10.1111/jdi.12901 |
| _version_ | 1818642777808830464 |
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| author | Zhengyue Jing Jie Chu Zerin Imam Syeda Xinyi Zhang Qiongqiong Xu Long Sun Chengchao Zhou |
| author_facet | Zhengyue Jing Jie Chu Zerin Imam Syeda Xinyi Zhang Qiongqiong Xu Long Sun Chengchao Zhou |
| author_sort | Zhengyue Jing |
| collection | DOAJ |
| description | Abstract Aims/Introduction Diabetes mellitus often causes high economic burden on the patients and their households. The present study aimed to assess the incidence and intensity of catastrophic health expenditure (CHE) relating to type 2 diabetes mellitus care, and to explore its determinants in China. Materials and Methods A total of 1,948 type 2 diabetes patients were included in the analysis. CHE for type 2 diabetes mellitus was defined as out‐of‐pocket payments for diabetes care that were ≥40% of the non‐food expenditure of a household. The Chi‐square‐test was used to identify the factors associated with CHE. Multivariate logistic regression was used to assess the effects of explanatory analysis variables. Results The incidence of CHE for type 2 diabetes mellitus care was 13.8%. An association was observed between CHE incidence and household income level, and the poorest group was more likely to experience CHE as a result of diabetes mellitus care. The type 2 diabetes mellitus patients with complications were found to be more likely to experience CHE. Diabetes patients who experienced outpatient or inpatient services increased the likelihood of CHE, and those who experienced inpatient services were more likely to incur CHE. Conclusions Type 2 diabetes mellitus has a significantly catastrophic effect on patients and their households in China. Early screening for type 2 diabetes mellitus patients among the high‐risk groups and effective management of the detected cases should be priorities to reduce the overall healthcare expenditure for type 2 diabetes mellitus. |
| first_indexed | 2024-12-16T23:48:27Z |
| format | Article |
| id | doaj.art-43b3b66dfc6248f4888cf7c91d296d33 |
| institution | Directory Open Access Journal |
| issn | 2040-1116 2040-1124 |
| language | English |
| last_indexed | 2024-12-16T23:48:27Z |
| publishDate | 2019-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Diabetes Investigation |
| spelling | doaj.art-43b3b66dfc6248f4888cf7c91d296d332022-12-21T22:11:25ZengWileyJournal of Diabetes Investigation2040-11162040-11242019-03-0110228328910.1111/jdi.12901Catastrophic health expenditure among type 2 diabetes mellitus patients: A province‐wide study in Shandong, ChinaZhengyue Jing0Jie Chu1Zerin Imam Syeda2Xinyi Zhang3Qiongqiong Xu4Long Sun5Chengchao Zhou6School of Public Health Shandong University Jinan ChinaShandong Centre for Disease Control and Prevention Jinan ChinaSchool of Public Health Shandong University Jinan ChinaSchool of Public Health Shandong University Jinan ChinaSchool of Public Health Shandong University Jinan ChinaSchool of Public Health Shandong University Jinan ChinaSchool of Public Health Shandong University Jinan ChinaAbstract Aims/Introduction Diabetes mellitus often causes high economic burden on the patients and their households. The present study aimed to assess the incidence and intensity of catastrophic health expenditure (CHE) relating to type 2 diabetes mellitus care, and to explore its determinants in China. Materials and Methods A total of 1,948 type 2 diabetes patients were included in the analysis. CHE for type 2 diabetes mellitus was defined as out‐of‐pocket payments for diabetes care that were ≥40% of the non‐food expenditure of a household. The Chi‐square‐test was used to identify the factors associated with CHE. Multivariate logistic regression was used to assess the effects of explanatory analysis variables. Results The incidence of CHE for type 2 diabetes mellitus care was 13.8%. An association was observed between CHE incidence and household income level, and the poorest group was more likely to experience CHE as a result of diabetes mellitus care. The type 2 diabetes mellitus patients with complications were found to be more likely to experience CHE. Diabetes patients who experienced outpatient or inpatient services increased the likelihood of CHE, and those who experienced inpatient services were more likely to incur CHE. Conclusions Type 2 diabetes mellitus has a significantly catastrophic effect on patients and their households in China. Early screening for type 2 diabetes mellitus patients among the high‐risk groups and effective management of the detected cases should be priorities to reduce the overall healthcare expenditure for type 2 diabetes mellitus.https://doi.org/10.1111/jdi.12901Catastrophic health expenditureDeterminantsType 2 diabetes mellitus |
| spellingShingle | Zhengyue Jing Jie Chu Zerin Imam Syeda Xinyi Zhang Qiongqiong Xu Long Sun Chengchao Zhou Catastrophic health expenditure among type 2 diabetes mellitus patients: A province‐wide study in Shandong, China Journal of Diabetes Investigation Catastrophic health expenditure Determinants Type 2 diabetes mellitus |
| title | Catastrophic health expenditure among type 2 diabetes mellitus patients: A province‐wide study in Shandong, China |
| title_full | Catastrophic health expenditure among type 2 diabetes mellitus patients: A province‐wide study in Shandong, China |
| title_fullStr | Catastrophic health expenditure among type 2 diabetes mellitus patients: A province‐wide study in Shandong, China |
| title_full_unstemmed | Catastrophic health expenditure among type 2 diabetes mellitus patients: A province‐wide study in Shandong, China |
| title_short | Catastrophic health expenditure among type 2 diabetes mellitus patients: A province‐wide study in Shandong, China |
| title_sort | catastrophic health expenditure among type 2 diabetes mellitus patients a province wide study in shandong china |
| topic | Catastrophic health expenditure Determinants Type 2 diabetes mellitus |
| url | https://doi.org/10.1111/jdi.12901 |
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