Open AccessCatastrophic health expenditure among type 2 diabetes mellitus patients: A province‐wide study in Shandong, China
Author(s) -
Jing Zhengyue,
Chu Jie,
Imam Syeda Zerin,
Zhang Xinyi,
Xu Qiongqiong,
Sun Long,
Zhou Chengchao
Publication year - 2019
Publication title -
journal of diabetes investigation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.089
H-Index - 50
eISSN - 2040-1124
pISSN - 2040-1116
DOI - 10.1111/jdi.12901
Subject(s) - medicine , diabetes mellitus , type 2 diabetes mellitus , incidence (geometry) , logistic regression , type 2 diabetes , health care , environmental health , demography , endocrinology , physics , economic growth , optics , economics , sociology
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.