Open AccessAn Analysis of Services Utilization and Medical Care Charge in Pesticide Poisoned Patients Using the National Health Security Office Database
Author(s) -
Jetsadapong Uanpromma,
Punyanuch Suwangbutra,
Nilawan Upakdee
Publication year - 2020
Publication title -
ramathibodi medical journal
Language(s) - English
Resource type - Journals
ISSN - 2651-0561
DOI - 10.33165/rmj.2020.43.2.240957
Subject(s) - pesticide , medicine , environmental health , health care , toxicology , organophosphate , descriptive statistics , emergency medicine , medical emergency , statistics , mathematics , agronomy , economics , biology , economic growth
Background: As the results of the high pesticides use, pesticide poisoning is an important health problem in Thailand. Most studies are about pesticide use behavior and health impact, but lack of studies that indicate the impact economically.
Objective: To analyze the services and medical care charge of patient diagnosed with pesticide poisoning at the hospitals.
Methods: This study was a cross-sectional descriptive study using data from the National Health Security Office both outpatients and inpatients. Data was during the year 2016 - 2018 and selected according to ICD-10 diagnosis code is T60.0-T60.9 (Toxic effect of pesticides), but excluding code X68 (Intentional self-poisoning by and exposure to pesticides). Data were analyzed using descriptive statistics.
Results: During the year 2016 - 2018, mostly patient was inpatient care (97.0%), and diagnose with herbicide and fungicides (47.9%). The average cost per person per year of inpatient care was ฿7740, ฿11 048 and ฿9641, respectively. While the average cost per person per year of outpatient care was ฿1651, ฿1482, and ฿1668, respectively. The reasons for the treatment of inpatient and outpatient was herbicide and fungicides, followed by organophosphate and carbamate poisoning.
Conclusions: The majority of patients affected by pesticides are inpatients who were poisoned by herbicide and fungicides with higher medical cost than outpatients. However, the causes of the highest average cost of treatment and the highest number of visits are organophosphate and carbamate insecticides.