PMID- 29219128
OWN - NLM
STAT- MEDLINE
DCOM- 20190715
LR  - 20190715
IS  - 0019-557X (Print)
IS  - 0019-557X (Linking)
VI  - 61
IP  - 4
DP  - 2017 Oct-Dec
TI  - Economic burden of managing Type 2 diabetes mellitus: Analysis from a Teaching 
      Hospital in Malaysia.
PG  - 243-247
LID - 10.4103/ijph.IJPH_24_16 [doi]
AB  - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a chronic disease that consumes a 
      large amount of health-care resources. It is essential to estimate the cost of 
      managing T2DM to the society, especially in developing countries. Economic 
      studies of T2DM as a primary diagnosis would assist efficient health-care 
      resource allocation for disease management. OBJECTIVE: This study aims to measure 
      the economic burden of T2DM as the primary diagnosis for hospitalization from 
      provider's perspective. METHODS: A retrospective prevalence-based costing study 
      was conducted in a teaching hospital. Financial administrative data and inpatient 
      medical records of patients with primary diagnosis (International Classification 
      Disease-10 coding) E11 in the year 2013 were included in costing analysis. 
      Average cost per episode of care and average cost per outpatient visit were 
      calculated using gross direct costing allocation approach. RESULTS: Total 
      admissions for T2DM as primary diagnosis in 2013 were 217 with total outpatient 
      visits of 3214. Average cost per episode of care was RM 901.51 (US$ 286.20) and 
      the average cost per outpatient visit was RM 641.02 (US$ 203.50) from provider's 
      perspective. The annual economic burden of T2DM for hospitalized patients was RM 
      195,627.67 (US$ 62,104) and RM 2,061,520.32 (US$ 654,450) for those being treated 
      in the outpatient setting. CONCLUSIONS: Economic burden to provide T2DM care was 
      higher in the outpatient setting due to the higher utilization of the health-care 
      service in this setting. Thus, more focus toward improving T2DM outpatient 
      service could mitigate further increase in health-care cost from this chronic 
      disease.
FAU - Ismail, Aniza
AU  - Ismail A
AD  - Associate Professor and Dr, Department of Community Health, Universiti Kebangsaan 
      , Selangor, Malaysia.
FAU - Suddin, Leny Suzana
AU  - Suddin LS
AD  - Dr, Discipline of Population Health and Preventive Medicine, Faculty of Medicine, 
      Universiti Teknologi MARA, Selangor, Malaysia.
FAU - Sulong, Saperi
AU  - Sulong S
AD  - Associate Professor and Dr, Department of Health Information, Universiti 
      Kebangsaan , Selangor, Malaysia.
FAU - Ahmed, Zafar
AU  - Ahmed Z
AD  - Associate Professor and Dr, Department of Community Medicine and Public Health, 
      Universiti Sarawak, Sarawak, Malaysia.
FAU - Kamaruddin, Nor Azmi
AU  - Kamaruddin NA
AD  - Professor, Department of Medicine, Universiti Kebangsaan , Selangor, Malaysia.
FAU - Sukor, Norlela
AU  - Sukor N
AD  - Professor, Department of Medicine, Universiti Kebangsaan , Selangor, Malaysia.
LA  - eng
PT  - Journal Article
PL  - India
TA  - Indian J Public Health
JT  - Indian journal of public health
JID - 0400673
SB  - IM
MH  - Adult
MH  - Aged
MH  - Chronic Disease
MH  - Cost of Illness
MH  - Costs and Cost Analysis
MH  - Diabetes Mellitus, Type 2/*economics/epidemiology/*therapy
MH  - Direct Service Costs
MH  - Female
MH  - Hospital Costs
MH  - Hospitalization/*economics
MH  - Hospitals, Teaching
MH  - Humans
MH  - Malaysia/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Prevalence
MH  - Retrospective Studies
EDAT- 2017/12/09 06:00
MHDA- 2019/07/16 06:00
CRDT- 2017/12/09 06:00
PHST- 2017/12/09 06:00 [entrez]
PHST- 2017/12/09 06:00 [pubmed]
PHST- 2019/07/16 06:00 [medline]
AID - IndianJPublicHealth_2017_61_4_243_220057 [pii]
AID - 10.4103/ijph.IJPH_24_16 [doi]
PST - ppublish
SO  - Indian J Public Health. 2017 Oct-Dec;61(4):243-247. doi: 10.4103/ijph.IJPH_24_16.