Publication: Factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals
Issued Date
2008-01-01
Resource Type
ISSN
15244733
10983015
10983015
Other identifier(s)
2-s2.0-41749125486
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Mahidol University
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SCOPUS
Bibliographic Citation
Value in Health. Vol.11, No.SUPPL. 1 (2008)
Suggested Citation
Usa Chaikledkaew, Petcharat Pongchareonsuk, Nathorn Chaiyakunapruk, Boonsong Ongphiphadhanakul Factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals. Value in Health. Vol.11, No.SUPPL. 1 (2008). doi:10.1111/j.1524-4733.2008.00369.x Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/19832
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Title
Factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals
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Abstract
Objective: The study investigated the factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals. Methods: A retrospective study was conducted by using administrative claims data obtained from diabetic patients during October 1, 2002 and September 30, 2003. Dependent variables were total health-care costs and the occurrence of hospitalizations. Independent variables included demographic factors, health-care utilizations, complications, comorbidities, and payment methods. Multivariate statistical analyses were applied. Results: The results of this study suggested that demographic factors of patients (i.e., age and male sex), payment methods (i.e., capitation, fee-for-service, and out-of-pocket) were significantly associated with higher health-care costs and probability of hospitalization. Patients receiving treatment from teaching hospitals significantly consumed higher health-care costs. In addition, the more health-care utilizations (i.e., occurrence of hospitalization, number of outpatient visit, and insulin utilization), the higher health-care costs the patients significantly had. Diabetic patients taking insulin had significantly higher health-care costs and risk of hospitalization. Furthermore, comorbidities (e.g., hypertension and cancer) and diabetes-related complications (e.g., nephropathy, neuropathy, retinopathy, coronary artery disease, cardiovascular disease, and peripheral vascular disease) were significantly associated with an increase in health-care costs and hospitalization. Conclusion: Factors affecting health-care costs and hospitalizations may help health-care providers intervene to improve patient management and possibly reduce health-care costs in the future. © 2008, International Society for Pharmacoeconomics and Outcomes Research (ISPOR).
