Publication: Inpatient treatment of diabetic patients in Asia: Evidence from India, China, Thailand and Malaysia
Issued Date
2010-01-01
Resource Type
ISSN
14645491
07423071
07423071
Other identifier(s)
2-s2.0-73949103811
Rights
Mahidol University
Rights Holder(s)
SCOPUS
Bibliographic Citation
Diabetic Medicine. Vol.27, No.1 (2010), 101-108
Suggested Citation
J. D. Goldhaber-Fiebert, H. Li, S. Ratanawijitrasin, S. Vidyasagar, X. Y. Wang, S. Aljunid, N. Shah, Z. Wang, S. Hirunrassamee, K. L. Bairy, J. Wang, S. Saperi, A. M. Nur, K. Eggleston Inpatient treatment of diabetic patients in Asia: Evidence from India, China, Thailand and Malaysia. Diabetic Medicine. Vol.27, No.1 (2010), 101-108. doi:10.1111/j.1464-5491.2009.02874.x Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/28851
Research Projects
Organizational Units
Authors
Journal Issue
Thesis
Title
Inpatient treatment of diabetic patients in Asia: Evidence from India, China, Thailand and Malaysia
Other Contributor(s)
Abstract
Aims: The prevalence of Type 2 diabetes mellitus (DM) has grown rapidly, but little is known about the drivers of inpatient spending in low- and middle-income countries. This study aims to compare the clinical presentation and expenditure on hospital admission for inpatients with a primary diagnosis of Type 2 DM in India, China, Thailand and Malaysia. Methods We analysed data on adult, Type 2 DM patients admitted between 2005 and 2008 to five tertiary hospitals in the four countries, reporting expenditures relative to income per capita in 2007. Results Hospital admission spending for diabetic inpatients with no complications ranged from 11 to 75% of per-capita income. Spending for patients with complications ranged from 6% to over 300% more than spending for patients without complications treated at the same hospital. Glycated haemoglobin was significantly higher for the uninsured patients, compared with insured patients, in India (8.6 vs. 8.1%), Hangzhou, China (9.0 vs. 8.1%), and Shandong, China (10.9 vs. 9.9%). When the hospital admission expenditures of the insured and uninsured patients were statistically different in India and China, the uninsured always spent less than the insured patients. Conclusions With the rising prevalence of DM, households and health systems in these countries will face greater economic burdens. The returns to investment in preventing diabetic complications appear substantial. Countries with large out-of-pocket financing burdens such as India and China are associated with the widest gaps in resource use between insured and uninsured patients. This probably reflects both overuse by the insured and underuse by the uninsured. © 2010 Diabetes UK.