Volume 16, Issue 4 (Vol.16, No.4 2021)                   irje 2021, 16(4): 363-374 | Back to browse issues page

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Khammarnia M, Setoodehzadeh F, Barfar E, Rezaei K, Peyvand M. Evaluation of Direct Medical Costs in Hospitalized Diabetic Patients After Health Reform Plan. irje 2021; 16 (4) :363-374
URL: http://irje.tums.ac.ir/article-1-6872-en.html
1- Assistant Professor of Health Care Management, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
2- Assistant Professor of Health Policy, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
3- Assistant Professor of Health Economics, Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
4- MSc of Epidemiology, Student Research Committee, Zahedan University of Medical Sciences, Zahedan, Iran
Abstract:   (12766 Views)
Background and Objectives: Diabetes is one of the most expensive chronic diseases and a global public health problem. One of the objectives of implementing the Health Reform Plan (HRP) was to reduce the out-of-pocket payments for hospitalized patients. The present study was carried out with the aim of determining the direct medical costs in hospitalized diabetic patients after implementation of the HRP.
Methods: This cross-sectional descriptive-analytical study was conducted in 2019. The records of diabetic patients hospitalized in Imam-Ali Hospital of Zahedan from March 2017 to June 2018 was reviewed by the census method and the direct medical costs were recorded in a researcher-made checklist. Data were analyzed using the SPSS version 22
Results: In this study, the direct medical costs of 704 hospitalized diabetic patients were evaluated. The majority of the study population was female (517, 73/5%) and 237 had gestational diabetes. The mean direct medical cost per hospitalized diabetic patient was 29,264,465 Rials and the mean out-of-pocket payment was 11.8%. Moreover, direct medical costs of diabetic patients increased with age (P<.001).
Conclusion: Diabetic hospital care imposes a high burden on basic health insurance. Despite the HRP, out-of-pocket payments for hospitalized diabetics are still significant. Government subsidies should focus on expanding access to care for diabetics, financial protection for disadvantaged residents and expanding public education on diabetes.
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Type of Study: Research | Subject: Epidemiology
Received: 2021/05/21 | Accepted: 2021/03/5 | Published: 2021/03/5

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