Articlebronze2011

Cost of diabetes and its complications in Thailand: a complete picture of economic burden

Susmita Chatterjee · Arthorn Riewpaiboon · Piyanuch Piyauthakit · Wachara Riewpaiboon · Kuanoon Boupaijit · Niphaphat Panpuwong +1 more

92 citations0/0 files storedHealth & Social Care in the Community

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Health Systems, Economic Evaluations, Quality of Life Healthcare Systems and Reforms Diabetes Management and Education

Abstract

Diabetes is a common metabolic disorder with increasing burden in Thailand. The chronic nature along with associated complications makes the disease very costly. In Thailand, there exist some studies on cost of diabetes; however, those studies estimated the cost either from provider or from patient perspective. In order to capture the complete picture of economic burden caused by diabetes, using prevalence-based approach; the present study estimated the cost of illness of diabetes from societal perspective, the broadest viewpoint covering all costs irrespective of who incur them. Data were collected from 475 randomly selected diabetic patients who received treatment from Waritchaphum hospital in Sakhon Nakhon province of Thailand during 2007-2008 with a response rate of 98%. A micro-costing approach was used to calculate the cost. The direct medical cost was calculated by multiplying the quantity of medical services consumed by their unit costs while indirect cost was calculated by using human capital approach. The total cost of illness of diabetes for 475 study participants was estimated as USD 418,696 for the financial year 2008 (1 USD = 32 THB). Of this, 23% was direct medical cost, 40% was direct non-medical cost and 37% was indirect cost. The average cost of illness per diabetic patient was USD 881.47 in 2008 which was 21% of per capita gross domestic product of Thailand. Existence of complications increased the cost substantially. Cost of informal care contributed 28% of total cost of illness of diabetes. Therefore, the disease not only affected the individual but also the family members, friends and neighbours. The economic and social burden of the disease therefore emphasises the need for initiatives to prevent the disease prevalence and counselling to the diabetic patients to prevent the progression of the disease and its devastating complications.

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References

2005Methods for the Economic Evaluation of Health Care Programmes 2003Economic Costs of Diabetes in the U.S. in 2002 2003Good practice in the conduct and reporting of survey research 2008Economic Costs of Diabetes in the U.S. in 2007 2004Making choices in health: who guide to cost-effectiveness analysis 2003The cost of diabetes in Latin America and the Caribbean.1996A Practical Guide for Calculating Indirect Costs of Disease 2006Measurement of informal care: an empirical study into the valid measurement of time spent on informal caregiving

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