Center for Control of Chronic Diseases (CCCD), icddr,b, and Center for International Health, Ludwig-Maximilians-Universität, Munich, Germany.
BMC Public Health. 2013 Dec 21;13:1217. doi: 10.1186/1471-2458-13-1217.
Diabetes affects both individuals and their families and has an impact on economic and social development of a country. Information on the availability, cost, and quality of medical care for diabetes is mostly not available for many low- and middle-income countries including Bangladesh. Complications from diabetes, which can be devastating, could largely be prevented by wider use of several inexpensive generic medicines, simple tests and monitoring and can be a cost saving intervention. This study will provide an in-depth and comprehensive picture of social and economic impacts of diabetes in Bangladesh and propose clear recommendations for improving prevention and management of diabetes. The objectives of the study are: 1) To study the association between diabetes and other health problems and its social impacts. 2) To estimate the economic impact of diabetes including total direct and indirect costs. 3) To measure the impact of diabetes on quality of life among diabetes patients in Bangladesh. 4) To study the impact of diabetes on the health care system
This is a case-control study comparing cases with type 2 diabetes to controls without diabetes matched on age, sex and place of residence. 564 cases and 564 controls will be selected from the outpatient department of a tertiary hospital in Dhaka, Bangladesh. Data on socioeconomic status, health utility index, direct and indirect costs for diabetes, medication adherence, quality of life, treatment satisfaction, diet, physical activity, mental state examination, weight, height, hip and waist circumference, blood pressure, pulse, medication history, laboratory data and physical examination will be conducted.
The primary outcome measures will be association between diabetes and other health problems, cost of diabetes, impact of diabetes on quality of life and secondary outcome measures are impact of diabetes on healthcare systems in Bangladesh.
This study will provide an in-depth and comprehensive picture of social and economic impacts of diabetics in Bangladesh and propose clear recommendations for improving prevention and management of diabetics. It will help to develop programs and policies for better management of Diabetics and cost effective strategies in Bangladesh context.
糖尿病影响个人及其家庭，并对一个国家的经济和社会发展产生影响。许多低收入和中等收入国家（包括孟加拉国）的糖尿病医疗保健的可及性、成本和质量信息大多无法获得。通过更广泛地使用几种廉价的通用药物、简单的测试和监测，可以预防糖尿病的许多并发症，这些并发症可能是毁灭性的，这是一种节省成本的干预措施。本研究将深入全面地了解糖尿病在孟加拉国的社会和经济影响，并提出改善糖尿病预防和管理的明确建议。本研究的目的是：1）研究糖尿病与其他健康问题的关联及其社会影响。2）估计包括直接和间接总成本在内的糖尿病的经济影响。3）衡量糖尿病对孟加拉国糖尿病患者生活质量的影响。4）研究糖尿病对医疗保健系统的影响。
这是一项病例对照研究，将 2 型糖尿病患者与在年龄、性别和居住地相匹配的非糖尿病对照进行比较。将从孟加拉国达卡的一家三级医院的门诊部门选择 564 例病例和 564 例对照。将进行社会经济状况、健康效用指数、糖尿病的直接和间接成本、药物依从性、生活质量、治疗满意度、饮食、身体活动、精神状态检查、体重、身高、臀围和腰围、血压、脉搏、用药史、实验室数据和体格检查的数据收集。
主要结果测量指标将是糖尿病与其他健康问题之间的关联、糖尿病的成本、糖尿病对生活质量的影响，次要结果测量指标是糖尿病对孟加拉国医疗保健系统的影响。
本研究将深入全面地了解孟加拉国糖尿病患者的社会和经济影响，并提出改善糖尿病预防和管理的明确建议。它将有助于制定更好地管理糖尿病患者和在孟加拉国国情下具有成本效益的策略的方案和政策。
