Quaye Ernest Attuquaye, Amporful Edward O, Akweongo Patricia, Aikins Moses K
Medical Department, Ghana Cocoa Board, Accra, Ghana.
Medical Department, Ghana Cocoa Board, Accra, Ghana.
Value Health Reg Issues. 2015 Sep;7:49-53. doi: 10.1016/j.vhri.2015.08.005. Epub 2015 Oct 2.
To estimate the financial cost of managing diabetes mellitus in four Cocoa clinics of Ghana.
A descriptive cross-sectional study of diabetes management was carried out in the four Cocoa clinics of Ghana from January to December 2009. The "cost-of-illness" approach from the institutional perspective was used. A pretested data extraction form was used to review the medical records of 304 randomly selected diabetic patients.
The patients' mean age was 55.4 ± 9.4 years. The mean annual financial cost of managing one diabetic case at the clinics was estimated to be Ghana cedi (GHS) 540.35 (US $372.65). Service cost constituted 22% of the cost, whereas direct medical cost constituted 78% of the cost. Drug cost was 71% of the financial cost. The cost of hospitalization per patient-day at Cocoa clinics was estimated at GHS 32.78 (US $22.61). The total financial cost of diabetes management was estimated at GHS 420,087.67 (US $289,715.63). This accounted for 8% of the total expenditure for the clinics in the year 2009. The study showed that facility type, type of diabetes, and presence of complication are associated with the cost of diabetes management to Cocoa clinics.
The mean age of detection suggests delay in diagnosis of diabetes mellitus and accompanying complications, which has cost implications. Policy that enhances early detection of diabetes in clinical practice would therefore improve management and reduce costs. The financial cost of managing diabetes can be used to forecast the economic burden of the disease in the area.
估算加纳四个可可诊所管理糖尿病的财务成本。
2009年1月至12月在加纳的四个可可诊所开展了一项关于糖尿病管理的描述性横断面研究。采用了从机构角度出发的“疾病成本”方法。使用经过预测试的数据提取表来审查304名随机选取的糖尿病患者的病历。
患者的平均年龄为55.4±9.4岁。诊所管理一例糖尿病病例的年均财务成本估计为540.35加纳塞地（372.65美元）。服务成本占成本的22%，而直接医疗成本占成本的78%。药品成本占财务成本的71%。可可诊所每位患者每天的住院成本估计为32.78加纳塞地（22.61美元）。糖尿病管理的总财务成本估计为420,087.67加纳塞地（289,715.63美元）。这占2009年诊所总支出的8%。研究表明，机构类型、糖尿病类型和并发症的存在与可可诊所糖尿病管理的成本相关。
检测的平均年龄表明糖尿病及其伴随并发症的诊断存在延迟，这具有成本影响。因此，在临床实践中加强糖尿病早期检测的政策将改善管理并降低成本。管理糖尿病的财务成本可用于预测该地区该疾病的经济负担。
