Gillani Ali Hassan, Aziz Muhammad Majid, Masood Imran, Saqib Anum, Yang Caijun, Chang Jie, Mohamed Ibrahim Mohamed Izham, Fang Yu
a Department of Pharmacy Administration and Clinical Pharmacy , School of pharmacy Xi'an Jiaotong University , Xi'an , China.
b Center for Drug Safety and Policy Research , Xi'an Jiaotong University , Xi'an , China.
Expert Rev Pharmacoecon Outcomes Res. 2018 Dec;18(6):647-653. doi: 10.1080/14737167.2018.1503953. Epub 2018 Aug 1.
Diabetes mellitus (DM) has a very high prevalence and poses a huge financial encumbrance on patients. This study aimed to evaluate the cost of diabetes care among patients with type 2 diabetes in private clinics of southern Punjab, Pakistan.
This was a descriptive, cross-sectional, prevalence-based, cost-of-illness (COI) study conducted in six private clinics of southern Punjab from July to September 2016, using a pretested questionnaire. Study participants were recruited using a random selection method. Continuous variables, including direct and indirect costs, were summarized using descriptive statistics. Inferential statistics were also used to analyze the correlation between the variables and cost.
The mean annual direct cost per patient with diabetes was estimated to be 332 USD. Medications accounted for the largest share (60.4%) of this cost. Age, locality, high socioeconomic status, and prolonged disease duration were significantly associated with the direct costs of illness (p < 0.05). Moreover, 19% of total earnings among very low-income patients were spent on diabetes care.
A substantial proportion of patients' income is spent on diabetes care in Punjab. Our findings support the substantial individual and societal burden caused by diabetes.
糖尿病（DM）患病率极高，给患者带来巨大经济负担。本研究旨在评估巴基斯坦旁遮普省南部私立诊所中2型糖尿病患者的糖尿病护理成本。
这是一项描述性、横断面、基于患病率的疾病成本（COI）研究，于2016年7月至9月在旁遮普省南部的六家私立诊所进行，使用了经过预测试的问卷。研究参与者采用随机选择方法招募。连续变量，包括直接和间接成本，使用描述性统计进行汇总。还使用推断统计分析变量与成本之间的相关性。
估计每位糖尿病患者的年均直接成本为332美元。药物占该成本的最大份额（60.4%）。年龄、地区、高社会经济地位和疾病持续时间延长与疾病直接成本显著相关（p < 0.05）。此外，极低收入患者总收入的19%用于糖尿病护理。
旁遮普省患者收入的很大一部分用于糖尿病护理。我们的研究结果支持了糖尿病造成的巨大个人和社会负担。
