A Research on Determination of out-of-Pocket Payment Costs of Type 2 Diabetes Mellitus Patients

Mustafa Kafes, Didem Kaya
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Abstract

Aim: This study aimed to determine the out-of-pocket payment costs of the Type 2 Diabetes patients due to and associated with the disease. Material and Methods: This study with a descriptive design qualifies. The sample of the study consisted of the patients diagnosed with Type 2 Diabetes, who applied to a university hospital. In line with the calculated sample number, the study was performed through the face-to-face interviews made with 180 participants. Results: In terms of out-of-pocket payment costs, individual average cost figures within the two patient groups being service and policlinic, are TL 350.59 for service patients, whereas TL 1046.26 for policlinic patients. The total out-of-pocket cost within both patient groups was calculated as TL 111,309,442. Conclusion: It is seen that the substantial part of the cost for the patients, special footwear and socks, which result from the diseases developing in consequence of complication, such as Diabetic Foot, and which are required to be used. From this aspect, increase of the state's support to the patients with regard to reduction of the out-of-pocket payment costs of the patients, or switching to domestic production for the instruments used, and inducement of the patients in this direction, will play an important role in decreasing the costs.
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2型糖尿病患者自付费用确定的研究
目的:本研究的目的是确定2型糖尿病患者由于疾病和相关的自付费用。材料和方法:本研究采用描述性设计。该研究的样本包括被诊断为2型糖尿病的患者,他们申请到一所大学医院。根据计算的样本数,本研究采用面对面访谈的方式对180名参与者进行访谈。结果:在自付费用方面,服务组和门诊组患者的个人平均费用为350.59 TL,门诊组患者为1046.26 TL。两组患者的总自付费用计算为111,309,442里拉。结论:糖尿病足等并发症导致疾病发展而需要使用的专用鞋袜占患者费用的很大一部分。从这方面来看,增加国家对患者的支持,降低患者自付费用,或使用的器械转向国内生产,并引导患者向这个方向发展,将对降低成本起到重要作用。
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