Direct medical costs among patients with type 2 diabetes mellitus with complications at Thieu Hoa District General Hospital, Thanh Hoa province, Vietnam in 2023

Objective: Analyze direct medical costs of type 2 diabetes mellitus patients with complications treated at Thieu Hoa District General Hospital in 2023 and some related factors.

Research method: A cross-sectional study was collected from Electronic medical records of 1,793 outpatients with type 2 diabetes mellitus with complications receiving treatment at the Thieu Hoa District General Hospital, Thanh Hoa province, Vietnam from January 1^st, 2023 to December 31^st, 2023. Data were collected using Excel software and processed using STATA software.

Results: The average age of patients with type 2 diabetes mellitus with complications is 66.6±11.1; female accounted for 55.4%. The percentage of patients had one complication (30.9%). Direct medical costs were 7,243,111,304 VND, of which health insurance paid 92.8% and patients co-paid 7.2%. Renal complications and eye complications had large payment components even though the number of patients was small. Factors directly rerlating to increased direct medical costs in patients with type 2 diabetes mellitus with complications were increased age, male, more number of examinations per year, and more number of complications.

Conclusion: The study provides insight into the disease state and direct medical costs for treating type 2 diabetes mellitus with complications showing high costs for medicine components and testing. Interventions are needed to effectively manage and treat type II diabetes mellitus patients with complications in the future.

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