Factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals
Objective: The study investigated the factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals. Methods: A retrospective study was conducted by using administrative claims data obtained from diabetic patients during October 1, 2002 and September 30, 2...
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th-mahidol.198322018-07-12T09:48:38Z Factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals Usa Chaikledkaew Petcharat Pongchareonsuk Nathorn Chaiyakunapruk Boonsong Ongphiphadhanakul Mahidol University Thailand Ministry of Public Health Naresuan University University of Queensland Medicine Objective: The study investigated the factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals. Methods: A retrospective study was conducted by using administrative claims data obtained from diabetic patients during October 1, 2002 and September 30, 2003. Dependent variables were total health-care costs and the occurrence of hospitalizations. Independent variables included demographic factors, health-care utilizations, complications, comorbidities, and payment methods. Multivariate statistical analyses were applied. Results: The results of this study suggested that demographic factors of patients (i.e., age and male sex), payment methods (i.e., capitation, fee-for-service, and out-of-pocket) were significantly associated with higher health-care costs and probability of hospitalization. Patients receiving treatment from teaching hospitals significantly consumed higher health-care costs. In addition, the more health-care utilizations (i.e., occurrence of hospitalization, number of outpatient visit, and insulin utilization), the higher health-care costs the patients significantly had. Diabetic patients taking insulin had significantly higher health-care costs and risk of hospitalization. Furthermore, comorbidities (e.g., hypertension and cancer) and diabetes-related complications (e.g., nephropathy, neuropathy, retinopathy, coronary artery disease, cardiovascular disease, and peripheral vascular disease) were significantly associated with an increase in health-care costs and hospitalization. Conclusion: Factors affecting health-care costs and hospitalizations may help health-care providers intervene to improve patient management and possibly reduce health-care costs in the future. © 2008, International Society for Pharmacoeconomics and Outcomes Research (ISPOR). 2018-07-12T02:48:38Z 2018-07-12T02:48:38Z 2008-01-01 Conference Paper Value in Health. Vol.11, No.SUPPL. 1 (2008) 10.1111/j.1524-4733.2008.00369.x 15244733 10983015 2-s2.0-41749125486 https://repository.li.mahidol.ac.th/handle/123456789/19832 Mahidol University SCOPUS https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=41749125486&origin=inward |
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Medicine Usa Chaikledkaew Petcharat Pongchareonsuk Nathorn Chaiyakunapruk Boonsong Ongphiphadhanakul Factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals |
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Objective: The study investigated the factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals. Methods: A retrospective study was conducted by using administrative claims data obtained from diabetic patients during October 1, 2002 and September 30, 2003. Dependent variables were total health-care costs and the occurrence of hospitalizations. Independent variables included demographic factors, health-care utilizations, complications, comorbidities, and payment methods. Multivariate statistical analyses were applied. Results: The results of this study suggested that demographic factors of patients (i.e., age and male sex), payment methods (i.e., capitation, fee-for-service, and out-of-pocket) were significantly associated with higher health-care costs and probability of hospitalization. Patients receiving treatment from teaching hospitals significantly consumed higher health-care costs. In addition, the more health-care utilizations (i.e., occurrence of hospitalization, number of outpatient visit, and insulin utilization), the higher health-care costs the patients significantly had. Diabetic patients taking insulin had significantly higher health-care costs and risk of hospitalization. Furthermore, comorbidities (e.g., hypertension and cancer) and diabetes-related complications (e.g., nephropathy, neuropathy, retinopathy, coronary artery disease, cardiovascular disease, and peripheral vascular disease) were significantly associated with an increase in health-care costs and hospitalization. Conclusion: Factors affecting health-care costs and hospitalizations may help health-care providers intervene to improve patient management and possibly reduce health-care costs in the future. © 2008, International Society for Pharmacoeconomics and Outcomes Research (ISPOR). |
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Mahidol University |
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Mahidol University Usa Chaikledkaew Petcharat Pongchareonsuk Nathorn Chaiyakunapruk Boonsong Ongphiphadhanakul |
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Conference or Workshop Item |
author |
Usa Chaikledkaew Petcharat Pongchareonsuk Nathorn Chaiyakunapruk Boonsong Ongphiphadhanakul |
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Usa Chaikledkaew |
title |
Factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals |
title_short |
Factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals |
title_full |
Factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals |
title_fullStr |
Factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals |
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Factors affecting health-care costs and hospitalizations among diabetic patients in Thai public hospitals |
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factors affecting health-care costs and hospitalizations among diabetic patients in thai public hospitals |
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2018 |
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https://repository.li.mahidol.ac.th/handle/123456789/19832 |
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1763492095432065024 |