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Quality and cost of healthcare services in patients with diabetes in Iran: Results of a nationwide short-term longitudinal survey

AIMS: To investigate the journey of patients with diabetes in the healthcare system using nationally-representative patient-reported data. METHODS: Participants were recruited using a machine-learning-based sampling method based on healthcare structures and medical outcome data and were followed up...

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Autores principales: Abbasi-Kangevari, Mohsen, Mohebi, Farnam, Ghamari, Seyyed-Hadi, Modirian, Mitra, Shahbal, Nazila, Ahmadi, Naser, Farzi, Yosef, Azmin, Mehrdad, Roshani, Shahin, Zokaei, Hossein, Khezrian, Maryam, Seyfi, Shahedeh, Keykhaei, Mohammad, Gorgani, Fatemeh, Rahimi, Saral, Rezaei, Negar, Khatibzadeh, Shahab, Shahraz, Saeid
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10060949/
https://www.ncbi.nlm.nih.gov/pubmed/37008899
http://dx.doi.org/10.3389/fendo.2023.1099464
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author Abbasi-Kangevari, Mohsen
Mohebi, Farnam
Ghamari, Seyyed-Hadi
Modirian, Mitra
Shahbal, Nazila
Ahmadi, Naser
Farzi, Yosef
Azmin, Mehrdad
Roshani, Shahin
Zokaei, Hossein
Khezrian, Maryam
Seyfi, Shahedeh
Keykhaei, Mohammad
Gorgani, Fatemeh
Rahimi, Saral
Rezaei, Negar
Khatibzadeh, Shahab
Shahraz, Saeid
author_facet Abbasi-Kangevari, Mohsen
Mohebi, Farnam
Ghamari, Seyyed-Hadi
Modirian, Mitra
Shahbal, Nazila
Ahmadi, Naser
Farzi, Yosef
Azmin, Mehrdad
Roshani, Shahin
Zokaei, Hossein
Khezrian, Maryam
Seyfi, Shahedeh
Keykhaei, Mohammad
Gorgani, Fatemeh
Rahimi, Saral
Rezaei, Negar
Khatibzadeh, Shahab
Shahraz, Saeid
author_sort Abbasi-Kangevari, Mohsen
collection PubMed
description AIMS: To investigate the journey of patients with diabetes in the healthcare system using nationally-representative patient-reported data. METHODS: Participants were recruited using a machine-learning-based sampling method based on healthcare structures and medical outcome data and were followed up for three months. We assessed the resource utilization, direct/indirect costs, and quality of healthcare services. RESULTS: One hundred fifty-eight patients with diabetes participated. The most utilized services were medication purchases (276 times monthly) and outpatient visits (231 times monthly). During the previous year, 90% of respondents had a laboratory fasting blood glucose assessment; however, less than 70% reported a quarterly follow-up physician visit. Only 43% had been asked about any hypoglycemia episodes by their physician. Less than 45% of respondents had been trained for hypoglycemia self-management. The annual average health-related direct cost of a patient with diabetes was 769 USD. The average out-of-pocket share of direct costs was 601 USD (78.15%). Medication purchases, inpatient services, and outpatient services summed up 79.77% of direct costs with a mean of 613 USD. CONCLUSION: Healthcare services focused solely on glycemic control and the continuity of services for diabetes control was insufficient. Medication purchases, and inpatient and outpatient services imposed the most out-of-pocket costs.
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spelling pubmed-100609492023-03-31 Quality and cost of healthcare services in patients with diabetes in Iran: Results of a nationwide short-term longitudinal survey Abbasi-Kangevari, Mohsen Mohebi, Farnam Ghamari, Seyyed-Hadi Modirian, Mitra Shahbal, Nazila Ahmadi, Naser Farzi, Yosef Azmin, Mehrdad Roshani, Shahin Zokaei, Hossein Khezrian, Maryam Seyfi, Shahedeh Keykhaei, Mohammad Gorgani, Fatemeh Rahimi, Saral Rezaei, Negar Khatibzadeh, Shahab Shahraz, Saeid Front Endocrinol (Lausanne) Endocrinology AIMS: To investigate the journey of patients with diabetes in the healthcare system using nationally-representative patient-reported data. METHODS: Participants were recruited using a machine-learning-based sampling method based on healthcare structures and medical outcome data and were followed up for three months. We assessed the resource utilization, direct/indirect costs, and quality of healthcare services. RESULTS: One hundred fifty-eight patients with diabetes participated. The most utilized services were medication purchases (276 times monthly) and outpatient visits (231 times monthly). During the previous year, 90% of respondents had a laboratory fasting blood glucose assessment; however, less than 70% reported a quarterly follow-up physician visit. Only 43% had been asked about any hypoglycemia episodes by their physician. Less than 45% of respondents had been trained for hypoglycemia self-management. The annual average health-related direct cost of a patient with diabetes was 769 USD. The average out-of-pocket share of direct costs was 601 USD (78.15%). Medication purchases, inpatient services, and outpatient services summed up 79.77% of direct costs with a mean of 613 USD. CONCLUSION: Healthcare services focused solely on glycemic control and the continuity of services for diabetes control was insufficient. Medication purchases, and inpatient and outpatient services imposed the most out-of-pocket costs. Frontiers Media S.A. 2023-03-16 /pmc/articles/PMC10060949/ /pubmed/37008899 http://dx.doi.org/10.3389/fendo.2023.1099464 Text en Copyright © 2023 Abbasi-Kangevari, Mohebi, Ghamari, Modirian, Shahbal, Ahmadi, Farzi, Azmin, Roshani, Zokaei, Khezrian, Seyfi, Keykhaei, Gorgani, Rahimi, Rezaei, Khatibzadeh and Shahraz https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Endocrinology
Abbasi-Kangevari, Mohsen
Mohebi, Farnam
Ghamari, Seyyed-Hadi
Modirian, Mitra
Shahbal, Nazila
Ahmadi, Naser
Farzi, Yosef
Azmin, Mehrdad
Roshani, Shahin
Zokaei, Hossein
Khezrian, Maryam
Seyfi, Shahedeh
Keykhaei, Mohammad
Gorgani, Fatemeh
Rahimi, Saral
Rezaei, Negar
Khatibzadeh, Shahab
Shahraz, Saeid
Quality and cost of healthcare services in patients with diabetes in Iran: Results of a nationwide short-term longitudinal survey
title Quality and cost of healthcare services in patients with diabetes in Iran: Results of a nationwide short-term longitudinal survey
title_full Quality and cost of healthcare services in patients with diabetes in Iran: Results of a nationwide short-term longitudinal survey
title_fullStr Quality and cost of healthcare services in patients with diabetes in Iran: Results of a nationwide short-term longitudinal survey
title_full_unstemmed Quality and cost of healthcare services in patients with diabetes in Iran: Results of a nationwide short-term longitudinal survey
title_short Quality and cost of healthcare services in patients with diabetes in Iran: Results of a nationwide short-term longitudinal survey
title_sort quality and cost of healthcare services in patients with diabetes in iran: results of a nationwide short-term longitudinal survey
topic Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10060949/
https://www.ncbi.nlm.nih.gov/pubmed/37008899
http://dx.doi.org/10.3389/fendo.2023.1099464
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