Simple calculator to estimate the medical cost of diabetes in sub-Saharan Africa
作者机构：Department of NutritionFaculty of MedicineUniversity of MontrealDowntown Station Santé-Diabète (NGO)Mali Chapter Endocrinology DepartmentDonka Teaching Hospital Internal Medicine DepartmentBamako University Hospital Internal Medicine DepartmentOuagadougou University Hospital Endocrinology DepartmentNational University Health Centre Department of Internal Medicine and SpecialtiesFaculty of Medicine and Biomedical SciencesUniversity of Yaoundé I University Joseph Fourier and University Hospital Centre
出 版 物：《World Journal of Diabetes》 (世界糖尿病杂志（英文版）（电子版）)
年 卷 期：2015年第6卷第16期
页 面：1312-1322页
学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：Supported by The Canadian International Development Agency,Canada(Project DFN S064359) Koffi Alouki received a scholarship from the Islamic Development Bank for his PhD program in nutrition
主 题：Diabetes Non-communicable diseases Africa Advocacy Cost-of-illness
摘 要：AIM: To design a medical cost calculator and show that diabetes care is beyond reach of the majority particularlypatients with ***: Out-of-pocket expenditures of patients for medical treatment of type-2 diabetes were estimated based on price data collected in Benin,Burkina Faso,Guinea and Mali. A detailed protocol for realistic medical care of diabetes and its complications in the African context was defined. Care components were based on existing guidelines,published data and clinical experience. Prices were obtained in public and private health facilities. The cost calculator used Excel. The cost for basic management of uncomplicated diabetes was calculated per person and per year. Incremental costs were also computed per annum for chronic complications and per episode for acute complications. RESULTS: Wide variations of estimated care costs were observed among countries and between the public and private healthcare system. The minimum estimated cost for the treatment of uncomplicated diabetes(in the public sector) would amount to 21%-34% of the country s gross national income per capita,26%-47% in the presence of retinopathy,and above 70% for nephropathy,the most expensive complication. CONCLUSION: The study provided objective evidence for the exorbitant medical cost of diabetes considering that no medical insurance is available in the study countries. Although the calculator only estimates the cost of inaction,it is innovative and of interest for several stakeholders.
维普期刊数据库