Out-of-pocket Expenditure of Patients with Type 2 Diabetes in a Disease Management Program in Medellín, Colombia, 2019: A Descriptive Study.
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| Title: | Out-of-pocket Expenditure of Patients with Type 2 Diabetes in a Disease Management Program in Medellín, Colombia, 2019: A Descriptive Study. |
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| Alternate Title: | Gasto de bolsillo de pacientes con diabetes tipo 2 en un programa de manejo de la enfermedad en Medellín, Colombia, 2019: Un estudio descriptivo. |
| Authors: | PALACIOS-BARAHONA, URIEL1 uriel.palacios@mederi.com.co, ROJAS-GUALDRÓN, DIEGO FERNANDO2 dfrojas@ces.edu.co, TORO-RENDÓN, LUIS GUILLERMO3 luis.toro@sanvicentefundacion.com, ORDÓÑEZ-MOLINA, JAIME4 TrueConsulting.jaime.ordonez@trueconsulting.co, ALVIS-GUZMAN, NELSON5 nalvis@yahoo.com, BOTERO-ARANGO, JOSÉ FERNANDO6 josebotero1979@gmail.com |
| Source: | Salud Uninorte. sep-dic2025, Vol. 41 Issue 3, p816-829. 14p. |
| Subjects: | TYPE 2 diabetes, MEDICAL care costs, HEALTH services accessibility, CHRONIC diseases, DISEASE management |
| Geographic Terms: | COLOMBIA, MEDELLIN (Colombia) |
| Abstract (English): | Objective: To measure out-of-pocket expenditures of patients with type 2 diabetes who attended an outpatient disease management program. Methodology: A descriptive study was conducted among outpatients with type 2 diabetes who attended a disease management program between June 18 and July 18, 2019. We used a self-administered questionnaire on out-of-pocket expenses in the last three months, including calculating expenses dedicated to food for diabetics, laboratory tests, supplies, radiology, medical appointments, and transportation. Out-of-pocket expenses are measured as the sum of the money spent in each category. Data were analyzed using absolute and relative frequencies, means, and standard deviations. The values are shown in US dollars for 2019. Results: The average expenditure was $60.76 (SD: 154.1, minimum: $2.93; maximum: $1.500.26). Medication accounted for 38.29% of total expenses (mean: $23.11, SD: $47.95), followed by transportation at 21.27% (mean = 12.83, SD = 21.75). Conclusion: Despite the broad coverage of Colombian healthcare for chronic diseases, this expenditure could indicate problems with adequate access to the healthcare system, causing personal spending to improve the patient's health conditions. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo: Medir los gastos de bolsillo de pacientes con diabetes tipo 2 que asistieron a un programa ambulatorio de gestión de la enfermedad. Metodología: Se realizó un estudio descriptivo entre pacientes ambulatorios con diabetes tipo 2 que participaron en un programa de manejo de enfermedad entre el 18 de junio y el 18 de julio de 2019. Se utilizó un cuestionario autoadministrado para recopilar información sobre los gastos de bolsillo en los últimos tres meses, incluyendo los gastos dedicados a alimentos para diabéticos, pruebas de laboratorio, insumos, radiología, consultas médicas y transporte. Los gastos de bolsillo se midieron como la suma del dinero gastado en cada categoría. Los datos se analizaron mediante frecuencias absolutas y relativas, medias y desviaciones estándar. Los valores se presentan en dólares estadounidenses de 2019. Resultados: El gasto promedio fue de $60.76 (DE= 154.1). Los medicamentos representaron el 38.29 % del gasto total (media = $23.11; DE = $47.95), seguidos por el transporte, con un 21.27 % (media =$12.83; DE: $21.75). Conclusión: A pesar de la amplia cobertura del sistema de salud colombiano para enfermedades crónicas, este gasto podría indicar problemas en el acceso adecuado al sistema de salud, lo que genera gastos de bolsillo para mejorar las condiciones de salud del paciente. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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