Results of the study of cost estimates for individuals with type 2 diabetes

Abstract

Background: As of 2021, 537 million adults (ages 20-79), or 1 in 10 people worldwide, are living with diabetes, and this number is expected to increase to 643 million by 2030 and 783 million by 2045. It is estimated that 6.7 million people will die from the disease in 2021, or 1 person dies every 5 seconds. In our country, as of 2021, a total of 800,000 people have participated in the early detection of type 2 diabetes, which is 76% of the eligible population. In our country, it is very important to study the direct health costs and indirect costs incurred by individuals in the case of type 2 diabetes, as well as whether it causes financial difÏculties for families and individuals. Aim: Estimating the costs of individuals with type 2 diabetes Materials and Methods: We conducted the study using an analytical research snapshot design. According to the pre-prepared questionnaire, the survey was conducted by the target sampling method from the citizens who were served in the 5 health institutions selected for the study by the questionnaire survey method. A total of 240 customers participated in the survey. Research results were processed using SPSS 25.0 software. Results: The study included 240 clients under medical supervision. Of these, citizens aged 40-60 account for 62.2 percent, citizens over 61 years of age account for 29.5 percent, and citizens aged 20-39 account for 8.3 percent. Also, 50.6 percent are men and 49.4 percent are women. 54 percent of the respondents answered that the insurance is provided by the government, 24 percent pays for insurance, 15 percent pays voluntarily, and 7 percent does not have insurance. 39.1 percent of the surveyed citizens have been diagnosed with the disease for more than 10 years, 24.6 percent for 6-10 years, and 36.2 percent for 1-5 years. Out of 240 people, 78.4% had problems. The average household income of the citizens who participated in the survey was 1.4 million MNT, 120 thousand MNT for doctor’s examination, 157 thousand MNT for diagnostic tests, 101 thousand MNT for medicine, 325 thousand MNT for other expenses, 250 thousand MNT for hospitalization, and transportation costs related to going to and from the hospital 60,000 MNT and 475,000 MNT were spent on indirect health expenses, respectively. Conclusions: The average cost of an individual diagnosed with type 2 diabetes is 600,000 MNT per year, and the standard deviation is 78,000 MNT. It is a 95 percent confidence interval of 473,000 to 727,000 MNT among the population, the median value is 300,000 MNT, and 50 percent of respondents spend 100,000 to 800,000 MNT. As of 2022, Mongolia’s minimum wage was 420,000 MNT, which is less than the amount of money spent due to the disease, which causes financial difÏculties for doctors.