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Economic Burden in Chinese Patients with Diabetes Mellitus Using Electronic Insurance Claims Data

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  • Yunyu Huang
  • Pepijn Vemer
  • Jingjing Zhu
  • Maarten J Postma
  • Wen Chen

Abstract

Background: There is a paucity of studies that focus on the economic burden in daily care in China using electronic health data. The aim of this study is to describe the development of the economic burden of diabetic patients in a sample city in China from 2009 to 2011 using electronic data of patients’ claims records. Methods: This study is a retrospective, longitudinal study in an open cohort of Chinese patients with diabetes. The patient population consisted of people living in a provincial capital city in east China, covered by the provincial urban employee basic medical insurance (UEBMI). We included any patient who had at least one explicit diabetes diagnosis or received blood glucose lowering medication in at least one registered outpatient visit or hospitalization during a calendar year in the years 2009–2011. Cross-sectional descriptions of different types of costs, prevalence of diabetic complications and related diseases, medication use were performed for each year separately and differences between three years were compared using a chi-square test or the non-parametric Kruskal-Wallis H test. Results: Our results showed an increasing trend in total medical cost (from 2,383 to 2,780 USD, p = 0.032) and diabetes related cost (from 1,655 to 1,857 USD) for those diabetic patients during the study period. The diabetes related economic burden was significantly related to the prevalence of complications and related diseases (p

Suggested Citation

  • Yunyu Huang & Pepijn Vemer & Jingjing Zhu & Maarten J Postma & Wen Chen, 2016. "Economic Burden in Chinese Patients with Diabetes Mellitus Using Electronic Insurance Claims Data," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-13, August.
    • Handle: RePEc:plo:pone00:0159297
    DOI: 10.1371/journal.pone.0159297
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    References listed on IDEAS

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    1. Wenying Yang & Wenhui Zhao & Jianzhong Xiao & Rui Li & Ping Zhang & Katarzyna Kissimova-Skarbek & Erin Schneider & Weiping Jia & Linong Ji & Xiaohui Guo & Zhongyan Shan & Jie Liu & Haoming Tian & Li C, 2012. "Medical Care and Payment for Diabetes in China: Enormous Threat and Great Opportunity," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-13, September.
    2. Jinsong Geng & Hao Yu & Yiwei Mao & Peng Zhang & Yingyao Chen, 2015. "Cost Effectiveness of Dipeptidyl Peptidase-4 Inhibitors for Type 2 Diabetes," PharmacoEconomics, Springer, vol. 33(6), pages 581-597, June.
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