assessment of the direct medical costs of diabetes mellitus and its complications in the united arab emirates评估糖尿病及其并发症的直接医疗费用在阿拉伯联合酋长国.pdfVIP
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assessment of the direct medical costs of diabetes mellitus and its complications in the united arab emirates评估糖尿病及其并发症的直接医疗费用在阿拉伯联合酋长国
Al-Maskari et al. BMC Public Health 2010, 10:679
/1471-2458/10/679
RESEARCH ARTICLE Open Access
Assessment of the direct medical costs of
diabetes mellitus and its complications in the
United Arab Emirates
*
Fatma Al-Maskari , Mohammed El-Sadig, Nicholas Nagelkerke
Abstract
Background: Diabetes mellitus (DM) is a major health problem in the United Arab Emirates (UAE) and is well
recognized as a major and increasing burden to the country’s resources due to its severe, long term debilitating
effects on individuals, families and the society at large. The aim of the study was to estimate the direct annual
treatment costs of DM and its related complications among patients in Al-Ain city, UAE.
Methods: A sample of 150 DM patients were enrolled during 2004-2005, and their medical costs over the ensuing
12 months was measured, quantified, analyzed and extrapolated to the population in Al-Ain and UAE, using
conventional and inference statistics. The costs were converted from UAE Dirhams to US Dollar, using the official
conversion rate of US$ (1 USD = 3.68 AED).
Results: The total annual direct treatment costs of DM among patients without complications in Al Ain-UAE, was
US $1,605 (SD = 1,206) which is 3.2 times higher than the per capita expenditure for health care in the UAE (US$
497) during 2004 (WHO, 2004). However, this cost increased 2.2 times with the presence of DM related
complications for patients with microvascular complications, by 6.4 times for patients with macrovascular
complications and 9.4 times for patients with both micro and macrovascular complications. Likewise, the annual
direct hospitalization costs of DM patients increased by 3.7 times for patients with microvascular complications, by
6.6 times for patients with macrovascular complications and by 5 times for patients with both
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