Achievement of Metabolic Goals among Different Health Insurance Schemes in Thai Patients with Type 2 Diabetes Mellitus: a Nationwide Study

Autor: Lukana Preechasuk, Pimrapat Tengtrakulcharoen, Khemajira Karaketklang, Ram Rangsin, Tada Kunavisarut
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Siriraj Medical Journal, Vol 72, Iss 1 (2019)
Druh dokumentu: article
ISSN: 2228-8082
DOI: 10.33192/Smj.2020.01
Popis: Objective: Thailand has three healthcare insurance schemes, including: Universal Health Coverage (UHC), Social Health Insurance (SHI), and Civil Servant Medical Benefit (CSMB). UHC has the narrowest drug coverage, SHI uses its own list, and CSMB offers the greatest drug coverage. The aim of this study was to investigate metabolic goal achievement in patients with type 2 diabetes mellitus (T2DM) compared among the three healthcare schemes in Thailand. Methods: Data were obtained from a nationwide survey administered by MedResNet during 2011 to 2012. A cross-sectional survey was conducted in patients with T2DM aged >35 years who were treated for at least 12 months. The data were retrospectively collected from medical records. Results: Of 49,303 T2DM patients that were recruited, 69.8% were female. CSMB patients were the oldest and had the longest diabetes duration. Achievement of BP, HbA1c, and LDL goals was 32.8%, 33.3%, and 42.5%, respectively. UHC patients had the highest percentage of BP control achievement (
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