Published June 2, 2017
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EMPOWERING KNOWLEDGE A WAY TO MINIMIZE HEALTH SPENDING: A REVIEW OF EMPIRICAL STUDIES
- 1. Ph.D Scholar, Rajiv Gandhi National Institute of Youth Development (RGNIYD), Chennai, Tamilnadu
- 2. Dean of School of Public Health, SRM University Chennai, Tamilnadu
- 3. Head of the Department, Department of Gender Studies, Rajiv Gandhi National Institute of Youth Development (RGNIYD), Chennai, Tamilnadu
Description
Diabetic type II is known as a silent illness exhibiting no symptoms until it develops very severe. Early and timely case detection therefore require active and opportunistic screening (Rema, Deepa & Mohan 2000). The untimely treatment and delay in diagnosis often increase the cost of diabetic care. The increasing spending on diabetic management and growing incidence of hospitalization led to think about alternative ways to best manage diabetics. Healthcare expenditures on diabetes account for 11.6% of the total healthcare expenditure in the world in 2010. About 80% of the countries spend between 5% and 13% of their total health expenditure on diabetes in 2010 (IDF, 2011). Hospital admission spending for diabetic inpatients with no complications ranged from 11 to 75% of per-capita income. Spending for patients with complications ranged from 6% to over 300% more than spending for patients without complications (Goldhaber-Fiebert JD, Li H, Ratanawijitrasin S, Vidyasagar S, Wang XY, Aljunid S, Shah N, Wang Z, Hirunrassamee S, Bairy KL, Wang J, Saperi S, Nur AM, Eggleston K 2009). Median cost per hospitalization, length of stay during admission, and cost of inpatient admission were all significantly higher for diabetic patients with a co-morbid condition (Tharkar S, Satyavani K, Viswanathan V, 2009).Increase in diabetic patients point to economic burden due to declining work productivity, early retirement, and sometimes premature death (WHO, 2002). An estimate by the International diabetic federation report suggest that more than half of the diabetic deaths are before 60 years of age (IDF, 2012 ) resulting in loss of productive work years. The prevention and cost effective ways to manage diabetics and non-communicable disease in general is gaining importance. Can countries spend more on health in changing global economic scenario is a question. India is facing an epidemic of diabetes, with growing prevalence (Ramachandran et.al, 2008). This study in this present health scenario is an attempt to understand if the health spending and quality of life are related to empowering knowledge.
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References
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