Abstract:
Objective To observe the trends in medical expenses on hypertension and diabetes of highly skilled personnel (HSP) in Suzhou city, and to provide basis for nutrition-related non-infectious chronic diseases (NCDs) intervention and relevant medical expenses growth control towards HSP.
Conclusion A total of 47 129 HSP having senior technician certificate and entitled with social medical insurance were recruited to the current study. The medical data on outpatient or inpatient of patients diagnosed with hypertension and diabetes were retrieved from the Database of Suzhou Medical Insurance Information within the period of 2001 to 2012. Statistical analysis were applied to the obtained data.
Results From 2001 to 2012, 3 539 hypertension patients (7.51%) and 832 diabetes patients (1.77%) were identified in the database. The medical expenses (outpatient and inpatient) on hypertension and diabetes reached RMB 176.987 million yuan (14.27%) and RMB 129.184 million yuan (10.42%) respectively. The per capita medical expenses (outpatient and inpatient) on diabetes was higher than that on hypertension (P< 0.01). The per capita medical expenses (outpatient and inpatient) on diabetes in the male HSP was higher than that in the female (P< 0.01). For patients with hypertension, per capita outpatient medical expenses in the males was higher than that in the females (P< 0.01), and the gender difference in inpatient medical expenses was not statistically significant (P> 0.05). The average annual growth rates of medical expenses (outpatient and inpatient) on hypertension and diabetes were 21.95% and 19.28% respectively. In general, the annual medical expenses (outpatient and inpatient) and related growth rates (fixed base ratio) on hypertension and diabetes displayed a yearly growing tendency, except for a decline in 2012.
Conclusion Medical expenses on hypertension and diabetes consume a large proportion of the total medical expenses towards HSP in Suzhou city and show a growing tendency.
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