Abstract:
OBJECTIVE:To estimate the costs of diagnosis and treatment of diabetes in Tanzania. DESIGN:Costs estimated from the reported and recorded experience of patients with newly presenting diabetes in 1989-90 and of diabetic patients first seen in 1981-2. SETTING:Muhimbili Medical Centre, Dar es Salaam. SUBJECTS:464 patients (315 men and 149 women). 262 patients diagnosed during 1 September 1989-31 August 1990 (group 1) and 202 during 1 June 1981-31 August 1982 (group 2). RESULTS:The average annual direct cost of diabetes care in 1989-90 was $287 for a patient requiring insulin and $103 for a patient not requiring insulin. Purchase of insulin accounted for 68.2% ($156) of the average annual outpatient costs for patients requiring insulin. For patients not requiring insulin the cost of oral hypoglycaemic drugs and treatment of chronic complications and infections accounted for 42.5% ($29.3) and 48.8% ($33.7) of costs respectively. Cost of outpatient care of diabetic patients for the whole of Tanzania was estimated at $2.7m, *75,128 (32.2%) of which was for insulin. Doctors' and nurses' costs accounted for 0.2% of total costs of outpatient care. The annual direct inpatient care costs were estimated at $1.25m. Around 0.2% of the Tanzanian population aged 15 years and over used the equivalent of 8% of the total government health expenditure, which was $47,4088,382. CONCLUSION:Diabetes places a severe strain on the limited resources of developing countries. If African patients with diabetes have to pay for their treatment most will be unable to do so and will die.
journal_name
BMJjournal_title
BMJ (Clinical research ed.)authors
Chale SS,Swai AB,Mujinja PG,McLarty DGdoi
10.1136/bmj.304.6836.1215keywords:
subject
Has Abstractpub_date
1992-05-09 00:00:00pages
1215-8issue
6836eissn
0959-8138issn
1756-1833journal_volume
304pub_type
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journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmj.b4609
更新日期:2009-12-03 00:00:00
abstract::Doctors and other health professionals in developing countries are missing out on relevant information about health. A lot of the information they need is available in the developed countries, and those who have it are happy to share it with them. But transporting information, like food or medicines, from one part of ...
journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章
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更新日期:1994-10-08 00:00:00
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pub_type: 杂志文章
doi:10.1136/bmj.314.7084.870
更新日期:1997-03-22 00:00:00
abstract:OBJECTIVE:To investigate a reported association between dental disease and risk of coronary heart disease. SETTING:National sample of American adults who participated in a health examination survey in the early 1970s. DESIGN:Prospective cohort study in which participants underwent a standard dental examination at bas...
journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章
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更新日期:1993-03-13 00:00:00
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journal_title:BMJ (Clinical research ed.)
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1136/bmj.38512.618681.E0
更新日期:2005-09-03 00:00:00
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更新日期:2003-05-17 00:00:00
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journal_title:BMJ (Clinical research ed.)
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doi:10.1136/bmj.300.6734.1229
更新日期:1990-05-12 00:00:00
abstract:OBJECTIVE:To evaluate risk of late life coronary heart disease associated with being overweight in late middle or old age and to assess whether weight change modifies this risk. DESIGN:Longitudinal study of subjects in the epidemiological follow up study of the national health and nutrition examination survey I. SETT...
journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章
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更新日期:1997-06-21 00:00:00
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pub_type: 杂志文章,多中心研究
doi:10.1136/bmj.b2655
更新日期:2009-07-28 00:00:00
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pub_type: 杂志文章
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更新日期:1996-01-13 00:00:00
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pub_type: 杂志文章
doi:10.1136/bmj.b2137
更新日期:2009-06-16 00:00:00
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journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章
doi:10.1136/bmj.303.6803.605
更新日期:1991-09-14 00:00:00
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pub_type: 杂志文章,meta分析
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更新日期:2020-09-23 00:00:00
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更新日期:1990-09-08 00:00:00
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更新日期:1992-04-25 00:00:00
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journal_title:BMJ (Clinical research ed.)
pub_type: 杂志文章
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更新日期:1990-07-07 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1996-05-11 00:00:00
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更新日期:1998-02-21 00:00:00
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更新日期:1994-02-26 00:00:00
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更新日期:1988-10-22 00:00:00
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更新日期:2011-07-07 00:00:00
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更新日期:2006-01-14 00:00:00
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pub_type: 杂志文章,meta分析,评审
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更新日期:2010-06-11 00:00:00
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更新日期:2000-03-25 00:00:00
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更新日期:1999-03-27 00:00:00
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更新日期:1989-07-01 00:00:00