Tip 2 Diyabet Tanılı Hastaların Cepten Sağlık Harcamaları, Yaşam Kaliteleri ve İlaca Uyum Düzeylerinin İncelenmesi
Investigation of Out-of-Pocket Health Expenditures, Quality of Life and Medication Adherence Levels of Patients with Type 2 Diabetes

Summary/Abstract: The aim of this research is to determine the factors affecting the out-of-pocket health expenditures of patients diagnosed with type 2 diabetes, primarily quality of life and medication adherence. The research data were collected by questionnaire method from patients diagnosed with type 2 diabetes who applied to the internal medicine outpatient clinic of a public hospital operating in Bayburt. In this study, diabetes patients were easily selected by sampling and 350 type 2 diabetes patients were reached. The first part of the questionnaire includes sociodemographic information about the patients, the second part includes questions about out-of-pocket health expenditures of the patients, the third part includes the “SF-12 Quality of Life” scale, and the fourth part includes the “Medication Adherence Report Scale (MARS)” scale. The data obtained in this study were examined with SPSS 27.0 software and multivariate regression analysis was conducted. As a result of the research, it was determined that the annual average out-of-pocket expenditure of type 2 diabetes patients was 5,374 TL and that 66.34% of these expenditures were for private consumption food, 11.06% for private devices, 10.09% for non-prescription drugs, 6.81% for medicine, 3.37% for private health services, 1.88% for transportation, and 0.41% for examination co-payment. In addition, it has been found that out-of-pocket health expenses increase with a decrease in patients' mental quality of life and medication adherence levels. In addition, it has been found that the number of hospital admissions, the duration of illness, the presence of a family history of diabetes, being on a special diet related to diabetes, and gender are other important determinants of out-ofpocket health expenditures in patients with type 2 diabetes. According to the results obtained from the research findings, it is recommended that special nutrition, special tools, medicines and treatment costs should be covered more broadly within the scope of insurance in order to reduce out-of-pocket expenses of patients with diabetes. In addition, it is thought that the organization of education and awareness programs aimed at improving medication adherence and health-related quality of life in patients with diabetes will contribute to reducing out-of-pocket health expenses.

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