Treatment Cost of Diabetic Patients in PIMS Hospital, Pakistan: A Case Study in Islamabad

Abstract

Objective: To determine the total cost of diabetic care from provider’s perspective in a public hospital; Pakistan Institute of Medical Sciences (PIMS)

Materials and Methods: Descriptive study based on retrospective selection 01 year (July, 2014 to June, 2015) of medical records of admitted diabetic patients, Medical Ward-6 of General Medicine at Pakistan Institute of Medical Sciences (PIMS), Islamabad. A step down cost accounting approach was used to estimate the costs. Costs included personnel, equipment, direct and indirect costs. Data about 1,580 admitted diabetic patients. Moreover, information about personnel cost, indirect cost and equipment cost were collected by reviewing of file records and related files by using Health Management Information System (HMIS) and by consulting with finance and administration department of the hospital.

Results: Total budget of PIMS hospital for the year 2015 was PKR. 2,385 million ($ 22,362,869) in which 3.5% (PKR. 83,475,000; $782,700) were allocated for Department of Medicine. In total 1,580 admitted patients of diabetes mellitus were included in the study period. The total annual burden of cost on the treatment of admitted patients of diabetes mellitus was PKR.58, 962,361 ($220,858) which was 70.6% of the total budget allocated for Department of Medicine. Direct costs were RKR. 858,046 (01%; $8,045). The total indirect cost were PKR. 6,588,260 (11%; $61,774) whereas personnel cost were PKR. 43,623,415 (74%; $409,033) while equipment cost absorbed PKR. 7,892,640 (13% of the total costs on RTA, $74,005).

Conclusion: The study concludes that measuring the hospital cost for providing diabetic care is useful and applicable in similar settings, and can be used in cost effectiveness analyses of health interventions. This could help build a large model based on the economic burden of diabetes care for the people living in the capital city.