Economic impact of counseling on the management of patients with type 2 diabetes mellitus admitted to a hospital

Abstract

Objective: The objective of the study was to study the impact of counseling on costs and effectiveness of type 2 diabetes mellitus (T2DM) outpatients in An-Nisa Hospital, Tangerang, Indonesia, period July 2016 to November 2016. Methods: This 4-month prospective quasi-experimental study was undertaken to analyzed the impact of counseling on cost and effectiveness in the treatment of patients with T2DM (n=30). The cost analysis was conducted from the perspective of Badan Penyelenggara Jaminan Sosial abbreviated as BPJS (Social Security Management Agency abbreviated as SSMA). Characteristics of the patients were analyzed using the Chi-Square method. Cost-effectiveness was analyzed by calculating cost-effectiveness ratio (CER) and Incremental CER (ICER) in groups with and without counseling. Results: The study indicated that most (70%) of the patients were female with ages: >45, 83.3%; ≤45, 16.7%. It was found that CER in groups: Without counseling, Rp4,111,785; with counseling, Rp582,875. ICER was Rp67,416. Conclusion: This study proved that counseling improved the outcome on the treatment of patients with T2DM.