The burden of chronic kidney disease among people with diabetes by insurance schemes: Findings from a primary referral hospital in Thailand

• DOI: 10.1016/j.deman.2021.100026
• Publication Date: 2021-11-07T01:27:22Z
• Authors: Sojib Bin Zaman; Rajat Das Gupta; Putthikrai Pramual; Raihan Kabir Khan; Chinakorn Sujimon...; Naznin Hossain; Mohammad Rifat Ha...; Md. Nazmul Karim; Gulam Muhammed Ki...; Sheikh Mohammdad ...
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Chronic kidney disease; Hypertension; Diabetes; Universal Health Coverage; Thailand; RC648-665; 16. Peace & justice; Diseases of the endocrine glands. Clinical endocrinology; 3. Good health

Background: Chronic Kidney Disease (CKD), a microvascular complication of diabetes, poses significant threat pre-mature deaths and morbidities globally, including Thailand. This study aimed to assess the burden CKD among people with diabetes by their health insurance schemes in rural Methods: Cross-sectional data were collected from clinical registry 4050 attending primary referral hospital northeastern Thailand between January 2015 December 2015. was defined based on determination estimated glomerular filtration rate (<60 mL/min/1.73 m2). Blood pressure, blood glucose, anthropometry measured. Information about schemes, namely, civil service medical benefits, social security, universal coverage, obtained participant's healthcare card. We performed multivariable logistic regression determine association corresponding schemes. Results: The majority participants aged at or over 60 years (56.6%), female (64.3%), farmers (60.1%), completed secondary level education (70.7%), hypertensive (57.3%). Among all, 25.3% had (n = 1027), ranging 26.9% coverage scheme 11.8% security scheme. Under benefits scheme, less likely [adjusted odds ratio: 0.8, 95% confidence interval: (0.6–0.9)] have than also greater 50–59 [2.3 (1.3–3.5)], 60–69 [6.4 (4.3–9.5)], ≥70-year-old [17.2 (12.5–28.1)] <50 years. People living hypertension higher odd having [1.8 (1.5–2.1)] normotensive people. Conclusions: A number who attended care for receiving management diabetes. Primary facilities can provide screening opportunities under package offer self-management programmes