Availability and affordability of diabetes healthcare services associated with the frequency of diabetes-related complications
Abstract Aims Understanding the healthcare access challenges facing diabetic patients in low- and middle-income countries is very important. The present study investigated the association between availability (physical access) and affordability (economic access) to diabetes healthcare services and t...
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2024-12-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-024-12065-x |
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| author | Mehran Alijanzadeh Sima Hashemipour Fereshteh Attaran Samira Saremi Leila Modarresnia Hamidreza Ghafelehbashi Mark D. Griffiths Zainab Alimoardi |
| author_facet | Mehran Alijanzadeh Sima Hashemipour Fereshteh Attaran Samira Saremi Leila Modarresnia Hamidreza Ghafelehbashi Mark D. Griffiths Zainab Alimoardi |
| author_sort | Mehran Alijanzadeh |
| collection | DOAJ |
| description | Abstract Aims Understanding the healthcare access challenges facing diabetic patients in low- and middle-income countries is very important. The present study investigated the association between availability (physical access) and affordability (economic access) to diabetes healthcare services and the frequency of diabetes-related complications. Methods A cross-sectional survey study was conducted between February and May 2023 in Qazvin, Iran. Using convenience sampling, 373 type 2 diabetic patients (mean age = 57.99 years; SD = 11.71) referred to diabetic specialists’ clinics were surveyed. Demographic characteristics, physical access to diabetes healthcare services, economic access to diabetes healthcare services, and frequency of diabetes-related complications (FDRCs) were assessed. Data were assessed using linear regression analysis. Results The mean total access score to healthcare services was 17.71 (out of 30; SD ± 4.21; range 6–30). Patients who had more access to healthcare services had less diabetes-related complications (p < 0.005). There was a significant negative correlation (p < 0.01) between FDRCs and (i) physical access to diabetes-related healthcare services (r = -0.166) and (ii) economic access to diabetes-related healthcare services (r = -0.153). Linear regression analysis showed that with each unit increase in participants’ economic, physical and total access to diabetes-related healthcare services, the FDRCs among participants decreased by 8.7%, 13.5%, and 8.8% respectively. Conclusion The results indicate that increased physical accessibility (availability) and economic accessibility (affordability) of healthcare services are associated with fewer diabetes-related complications. Therefore, policymakers and healthcare managers need to reduce diabetes-related complications by implementing schemes to increase patient access to diabetes treatment services. |
| format | Article |
| id | doaj-art-bc72d5c99f0d491fb48be88f5b64a76c |
| institution | DOAJ |
| issn | 1472-6963 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj-art-bc72d5c99f0d491fb48be88f5b64a76c2025-08-20T02:39:51ZengBMCBMC Health Services Research1472-69632024-12-0124111010.1186/s12913-024-12065-xAvailability and affordability of diabetes healthcare services associated with the frequency of diabetes-related complicationsMehran Alijanzadeh0Sima Hashemipour1Fereshteh Attaran2Samira Saremi3Leila Modarresnia4Hamidreza Ghafelehbashi5Mark D. Griffiths6Zainab Alimoardi7Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical SciencesMetabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical SciencesMetabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical SciencesMetabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical SciencesMetabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical SciencesMetabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical SciencesInternational Gaming Research Unit, Psychology Department, Nottingham Trent UniversitySocial Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical SciencesAbstract Aims Understanding the healthcare access challenges facing diabetic patients in low- and middle-income countries is very important. The present study investigated the association between availability (physical access) and affordability (economic access) to diabetes healthcare services and the frequency of diabetes-related complications. Methods A cross-sectional survey study was conducted between February and May 2023 in Qazvin, Iran. Using convenience sampling, 373 type 2 diabetic patients (mean age = 57.99 years; SD = 11.71) referred to diabetic specialists’ clinics were surveyed. Demographic characteristics, physical access to diabetes healthcare services, economic access to diabetes healthcare services, and frequency of diabetes-related complications (FDRCs) were assessed. Data were assessed using linear regression analysis. Results The mean total access score to healthcare services was 17.71 (out of 30; SD ± 4.21; range 6–30). Patients who had more access to healthcare services had less diabetes-related complications (p < 0.005). There was a significant negative correlation (p < 0.01) between FDRCs and (i) physical access to diabetes-related healthcare services (r = -0.166) and (ii) economic access to diabetes-related healthcare services (r = -0.153). Linear regression analysis showed that with each unit increase in participants’ economic, physical and total access to diabetes-related healthcare services, the FDRCs among participants decreased by 8.7%, 13.5%, and 8.8% respectively. Conclusion The results indicate that increased physical accessibility (availability) and economic accessibility (affordability) of healthcare services are associated with fewer diabetes-related complications. Therefore, policymakers and healthcare managers need to reduce diabetes-related complications by implementing schemes to increase patient access to diabetes treatment services.https://doi.org/10.1186/s12913-024-12065-xDiabetic patientsHealthcare systemPhysical accessibilityEconomic accessibilityDiabetes-related complications |
| spellingShingle | Mehran Alijanzadeh Sima Hashemipour Fereshteh Attaran Samira Saremi Leila Modarresnia Hamidreza Ghafelehbashi Mark D. Griffiths Zainab Alimoardi Availability and affordability of diabetes healthcare services associated with the frequency of diabetes-related complications BMC Health Services Research Diabetic patients Healthcare system Physical accessibility Economic accessibility Diabetes-related complications |
| title | Availability and affordability of diabetes healthcare services associated with the frequency of diabetes-related complications |
| title_full | Availability and affordability of diabetes healthcare services associated with the frequency of diabetes-related complications |
| title_fullStr | Availability and affordability of diabetes healthcare services associated with the frequency of diabetes-related complications |
| title_full_unstemmed | Availability and affordability of diabetes healthcare services associated with the frequency of diabetes-related complications |
| title_short | Availability and affordability of diabetes healthcare services associated with the frequency of diabetes-related complications |
| title_sort | availability and affordability of diabetes healthcare services associated with the frequency of diabetes related complications |
| topic | Diabetic patients Healthcare system Physical accessibility Economic accessibility Diabetes-related complications |
| url | https://doi.org/10.1186/s12913-024-12065-x |
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