Direct medical costs among patients with type 2 diabetes mellitus with complications at Thieu Hoa District General Hospital, Thanh Hoa province, Vietnam in 2023

Objective: Analyze direct medical costs of type 2 diabetes mellitus patients with complications treated at Thieu Hoa District General Hospital in 2023 and some related factors. Research method: A cross-sectional study was collected from Electronic medical records of 1,793 outpatients with type 2 diabetes mellitus with complications receiving treatment at the Thieu Hoa District General Hospital, Thanh Hoa province, Vietnam from January 1st, 2023 to December 31st, 2023. Data were collected using Excel software and processed using STATA software. Results: The average age of patients with type 2 diabetes mellitus with complications is 66.611.1; female accounted for 55.4%. The percentage of patients had one complication (30.9%). Direct medical costs were 7,243,111,304 VND, of which health insurance paid 92.8% and patients co-paid 7.2%. Renal complications and eye complications had large payment components even though the number of patients was small. Factors directly rerlating to increased direct medical costs in patients with type 2 diabetes mellitus with complications were increased age, male, more number of ex-aminations per year, and more number of complications. Conclusion: The study provides insight into the disease state and direct medical costs for treating type 2 diabetes mellitus with complications showing high costs for medicine components and testing. Interventions are needed to effectively manage and treat type II diabetes mellitus patients with complications in the future. Keywords: Type 2 diabetes mellitus, complications, direct medical costs, Thieu Hoa General Hospital.