Catastrophic health expenditure and associated factors among adult diabetes patients at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

Out-of-pocket health expenditures impose a significant financial burden on diabetes patients and their families. Age above 60 years, a family size of 3-4, urban residence, duration of illness 6-10 years, and history of admission were significantly associated with catastrophic out-of-pocket health expenditure. Therefore, the government should strengthen financial protection mechanisms to protect diabetes patients from catastrophic out-of-pocket health expenditures.