Hospital admission for type 2 diabetes mellitus under the Universal Coverage Scheme in Thailand: A time- and geographical-trend analysis, 2009-2016.

<h4>Background</h4>Descriptive analyses of 2009-2016 were performed using the data of the Universal Coverage Scheme (UCS) which covers nearly 70 percent of the Thai population. The analyses described the time and geographical trends of nationwide admission rates of type 2 diabetes mellit...

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Autores principales:	Tanapat Laowahutanon, Haruyo Nakamura, Hisateru Tachimori, Shuhei Nomura, Tippawan Liabsuetrakul, Apiradee Lim, Petch Rawdaree, Netnapis Suchonwanich, Hiroyuki Yamamoto, Aya Ishizuka, Kenji Shibuya, Hiroaki Miyata, Virasakdi Chongsuvivatwong
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/f5ff10f0c47147f3b77aa21c6699b848
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spelling	oai:doaj.org-article:f5ff10f0c47147f3b77aa21c6699b8482021-12-02T20:05:14ZHospital admission for type 2 diabetes mellitus under the Universal Coverage Scheme in Thailand: A time- and geographical-trend analysis, 2009-2016.1932-620310.1371/journal.pone.0253434https://doaj.org/article/f5ff10f0c47147f3b77aa21c6699b8482021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0253434https://doaj.org/toc/1932-6203<h4>Background</h4>Descriptive analyses of 2009-2016 were performed using the data of the Universal Coverage Scheme (UCS) which covers nearly 70 percent of the Thai population. The analyses described the time and geographical trends of nationwide admission rates of type 2 diabetes mellitus (T2DM) and its complications, including chronic kidney disease (CKD), myocardial infarction, cerebrovascular diseases, retinopathy, cataract, and diabetic foot amputation.<h4>Methods and findings</h4>The database of T2DM patients aged 15-100 years who were admitted between 2009 and 2016 under the UCS and that of the UCS population were retrieved for the analyses. The admitted cases of T2DM were extracted from the database using disease codes of principal and secondary diagnoses defined by the International Classification of Diseases 9th and 10th Revisions. The T2DM admission rates in 2009-2016 were the number of admissions divided by the number of the UCS population. The standardized admission rates (SARs)were further estimated in contrast to the expected number of admissions considering age and sex composition of the UCS population in each region. A linearly increased trend was found in T2DM admission rates from 2009 to 2016. Female admission rates were persistently higher than that of males. In 2016, an increase in the T2DM admission rates was observed among the older ages relative to that in 2009. Although the SARs of T2DM were generally higher in Bangkok and central regions in 2009, except that with CKD and foot amputation which had higher trends in northeastern regions, the geographical inequalities were fairly reduced by 2016.<h4>Conclusion</h4>Admission rates of T2DM and its major complications increased in Thailand from 2009 to 2016. Although the overall geographical inequalities in the SARs of T2DM were reduced in the country, further efforts are required to improve the health system and policies focusing on risk factors and regions to manage the increasing T2DM.Tanapat LaowahutanonHaruyo NakamuraHisateru TachimoriShuhei NomuraTippawan LiabsuetrakulApiradee LimPetch RawdareeNetnapis SuchonwanichHiroyuki YamamotoAya IshizukaKenji ShibuyaHiroaki MiyataVirasakdi ChongsuvivatwongPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0253434 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tanapat Laowahutanon Haruyo Nakamura Hisateru Tachimori Shuhei Nomura Tippawan Liabsuetrakul Apiradee Lim Petch Rawdaree Netnapis Suchonwanich Hiroyuki Yamamoto Aya Ishizuka Kenji Shibuya Hiroaki Miyata Virasakdi Chongsuvivatwong Hospital admission for type 2 diabetes mellitus under the Universal Coverage Scheme in Thailand: A time- and geographical-trend analysis, 2009-2016.
description	<h4>Background</h4>Descriptive analyses of 2009-2016 were performed using the data of the Universal Coverage Scheme (UCS) which covers nearly 70 percent of the Thai population. The analyses described the time and geographical trends of nationwide admission rates of type 2 diabetes mellitus (T2DM) and its complications, including chronic kidney disease (CKD), myocardial infarction, cerebrovascular diseases, retinopathy, cataract, and diabetic foot amputation.<h4>Methods and findings</h4>The database of T2DM patients aged 15-100 years who were admitted between 2009 and 2016 under the UCS and that of the UCS population were retrieved for the analyses. The admitted cases of T2DM were extracted from the database using disease codes of principal and secondary diagnoses defined by the International Classification of Diseases 9th and 10th Revisions. The T2DM admission rates in 2009-2016 were the number of admissions divided by the number of the UCS population. The standardized admission rates (SARs)were further estimated in contrast to the expected number of admissions considering age and sex composition of the UCS population in each region. A linearly increased trend was found in T2DM admission rates from 2009 to 2016. Female admission rates were persistently higher than that of males. In 2016, an increase in the T2DM admission rates was observed among the older ages relative to that in 2009. Although the SARs of T2DM were generally higher in Bangkok and central regions in 2009, except that with CKD and foot amputation which had higher trends in northeastern regions, the geographical inequalities were fairly reduced by 2016.<h4>Conclusion</h4>Admission rates of T2DM and its major complications increased in Thailand from 2009 to 2016. Although the overall geographical inequalities in the SARs of T2DM were reduced in the country, further efforts are required to improve the health system and policies focusing on risk factors and regions to manage the increasing T2DM.
format	article
author	Tanapat Laowahutanon Haruyo Nakamura Hisateru Tachimori Shuhei Nomura Tippawan Liabsuetrakul Apiradee Lim Petch Rawdaree Netnapis Suchonwanich Hiroyuki Yamamoto Aya Ishizuka Kenji Shibuya Hiroaki Miyata Virasakdi Chongsuvivatwong
author_facet	Tanapat Laowahutanon Haruyo Nakamura Hisateru Tachimori Shuhei Nomura Tippawan Liabsuetrakul Apiradee Lim Petch Rawdaree Netnapis Suchonwanich Hiroyuki Yamamoto Aya Ishizuka Kenji Shibuya Hiroaki Miyata Virasakdi Chongsuvivatwong
author_sort	Tanapat Laowahutanon
title	Hospital admission for type 2 diabetes mellitus under the Universal Coverage Scheme in Thailand: A time- and geographical-trend analysis, 2009-2016.
title_short	Hospital admission for type 2 diabetes mellitus under the Universal Coverage Scheme in Thailand: A time- and geographical-trend analysis, 2009-2016.
title_full	Hospital admission for type 2 diabetes mellitus under the Universal Coverage Scheme in Thailand: A time- and geographical-trend analysis, 2009-2016.
title_fullStr	Hospital admission for type 2 diabetes mellitus under the Universal Coverage Scheme in Thailand: A time- and geographical-trend analysis, 2009-2016.
title_full_unstemmed	Hospital admission for type 2 diabetes mellitus under the Universal Coverage Scheme in Thailand: A time- and geographical-trend analysis, 2009-2016.
title_sort	hospital admission for type 2 diabetes mellitus under the universal coverage scheme in thailand: a time- and geographical-trend analysis, 2009-2016.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/f5ff10f0c47147f3b77aa21c6699b848
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Hospital admission for type 2 diabetes mellitus under the Universal Coverage Scheme in Thailand: A time- and geographical-trend analysis, 2009-2016.

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