Assessment of the Patient’s Experiences and Satisfaction in Diabetes Care and Out-of-Pocket Expenditure for Follow-Up Care among Diabetes Patients in the Urban Makkah Al-Mukarramah, in Saudi Arabia 2022

Abstract

Background:

     Diabetes Type 2 and/or hyperglycemia is associated with severe COVID-19 disease and increased mortality. It is now known that poor glucose control before hospital admission can be associated with a high risk of death. By achieving and maintaining glycemic control, primary care physicians (PCPs) play a critical role in limiting this potentially devastating outcome. Type 2 diabetes mellitus has huge economic burden for both patient and health-care system. Management of the condition in Saudi Arabia faces multiple challenges such as paucity of trained medical and paramedical staff, poor quality, lack of satisfaction with services, and unaffordability of services. Hence, this study was done to determine the level of satisfaction and the out-of pocket expenditure for type 2 diabetes patients receiving treatment from public and private sectors in urban of Makkah.

Aim of the study: To Assessment of the Patient’s Experiences and Satisfaction in Diabetes Care and Out-of-Pocket Expenditure for Follow-Up Care Among Diabetes Patients in the Urban Makkah, in Saudi Arabia 2022.

Method: Cross-sectional analytical study was carried out among diabetes patients residing in the Urban Health Centre in the Makkah service area, Urban Health Centre to a population of spread over 4 villages. Study was conducted during the months of August and September 2022. Our total participants were (200) patients with Type 2 Diabetes attending in PHC.

Results: distribution of the participant with satisfaction and heave a significant relation between the satisfaction and frequency while P-value <0.001 and X² 25.48, participant toward Satisfaction with Diabetes Care study results show the majority of participant weak Satisfied were (45.0%) while average satisfied were (38.0 %), regarding the Satisfaction about Out-of-Pocket Expenditure for Follow-Up the most of participant in average were (55.0%).

Conclusion: The cost of diabetes care is more for patients seeking care from private sector than public sector. Availability of insulin and free syringes in the primary health center, provision of specialized footwear, and spectacles free of cost can help in reducing the out-of-pocket expenditure, PCPs will treat an increasing number of patients with diabetes who have symptoms of post–COVID-19 infection.