Economic Burden of Non-medicinal Poisoning From Healthcare Provider Perspective in ۲۰۲۰: A Prevalence-Based Cost-of-Illness Study in Thailand

Background  Between ۲۰۱۰ and ۲۰۱۹ in Thailand, hospital admissions due to toxic effects of non-medicinal substances (International Classification of Diseases ۱۰th Revision [ICD-۱۰] codes: T۵۱-T۶۵) ranged from ۵۹.۷۸ to ۸۷.۴۷ per ۱۰۰ ۰۰۰ population. The objective of this study was to estimate the costs of non-medicinal poisoning from healthcare provider perspective, and identify factors associated with the costs in Thailand for the year ۲۰۲۰. Methods  This was a prevalence-based cost-of-illness study conducted from healthcare provider perspective, analysing data from five hospitals (four regional and one provincial) across the Central, North, and Northeast regions of Thailand. We included all patients diagnosed with non-medicinal poisoning (ICD-۱۰ codes: T۵۱-T۶۵) during the fiscal year ۲۰۲۰. Direct medical costs were calculated from hospital databases, estimating the cost per outpatient/emergency visit and the cost per hospital admission. Multiple regression analysis was used to determine the factors affecting these costs. All total costs were converted to international dollar (Int) for ۲۰۲۰. Results  A total of ۳۲۶۰ patients were included (۲۴۷۲ outpatient visits and ۷۸۸ admissions). The mean age was ۳۹ years, with ۵۱% being male. The mean cost per outpatient visit was Int ۴۷, and the mean cost per admission was Int ۸۹۶. Key factors significantly associated with higher costs included patient type (outpatient vs admission), length of stay (LOS), age, insurance scheme, diagnosis group, and the presence of comorbidities. Conclusion  This study provided critical, updated data that can inform health policy by emphasizing the economic burden of non-medicinal poisoning. These findings underscore the need for strengthening poisoning prevention and early intervention services and offer essential data for conducting future economic evaluation studies of relevant interventions in Thailand.

کلیدواژه ها:

Economic Burden ، Non-medicinal Poisoning ، Cost-of-Illness ، Thailand