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Impact of Non-Payment of Salaries on Treatment Interruption among Patients with Diabetes
Yoshio Shiimoto1, Atsushi Goto2,3, Izumi Nakayama2
1School of Medicine, Yokohama City University, Yokohama, Japan.
Introduction:
Financial stability during the coronavirus disease 2019 (COVID-19) pandemic was crucial for accessing health care services, including treatment for conditions such as diabetes mellitus. Understanding the relationship between non-payment of salaries and treatment interruption is vital.
Methods:
This cohort study investigated the association between non-payment of salaries and treatment interruption in Japanese patients with diabetes. Data from web-based nationwide surveys conducted between July and October 2020 and from January to March 2021 were used.
Results:
This study followed up 655 patients with diabetes over time. Of these participants, 15 (2.3%) had recently experienced non-payment for their treatment, whereas 36 (5.5%) had experienced non-payment in the past. Compared with those who received payment for their treatment, the risk ratios (RRs) of treatment interruption were 4.58 (95% confidence interval [CI] 2.34-8.97) for those with recent non-payment and 2.00 (95% CI 0.92-4.36) for those with past non-payment. The RRs for the 548 male participants were 3.67 (95% CI 1.58-8.51) and 2.06 (95% CI 0.88-4.86) for recent and past non-payment, respectively.
Conclusions:
In this longitudinal study of Japanese patients with diabetes, we identified an association between non-payment of salary and treatment interruption. Patients who experienced recent non-payment were more likely to experience interruptions in their scheduled care during the COVID-19 pandemic than those who experienced non-payment in the past.
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