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Living with Diabetes in China

Research Partnership, January 2011, Pages: 163

An in-depth analysis of the T2D market in China, unveiling patients’ attitudes, feelings, BGM usage, treatment programmes, compliance, source of information, share of wallet and needs for coping with life with diabetes. The report also includes a meaningful segmentation for communicating with patients.

The research study ‘Living with Diabetes in China’ offers insight into how patients in China manage life with type 2 diabetes. Following on from studies conducted in the US, UK and Germany, this survey reveals that for people in China life with diabetes carries a price – not just on their physical health but also on their wallet, their time and their overall enjoyment of life. Although patients in China are able to reimburse some of their healthcare costs, on average they spend 421 RMB per month on out-of-pocket expenses treating their condition and travelling to the hospital for treatment. They also spend almost 11 hours per month managing their illness. Insulin users will have to spend the most out-of-pocket, close to double that of OAD users. Given that the average earnings are reported to be about 4,500 RMB per month in Tier 1 cities Beijing and Shanghai and around 2,000 RMB per month in Tier 2 cities, treating diabetes is a considerable expense, even for wealthy Chinese. Despite this, the survey found that only 1 in 5 patients will ask their doctors for less expensive treatments.

‘Living with Diabetes China’, which was carried out via face-to-face interviews in the major urban cities of China, asked over 1,000 patients diagnosed with type 2 diabetes a range of questions on their attitudes, feelings, health status, drug treatment programmes and needs for coping with life with diabetes. The study, which is one of a range of topical-based market reports available from The Research Partnership, aims to help the pharmaceutical and healthcare industry understand what life is like with an illness from the patient perspective.

According to current statistics, over 43m people in China have now been diagnosed with type 2 diabetes and that figure is set to continue to rise with the increased urbanisation of China and the adoption of more western lifestyles. According to a recent study published in the New England Journal of Medicine (NEJM) one in 10 Chinese adults from a survey of 46,000 adults have the disease, whilst another 16% were on the verge of developing it.

Findings from the ‘Living with Diabetes China’ study reveal that one in three type 2 diabetics in China do not feel they are successful in managing their diabetes and one in ten patients admit that their doctor gets annoyed because they are not managing their condition well. 12% of patients believe that having diabetes has a large impact on their ability to engage in leisure activities and 10% say it has a large impact on their sex drive and general mood. Half of patients say that it has at least a moderate impact on many aspects of life, including their ability to work, to engage in family activities and to sleep properly. A quarter of patients feel that they are constantly reminded of the fact that they have diabetes.

Order this insightful report to receive a deeper understanding of:

- Life with diabetes from the patient's perspective
- The real world context of patients' lives in which products and communications work
- The filters patients apply to drug decisions
- Insights into the experiences and perceptions that ultimately shape treatment decisions
- An attitudinal segmentation of people with type 2 diabetes in the Chinese market

1. Living with Diabetes

Life as a diabetic

- Success in self-management of diabetes

- Extent to which diabetes has impacted life

- Attitudes to aspects of living with diabetes

- Attitudes to role of disease vis-à-vis friends and family

- Attitudes to publicity surrounding diabetes

Controlling diabetes

- Major motivation to control diabetes

- Awareness of linked conditions and extent of worry about these

Interaction with the doctor

- Attitudes to the interaction with the treating physician

Feelings about diabetes

- Feelings at diagnosis and feelings now

Blood Glucose Meter

- SMBG usage

- Reasons for non-use

- Doctor recommendation and involvement of SMBG

- Usage attitudes and behaviour

- Doctor monitoring of BGM results

- Likelihood to switch

Source of information

- Information accessibility & credibility

2. Treatment

Current treatment
- Breakdown by type
-- OAD – Specific product and duration
-- Insulin – Specific product and duration – Frequency of insulin intake
- Satisfaction with current treatment

Previous treatments

- Feelings at diagnosis and feelings now

- Treatments ever received / been recommended

- Previous treatments and duration

Insulin injection

- Level of anxiety when first using insulin

- Time taken to become comfortable with insulin injection

Future treatment

- Desired improvement in therapy

- Desired specific improvements

3. Patients compliance

Level of compliance

- Attitude to taking diabetes medication

- Adaptability when taking a new prescription
4. Health status

Personal health

- Concomitant conditions and illnesses ever suffered

- Attitudes to general health

- Height, weight, BMI and waist measurement

- Current HbA1c level

Eating

- Attitudes to healthy eating

- Advice received in last year around eating; extent to which this advice was followed

Exercise

- Current exercise levels

- Attitudes to exercise

- Advice received in last year around exercise; extent to which this advice was followed

Smoking

- Current smoking habits and intent to stop smoking

- Advice received in last year around smoking; extent to which this advice was followed

Alcohol consumption

- Current level of alcohol consumption

- Advice received in last year around alcohol consumption; extent to which this advice was followed

5. Share of wallet

Overall expenses

- Medication treatment

- Monitoring

- Logistics, travelling to and from hospital

- Time spent treating and managing the disease.

6. Demographic information

Breakdown of sample

- Demographics (gender, age, city, ethnicity, work status and type of work)

- Time since diagnosis

- Type of hospital frequented

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