Assessment of the impact of heart failure on household economic well-being: a protocol.

Autor:	Harikrishnan S; ICMR Centre for Advanced Research and Excellence In Heart Failure (CARE-HF), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India., Ganapathi S; ICMR Centre for Advanced Research and Excellence In Heart Failure (CARE-HF), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India., Reethu S; ICMR Centre for Advanced Research and Excellence In Heart Failure (CARE-HF), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India., Bahl A; Post Graduate Institute of Medical Education and Research, Chandigarh, India., Katageri A; Sri Jayadeva Institute of Cardiovascular Sciences and Research, Kalaburagi, India., Mishra A; North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, India., Alex AG; Christian Medical College Hospital, Vellore, India., Roy B; Zydus Hospital, Ahmedabad, India., Mohan B; Dayanand Medical College Hospital, Ludhiana, India., Joshi H; Apollo Hospitals International Ltd, Gandhinagar, India., Abdullakutty J; Lisie Hospital, Ernakulam, India., Paul J; Madras Medical College, Chennai, India., Rai M; KMC Hospital, Mangaluru, India., Manjunath C; Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bengaluru, India., Negi PC; Indira Gandhi Medical College Hospital, Shillong, India., Rajasekhar D; Sri Venkateswara Institute of Medical Sciences, Tirupati, India., Sethi R; King George's Medical University, Lucknow, India., Routray S; SCB Medical College, Cuttack, India., Shanmugasundaram R; PSG Institute of Medical Sciences and Research, Coimbatore, India., Padhi SS; MMI Narayana Multispeciality Hospital, Raipur, India., Reddy P SS; Kims Hospitals Kondapur, Hyderabad, India., Jeemon P; ICMR Centre for Advanced Research and Excellence In Heart Failure (CARE-HF), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
Jazyk:	angličtina
Zdroj:	Wellcome open research [Wellcome Open Res] 2021 Nov 09; Vol. 6, pp. 167. Date of Electronic Publication: 2021 Nov 09 (Print Publication: 2021).
DOI:	10.12688/wellcomeopenres.16709.2
Abstrakt:	Background: Heart failure (HF), which is an emerging public health issue, adversely affects the strained health system in India. The adverse impact of HF on the economic well-being has been narrated in various anecdotal reports from India, with affected individuals and their dependents pushed into the vicious cycle of poverty. There is limited research quantifying how HF impacts the economic well-being of households from low- and middle-income countries. Methods: We describe the methods of a detailed economic impact assessment of HF at the household level in India. The study will be initiated across 20 hospitals in India, which are part of the National heart Failure Registry (NHFR). The selected centres represent different regions in India, stratified based on the prevailing stages of epidemiological transition levels (ETLs). We will collect data from 1800 patients with acute decompensated HF and within 6-15 months follow-up from the time of initial admission. The data that we intend to collect will consist of a) household healthcare expenditure including out-of-pocket expenditure, b) financing mechanisms used by households and (c) the impoverishing effects of health expenditures including distress financing and catastrophic health expenditure. Trained staff at each centre will collect data by using a validated and structured interview schedule. The study will have 80% power to detect an 8% difference in the proportion of households experiencing catastrophic health expenditures between two ETL groups.  After considering a non-response rate of 5%, the target sample size is approximately 600 patients from each group and the total sample size is 1800 patients. Potential Impact: Our study will provide information on catastrophic health spending, distress financing and household expenditure in heart failure patients. Our findings will help policy makers in understanding the micro-economic impact of HF in India and aid in allocation of appropriate resources for prevention and control of HF. Competing Interests: No competing interests were disclosed. (Copyright: © 2021 Harikrishnan S et al.)
Databáze:	MEDLINE
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