| Autor: |
Masuma A Gulamhussein, Hendry Robert Sawe, Said Kilindimo, Juma A Mfinanga, Raya Mussa, Gimbo M Hyuha, Shamila Rwegoshora, Frida Shayo, Winnie Mdundo, Abid M Sadiq, Ellen J Weber |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
BMJ Open. 13:e063297 |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2022-063297 |
| Popis: |
ObjectiveWe aimed to determine the out-of-pocket (OOP) costs for medical care of injured patients and the proportion of patients encountering catastrophic costs.DesignProspective cohort studySettingEmergency department (ED) of a tertiary-level hospital in Dar es Salaam, Tanzania.ParticipantsInjured adult patients seen at the ED of Muhimbili National Hospital from August 2019 to March 2020.MethodsDuring alternating 12-hour shifts, consecutive trauma patients were approached in the ED after stabilisation. A case report form was used to collect social-demographics and patient clinical profile. Total charges billed for ED and in-hospital care and OOP payments were obtained from the hospital billing system. Patients were interviewed by phone to determine the measures they took to pay their bills.Primary outcome measureThe primary outcome was the proportion of patients with catastrophic health expenditure (CHE), using the WHO definition of OOP expenditures ≥40% of monthly income.ResultsWe enrolled 355 trauma patients of whom 51 (14.4%) were insured. The median age was 32 years (IQR 25–40), 238 (83.2%) were male, 162 (56.6%) were married and 87.8% had ≥2 household dependents. The majority 224 (78.3%) had informal employment with a median monthly income of US$86. Overall, 286 (80.6%) had OOP expenses for their care. 95.1% of all patients had an Injury Severity Score ConclusionOOP costs place a significant economic burden on individuals and families. Measures to reduce injury and financial risk are needed in Tanzania. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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