Out-of-pocket expenditure and opportunity cost of leptospirosis patients at a tertiary care hospital of Gujarat, India
| Autor: | Sridhar Ryavanki Prahlad, R. K. Baxi, Naresh R Godara |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Percentile
Opportunity cost business.industry Short Communication lcsh:Public aspects of medicine tertiary hospital Public Health Environmental and Occupational Health government lcsh:RA1-1270 Tertiary care hospital medicine.disease Leptospirosis out-of-pocket expenditure Environmental health medicine leptospirosis opportunity cost Personal interview business |
| Zdroj: | Indian Journal of Community Medicine, Vol 45, Iss 3, Pp 363-366 (2020) Indian Journal of Community Medicine : Official Publication of Indian Association of Preventive & Social Medicine |
| ISSN: | 1998-3581 0970-0218 |
| Popis: | Introduction: The study investigates the cost incurred by leptospirosis patients as either out-of-pocket expenditure (OOPE) or opportunity cost (OC) and recommends accordingly for the national program on leptospirosis in India. Objectives: The objective of this study is to determine leptospirosis-related OOPE and OC at a government tertiary care hospital and to disaggregate the total OOPE into contributing cost domains. Materials and Methods: The OOPE data were collected by the personal interview of confirmed leptospirosis cases who took complete treatment at the hospital in year 2009 using a prestructured questionnaire. The patients were interviewed daily until discharge to know daily OOPE. Results: The mean OOPE per patient was Rs. 2157/-, Median: Rs. 1880/-, 25th–75th percentile: Rs. 1446 – Rs 2587.5). The lowest quintile for OOPE was Rs. 1330/- and the highest quintile was Rs. 2874/-. Loss of daily wages was 68% (Rs. 1458.9/-) of the total OOPE. Other major expenditure included cost of drugs Rs. 308.8/- (14%), expenditure on food Rs. 173/- (8%), and travelling expenses Rs. 204.4/- (9%). Conclusions: Rs. 2157/- is significant OOPE, and hence, important factor in understanding health-seeking behavior and compliance of leptospirosis patients. The OC (loss of daily wages) amounts to 68% of total OOPE which has to addressed by the government to realize universal health coverage. |
| Databáze: | OpenAIRE |
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