| Autor: |
Ellen J Weber, Hendry Robert Sawe, Juma A Mfinanga, Masuma A Gulamhussein, Said Kilindimo, Raya Mussa, Gimbo M Hyuha, Shamila Rwegoshora, Frida Shayo, Winnie Mdundo, Abid M Sadiq |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
BMJ Open, Vol 13, Iss 1 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2022-063297 |
| Popis: |
Objective We aimed to determine the out-of-pocket (OOP) costs for medical care of injured patients and the proportion of patients encountering catastrophic costs.Design Prospective cohort studySetting Emergency department (ED) of a tertiary-level hospital in Dar es Salaam, Tanzania.Participants Injured adult patients seen at the ED of Muhimbili National Hospital from August 2019 to March 2020.Methods During 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 measure The primary outcome was the proportion of patients with catastrophic health expenditure (CHE), using the WHO definition of OOP expenditures ≥40% of monthly income.Results We 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 |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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