Banu Tahmina, Chowdhury Tanvir K, Aziz Tasmiah T, Das Arni, Tamanna Nowrin, Pulock Orindom S, Imam Md Sharif, Karim Anwarul, Akter Mastura, Walid Adnan
Chittagong Research Institute for Children Surgery (CRICS), 29, Panchlaish R/A, Chittagong, Bangladesh.
Department of Pediatric Surgery, Chittagong Medical College and Hospital (CMCH), Chittagong, Bangladesh.
World J Surg. 2018 Dec;42(12):3841-3848. doi: 10.1007/s00268-018-4700-0.
Cost of getting health services is a major concern in Bangladesh as well as in many other countries. A family has to bear more than half of the health care cost despite many facilities provided by the public hospitals. This out-of-pocket (OOP) expenditure drives many families under the poverty line. The aim of this study was to find out the exact cost incurred by the family for a surgical operation of their child in the public and private sectors in Bangladesh.
A cross-sectional study was conducted to find out the cost of child surgery in different settings of public and private hospitals in Chittagong division, Bangladesh. Cost of herniotomy was then compared across different settings.
In this study, cost of operation in urban private hospitals was highest mostly due to surgeon and anesthetist fee. The cost was lowest in outreach programs as surgeon fee, anesthetist fee and accommodation cost was nil; food and transport cost was minimum. However, cost of accommodation, food, transport and medicine contributed significantly to OOP expenditure especially in tertiary-level public hospitals, in both indoor and day care settings, and also in private urban hospitals.
Our study provides some insight into the OOP expenditure in different health care settings in Bangladesh. This study might be useful in developing a strategy to minimize the OOP expenditure in this country.
在孟加拉国以及许多其他国家，获得医疗服务的成本是一个主要问题。尽管公立医院提供了许多设施，但家庭仍需承担一半以上的医疗费用。这种自付费用支出使许多家庭陷入贫困线以下。本研究的目的是查明孟加拉国家庭在公立和私立部门为其孩子进行外科手术所产生的确切费用。
进行了一项横断面研究，以查明孟加拉国吉大港区不同公立和私立医院环境下儿童手术的费用。然后比较了不同环境下疝气修补术的费用。
在本研究中，城市私立医院的手术费用最高，主要是由于外科医生和麻醉师的费用。外展项目的费用最低，因为外科医生费用、麻醉师费用和住宿费为零；食品和交通费用最低。然而，住宿、食品、交通和药品费用对自付费用支出有显著贡献，特别是在三级公立医院的室内和日间护理环境中，以及私立城市医院中。
我们的研究提供了对孟加拉国不同医疗保健环境下自付费用支出的一些见解。这项研究可能有助于制定一项战略，以尽量减少该国的自付费用支出。
