孟加拉国治疗住院腹泻患者的护理人员费用。
Cost of Caregivers for Treating Hospitalized Diarrheal Patients in Bangladesh.
作者信息
Sarker Abdur Razzaque, Sultana Marufa, Ali Nausad, Akram Raisul, Alam Khorshed, Khan Jahangir A M, Morton Alec
机构信息
Health Economics and Financing Research, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr,b), 68, Shaheed Tajuddin Sarani, Dhaka 1212, Bangladesh.
Department of Management Science, University of Strathclyde, Glasgow G4 0QU, UK.
出版信息
Trop Med Infect Dis. 2018 Dec 26;4(1):5. doi: 10.3390/tropicalmed4010005.
INTRODUCTION
Diarrheal diseases are a global public health problem and one of the leading causes of mortality, morbidity and economic loss. The objective of the study is to estimate the economic cost of caregivers and cost distribution per diarrheal episodes in Bangladesh.
METHODS
This was a cross-sectional hospital-based study conducted in public hospitals in Bangladesh. A total of 801 diarrheal patients were randomly selected and interviewed during January to December 2015. Simple descriptive statistics including frequencies, percentage, mean with 95% CI and median are presented.
RESULTS
The overall average cost of caregivers was BDT 2243 (US$ 28.58) while only BDT 259 (US$ 3.29) was spent as out of pocket payments. Caregivers mostly spent money (US$ 1.63) for food, lodging, utility bills, and other lump sum costs followed by the transportation costs (US$ 1.57). The caregivers spent more (US$ 44.45) when they accompanied the patients who were admitted in inpatients care and almost 3.6 times higher than for out-patients care (US$ 12.42).
CONCLUSIONS
The study delivers an empirical evidence to the health-care programmers and policy makers about the economic cost of caregivers during diarrheal treatment care, which should be accounted for in designing future diarrheal prevention programme.
引言
腹泻病是一个全球性的公共卫生问题,是导致死亡、发病和经济损失的主要原因之一。本研究的目的是估计孟加拉国照顾者的经济成本以及每例腹泻发作的成本分布。
方法
这是一项在孟加拉国公立医院开展的基于医院的横断面研究。2015年1月至12月期间,共随机选取801例腹泻患者并进行访谈。呈现了包括频数、百分比、95%置信区间的均值和中位数在内的简单描述性统计数据。
结果
照顾者的总体平均成本为2243孟加拉塔卡(28.58美元),而自付费用仅为259孟加拉塔卡(3.29美元)。照顾者大多将钱(1.63美元)花在食品、住宿、水电费和其他一次性费用上,其次是交通费用(1.57美元)。当照顾者陪伴住院患者时,花费更多(44.45美元),几乎是门诊患者护理花费(12.42美元)的3.6倍。
结论
该研究为卫生保健规划者和政策制定者提供了关于腹泻治疗护理期间照顾者经济成本的实证依据,在设计未来的腹泻预防计划时应予以考虑。