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Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon
While the incidence of stroke is increasing in developing countries, resulting in an extremely high economic burden, very few costing studies have been carried out to date. This study aims to measure the direct hospital costs of stroke management in Gabon. The study adopts a retrospective approach,...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The African Field Epidemiology Network
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10491710/ https://www.ncbi.nlm.nih.gov/pubmed/37692986 http://dx.doi.org/10.11604/pamj.2023.45.95.35702 |
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author | Lipenguet, Gaëtan Moukoumbi Ngoungou, Edgard Brice Ibinga, Euloge Amani, Prudence Gnamien Engohang-Ndong, Jean Bivigou, Elsa Ayo Nsounda, Andréa Annick Wittwer, Jérôme |
author_facet | Lipenguet, Gaëtan Moukoumbi Ngoungou, Edgard Brice Ibinga, Euloge Amani, Prudence Gnamien Engohang-Ndong, Jean Bivigou, Elsa Ayo Nsounda, Andréa Annick Wittwer, Jérôme |
author_sort | Lipenguet, Gaëtan Moukoumbi |
collection | PubMed |
description | While the incidence of stroke is increasing in developing countries, resulting in an extremely high economic burden, very few costing studies have been carried out to date. This study aims to measure the direct hospital costs of stroke management in Gabon. The study adopts a retrospective approach, based on a review of patient records in the Neurology and Cardiology Departments of the University Hospital of Libreville (CHUL) between January 2018 and December 2019. It focuses on all patients received for stroke at the CHUL during the study period, regardless of the outcome, analyzing direct hospital costs. Three hundred and thirteen (313) patients were admitted during the period in question, 72.52% in neurology and 27.48% in cardiology. The average age was 58.44 (±13.73 years). Fifty-six percent (56.23%) had health coverage. Ischemic stroke was more common than hemorrhagic stroke, at 79.55% and 20.45%, respectively. The average expenditure per patient was estimated at 619,633 CFA francs (€944.62). From the point of view of social security coverage, the average out-of-pocket expense per patient was 147,140 CFA francs (€224.31), for a reimbursement of 422,883 CFA francs (€644.68). The average direct cost of stroke is very high for both patients and administrations. This argues for the implementation of prevention programs for the disease. The results of this study may be useful for work on the efficiency of such programs. |
format | Online Article Text |
id | pubmed-10491710 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | The African Field Epidemiology Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-104917102023-09-10 Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon Lipenguet, Gaëtan Moukoumbi Ngoungou, Edgard Brice Ibinga, Euloge Amani, Prudence Gnamien Engohang-Ndong, Jean Bivigou, Elsa Ayo Nsounda, Andréa Annick Wittwer, Jérôme Pan Afr Med J Program Evaluation While the incidence of stroke is increasing in developing countries, resulting in an extremely high economic burden, very few costing studies have been carried out to date. This study aims to measure the direct hospital costs of stroke management in Gabon. The study adopts a retrospective approach, based on a review of patient records in the Neurology and Cardiology Departments of the University Hospital of Libreville (CHUL) between January 2018 and December 2019. It focuses on all patients received for stroke at the CHUL during the study period, regardless of the outcome, analyzing direct hospital costs. Three hundred and thirteen (313) patients were admitted during the period in question, 72.52% in neurology and 27.48% in cardiology. The average age was 58.44 (±13.73 years). Fifty-six percent (56.23%) had health coverage. Ischemic stroke was more common than hemorrhagic stroke, at 79.55% and 20.45%, respectively. The average expenditure per patient was estimated at 619,633 CFA francs (€944.62). From the point of view of social security coverage, the average out-of-pocket expense per patient was 147,140 CFA francs (€224.31), for a reimbursement of 422,883 CFA francs (€644.68). The average direct cost of stroke is very high for both patients and administrations. This argues for the implementation of prevention programs for the disease. The results of this study may be useful for work on the efficiency of such programs. The African Field Epidemiology Network 2023-06-21 /pmc/articles/PMC10491710/ /pubmed/37692986 http://dx.doi.org/10.11604/pamj.2023.45.95.35702 Text en Copyright: Gaëtan Moukoumbi Lipenguet et al. https://creativecommons.org/licenses/by/4.0/The Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Program Evaluation Lipenguet, Gaëtan Moukoumbi Ngoungou, Edgard Brice Ibinga, Euloge Amani, Prudence Gnamien Engohang-Ndong, Jean Bivigou, Elsa Ayo Nsounda, Andréa Annick Wittwer, Jérôme Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon |
title | Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon |
title_full | Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon |
title_fullStr | Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon |
title_full_unstemmed | Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon |
title_short | Assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in Gabon |
title_sort | assessment of the direct hospital cost of medical care for patients hospitalized for a stroke in gabon |
topic | Program Evaluation |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10491710/ https://www.ncbi.nlm.nih.gov/pubmed/37692986 http://dx.doi.org/10.11604/pamj.2023.45.95.35702 |
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