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Cost of Intensive Care Treatment for Liver Disorders at Tertiary Care Level in India

BACKGROUND: Liver diseases contribute significantly to the health and economic burden globally. We undertook this study to assess the health system costs, out-of-pocket (OOP) expenditure and extent of financial risk protection associated with treatment of liver disorders in a tertiary care public se...

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Autores principales: Prinja, Shankar, Bahuguna, Pankaj, Duseja, Ajay, Kaur, Manmeet, Chawla, Yogesh Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5972113/
https://www.ncbi.nlm.nih.gov/pubmed/29623618
http://dx.doi.org/10.1007/s41669-017-0041-4
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author Prinja, Shankar
Bahuguna, Pankaj
Duseja, Ajay
Kaur, Manmeet
Chawla, Yogesh Kumar
author_facet Prinja, Shankar
Bahuguna, Pankaj
Duseja, Ajay
Kaur, Manmeet
Chawla, Yogesh Kumar
author_sort Prinja, Shankar
collection PubMed
description BACKGROUND: Liver diseases contribute significantly to the health and economic burden globally. We undertook this study to assess the health system costs, out-of-pocket (OOP) expenditure and extent of financial risk protection associated with treatment of liver disorders in a tertiary care public sector hospital in India. METHODOLOGY: The present study was undertaken in an intensive care unit (ICU) of a tertiary care hospital in North India. It comprised an ICU and an HDU (high dependency unit). Bottom-up micro-costing was undertaken to assess the health system costs. Data on OOP expenditure and indirect costs were collected for 150 liver disorder patients admitted to the ICU or HDU from December 2013 to October 2014. Per-patient and per-bed-day costs of treatment were estimated from both health system and patient perspectives. Financial risk protection was assessed by computing prevalence of catastrophic health expenditure as a result of OOP expenditure. RESULTS: In 2013–2014, health system costs per patient treated in the ICU and HDU were US$2728 [Indian National Rupee (INR) 1,63,664] and US$1966 (INR 1,17,985), respectively. The mean OOP expenditures for treatment in the ICU and HDU were US$2372 (INR 1,42,297) and US$1752 (INR 1,05,093), respectively. Indirect costs of hospitalization in ICU and HDU patients were US$166 (INR 9952) and US$182 (INR 10,903), respectively. CONCLUSION: Treatment of chronic liver disorders poses an economic challenge for both the health system and patients. There is a need to focus on prevention of liver disorders, and finding ways to treat patients without exposing their households to the catastrophic effect of OOP expenditure. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s41669-017-0041-4) contains supplementary material, which is available to authorized users.
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spelling pubmed-59721132018-07-06 Cost of Intensive Care Treatment for Liver Disorders at Tertiary Care Level in India Prinja, Shankar Bahuguna, Pankaj Duseja, Ajay Kaur, Manmeet Chawla, Yogesh Kumar Pharmacoecon Open Original Research Article BACKGROUND: Liver diseases contribute significantly to the health and economic burden globally. We undertook this study to assess the health system costs, out-of-pocket (OOP) expenditure and extent of financial risk protection associated with treatment of liver disorders in a tertiary care public sector hospital in India. METHODOLOGY: The present study was undertaken in an intensive care unit (ICU) of a tertiary care hospital in North India. It comprised an ICU and an HDU (high dependency unit). Bottom-up micro-costing was undertaken to assess the health system costs. Data on OOP expenditure and indirect costs were collected for 150 liver disorder patients admitted to the ICU or HDU from December 2013 to October 2014. Per-patient and per-bed-day costs of treatment were estimated from both health system and patient perspectives. Financial risk protection was assessed by computing prevalence of catastrophic health expenditure as a result of OOP expenditure. RESULTS: In 2013–2014, health system costs per patient treated in the ICU and HDU were US$2728 [Indian National Rupee (INR) 1,63,664] and US$1966 (INR 1,17,985), respectively. The mean OOP expenditures for treatment in the ICU and HDU were US$2372 (INR 1,42,297) and US$1752 (INR 1,05,093), respectively. Indirect costs of hospitalization in ICU and HDU patients were US$166 (INR 9952) and US$182 (INR 10,903), respectively. CONCLUSION: Treatment of chronic liver disorders poses an economic challenge for both the health system and patients. There is a need to focus on prevention of liver disorders, and finding ways to treat patients without exposing their households to the catastrophic effect of OOP expenditure. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s41669-017-0041-4) contains supplementary material, which is available to authorized users. Springer International Publishing 2017-07-14 /pmc/articles/PMC5972113/ /pubmed/29623618 http://dx.doi.org/10.1007/s41669-017-0041-4 Text en © The Author(s) 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Research Article
Prinja, Shankar
Bahuguna, Pankaj
Duseja, Ajay
Kaur, Manmeet
Chawla, Yogesh Kumar
Cost of Intensive Care Treatment for Liver Disorders at Tertiary Care Level in India
title Cost of Intensive Care Treatment for Liver Disorders at Tertiary Care Level in India
title_full Cost of Intensive Care Treatment for Liver Disorders at Tertiary Care Level in India
title_fullStr Cost of Intensive Care Treatment for Liver Disorders at Tertiary Care Level in India
title_full_unstemmed Cost of Intensive Care Treatment for Liver Disorders at Tertiary Care Level in India
title_short Cost of Intensive Care Treatment for Liver Disorders at Tertiary Care Level in India
title_sort cost of intensive care treatment for liver disorders at tertiary care level in india
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5972113/
https://www.ncbi.nlm.nih.gov/pubmed/29623618
http://dx.doi.org/10.1007/s41669-017-0041-4
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