Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam

BACKGROUND: The cost of treatment for infectious shock in intensive care in Vietnam is unknown. METHODS: We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures. RESULTS: The...

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Autores principales: McBride, Angela, Thuy Duong, B, Chau Nguyen, V Vinh, Thwaites, C Louise, Turner, Hugo C, Hao Nguyen, V
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Short Communications
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6792161/
https://www.ncbi.nlm.nih.gov/pubmed/31340045
http://dx.doi.org/10.1093/trstmh/trz064
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author McBride, Angela
Thuy Duong, B
Chau Nguyen, V Vinh
Thwaites, C Louise
Turner, Hugo C
Hao Nguyen, V
author_facet McBride, Angela
Thuy Duong, B
Chau Nguyen, V Vinh
Thwaites, C Louise
Turner, Hugo C
Hao Nguyen, V
author_sort McBride, Angela
collection PubMed
description BACKGROUND: The cost of treatment for infectious shock in intensive care in Vietnam is unknown. METHODS: We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures. RESULTS: The median hospital bills were US$617 for septic shock (n=100) and US$57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively. CONCLUSIONS: Further advocacy is required to moderate insurance co-payments for costly critical care interventions.
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spelling pubmed-67921612019-10-21 Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam McBride, Angela Thuy Duong, B Chau Nguyen, V Vinh Thwaites, C Louise Turner, Hugo C Hao Nguyen, V Trans R Soc Trop Med Hyg Short Communications BACKGROUND: The cost of treatment for infectious shock in intensive care in Vietnam is unknown. METHODS: We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures. RESULTS: The median hospital bills were US$617 for septic shock (n=100) and US$57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively. CONCLUSIONS: Further advocacy is required to moderate insurance co-payments for costly critical care interventions. Oxford University Press 2019-10 2019-07-24 /pmc/articles/PMC6792161/ /pubmed/31340045 http://dx.doi.org/10.1093/trstmh/trz064 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Short Communications
McBride, Angela
Thuy Duong, B
Chau Nguyen, V Vinh
Thwaites, C Louise
Turner, Hugo C
Hao Nguyen, V
Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam
title Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam
title_full Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam
title_fullStr Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam
title_full_unstemmed Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam
title_short Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam
title_sort catastrophic health care expenditure due to septic shock and dengue shock in vietnam
topic Short Communications
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6792161/
https://www.ncbi.nlm.nih.gov/pubmed/31340045
http://dx.doi.org/10.1093/trstmh/trz064
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