Costs incurred by patients with drugsusceptible pulmonary tuberculosis in semiurban and rural settings of Western India
作者机构：Department of Community MedicineGovernment Medical College Bhavnagar(Maharaja Krishnakumarsinhji Bhavnagar University)Near ST Bus StandJail RoadBhavnagarGujarat 364001India 不详
出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)
年 卷 期：2020年第9卷第5期
页 面：125-125页
核心收录：
学科分类：12[管理学] 1204[管理学-公共管理] 120402[管理学-社会医学与卫生事业管理(可授管理学、医学学位)] 1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学]
基 金：ATS Foundation MECOR, (ATS-2017-29, USD 5000) Operations Research American Thoracic Society, ATS
主 题：Tuberculosis cost tool Catastrophic cost Healthcare cost Treatment outcome National tuberculosis program India Coping Cash transfer National tuberculosis elimination program American thoracic society-methods in epidemiologic clinical and operations research
摘 要：Background:India reports the highest number of tuberculosis(TB)cases *** has a dual impact as it increases the risk of TB and exposes the poor to economic hardship when they develop *** objective was to estimate the costs incurred by patients with drug-susceptible TB in Bhavnagar(western India)using an adapted World Health Organization costing ***:We conducted a descriptive cross-sectional study of adults,notified in the public sector and being treated for drug-susceptible pulmonary TB during January-June 2019,in six urban and three rural blocks of Bhavnagar region,Gujarat state,*** direct and indirect TB-related costs,as well as patients’coping strategies,were assessed for the overall care of TB till treatment *** costs were defined as total costs20%of annual household income(excluding any amount received from cash transfer programs or borrowed).Median and interquartile range(IQR)was used to summarize patient *** median costs between any two groups were compared using the median *** association between any two categorical variables was tested by the Pearson chi-squared *** costs were described in US dollars(USD).During the study period,on average,one USD equalled 70 Indian ***:Of 458 patients included,70%were male,62%had no formal education,71%lived in urban areas,and 96%completed TB *** median(IQR)total costs were USD 8(5-28),direct medical costs were USD 0(0-0),direct non-medical costs were USD 3(2-4)and indirect costs were USD 6(3-13).Among direct non-medical costs,travel cost(median=USD 3,IQR:2-4)to attend health facilities were the most prominent,whereas the indirect costs were mainly contributed by the patient’s loss of wages(median=USD 3,IQR:0-6).Four percent of patients faced catastrophic costs,11%borrowed money to cover costs and 7%lost their employment;the median working days lost to TB was 30(IQR:15-45).A majority(88%)of patients received a median USD 43(IQR:41-43)a
维普期刊数据库