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Economic costs of hospitalized diarrheal disease in Bangladesh:a societal perspective

Global Health Research and Policy 2018年第1期3卷 377-388页

作者： Abdur Razzaque Sarker Marufa Sultana Rashidul Alam Mahumud nausad ali Tanvir M Huda M.Salim uzzaman Sabbir Haider Hafizur Rahman Ziaul Islam Jahangir A.M.Khan Robert Van Der Meer Alec Morton International Centre for Diarrhoeal Disease Research Bangladesh(icddrb)DhakaBangladesh University of Strathclyde GlasgowUK Sydney School of Public Health Sydney Medical SchoolThe University of SydneySydneyAustralia Institute of Epidemiology Disease Control and ResearchDhakaBangladesh Health Economics Unit Ministry of Health and Family WelfareDhakaBangladesh Liverpool School of Tropical Medicine LiverpoolUK

Background:Diarrheal diseases are a major threat to human health and still represent a leading cause of morbidity and mortality *** the burden of the diarrheal diseases is much lower in developed countries,it is a significant public health problem in low and middle-income countries like *** diarrhea is preventable and managed with low-cost interventions,it is still the leading cause of morbidity according to the patient who sought care from public hospitals in Bangladesh indicating that significant resources are consumed in treating those *** aim of the study is to capture the inpatients and outpatient treatment cost of diarrheal disease and to measure the cost burden and coping mechanisms associated with diarrheal ***:This study was conducted in six randomly selected district hospitals from six divisions(larger administrative units)in *** study was performed from the societal perspective which means all types of costs were identified,measured and valued no matter who incurred *** analysis was estimated using the guideline proposed by the World Health Organization for estimating the economic burden of diarrheal *** study adopted quantitative techniques to collect the household and hospital level data including structured and semi-structured questionnaires,observation checklists,analysis of hospital database,telephone interviews and compilation of service ***:The average total societal cost of illness per episode was BDT 5274.02(US$67.18)whereas the average inpatient and outpatient costs were BDT 8675.09(US$110.51)and BDT 1853.96(US$23.62)*** cost burden was significantly highest for poorest households,21.45%of household income,compared to 4.21%of the richest ***:Diarrheal diseases continue to be an overwhelming problem in *** economic impact of any public health interventions(either preventive or promotive)that can reduce the prevalence

关键词： Bangladesh Catastrophic expenditure Cost-of-illness Diarrhea Out-of-pocket payment Public hospitals

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