Household costs of hospitalized dengue illness in semi-rural Thailand
| العنوان: | Household costs of hospitalized dengue illness in semi-rural Thailand |
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| المؤلفون: | Yesim Tozan, Pitcha Ratanawong, Maquines Odhiambo Sewe, Annelies Wilder-Smith, Pattamaporn Kittayapong |
| المساهمون: | Althouse, Benjamin, Lee Kong Chian School of Medicine (LKCMedicine) |
| المصدر: | PLoS Neglected Tropical Diseases PLoS Neglected Tropical Diseases, Vol 11, Iss 9, p e0005961 (2017) |
| بيانات النشر: | Public Library of Science, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, Rural Population, Viral Diseases, Financial Management, Economics, Social Sciences, Pediatrics, Dengue Fever, Geographical Locations, Dengue, Indirect costs, 0302 clinical medicine, Sociology, Cost of Illness, Surveys and Questionnaires, Health care, Global health, Medicine and Health Sciences, Medicine, Science::Medicine [DRNTU], Public and Occupational Health, 030212 general & internal medicine, Prospective Studies, Disease Severity, Child, 2. Zero hunger, Family Characteristics, Schools, lcsh:Public aspects of medicine, 1. No poverty, Public Health, Global Health, Social Medicine and Epidemiology, Middle Aged, Thailand, 3. Good health, Hospitalization, Infectious Diseases, Child, Preschool, Income, Female, Research Article, Neglected Tropical Diseases, Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi, Adult, medicine.medical_specialty, lcsh:Arctic medicine. Tropical medicine, Asia, Patients, Adolescent, lcsh:RC955-962, 030231 tropical medicine, Southeast asian, Education, 03 medical and health sciences, Young Adult, Health Economics, Nursing, Environmental health, parasitic diseases, Indirect Costs, Humans, Severe Dengue, Health policy, Health economics, business.industry, Public health, Public Health, Environmental and Occupational Health, lcsh:RA1-1270, Health Care Service and Management, Health Policy and Services and Health Economy, Tropical Diseases, Health Care, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Health promotion, People and Places, Health Expenditures, business, Finance |
| الوصف: | Background Dengue-related illness is a leading cause of hospitalization and death in Thailand and other Southeast Asian countries, imposing a major economic burden on households, health systems, and governments. This study aims to assess the economic impact of hospitalized dengue cases on households in Chachoengsao province in eastern Thailand. Methods We conducted a prospective cost-of-illness study of hospitalized pediatric and adult dengue patients at three public hospitals. We examined all hospitalized dengue cases regardless of disease severity. Patients or their legal guardians were interviewed using a standard questionnaire to determine household-level medical and non-medical expenditures and income losses during the illness episode. Results Between March and September 2015, we recruited a total of 224 hospitalized patients ( Author summary Dengue, an arbovirus infection with an explosive epidemic potential, is a major public health problem in Thailand and other developing countries in subtropical and tropical regions. Dengue illness often leads to school and work absenteeism, medical and non-medical expenditures, and foregone income. A growing literature shows that these illness related costs pose a severe economic burden on households, health care systems, and governments. We conducted a prospective cost-of-illness study to assess the costs and impact of hospitalized pediatric and adult dengue cases on households in a highly endemic area in eastern Thailand. We found that the total cost of a hospitalized dengue case accounted for about 19–23% the monthly household income. Although direct medical costs were covered for a majority of hospitalized dengue patients by the Thai Universal Coverage Scheme for health care, direct non-medical and indirect costs were of great economic significance to households. These hidden costs of dengue illness are likely to increase given the shift in the mean age of dengue cases in Thailand and other endemic countries in the region. High household costs of dengue illness justify efforts to improve the coverage of preventive and control measures against dengue in endemic areas. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 1935-2735 1935-2727 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ba72b1660f8455a4b8dd3addb861bc18Test http://europepmc.org/articles/PMC5627959Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....ba72b1660f8455a4b8dd3addb861bc18 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19352735 19352727 |
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