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首页> 外文期刊>BMC Health Services Research >Direct non-medical costs double the total direct costs to patients undergoing cataract surgery in Zamfara state, Northern Nigeria: a case series
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Direct non-medical costs double the total direct costs to patients undergoing cataract surgery in Zamfara state, Northern Nigeria: a case series

机译:直接非医疗费用对尼日利亚北部Zamfara州的白内障手术患者的总直接成本增加了两倍的直接成本:案例系列

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Background Cost is frequently reported as a barrier to cataract surgery, but few studies have reported costs of accessing surgery in Africa. The purpose of this prospective, facility based study was to compare direct non-medical cost with total direct cost of cataract surgery to patients, and to assess how money was found to cover costs. Methods Participants were those aged 17?years and above attending their first post-operative visit after first eye, subsidised, day case cataract surgery. Systematic random sampling was used to select participants who were interviewed to obtain data on socio-demographic details, and on expenditure during the assessment visit, the surgical visit, and the first follow-up visit. Costs were a) direct medical costs (patients’ costs for registration, investigations, surgery, medication), and b) direct non-medical costs (patients’ and escorts’ costs for transport, accommodation, meals). The source of funds to pay for the services received was also assessed. Results Almost two thirds (63%) of the 104 participants were men. The mean age of men was 64 (±12.5) years, being 63 (±12.9) years for women. All men were married and 35% of women were widows. 84% of men were household heads compared with 6% of women. The median total direct cost for all visits by all participants was N8,245 (US$51), being higher for men than women (N9,020; US$56 and N7,620; US$47) (p? Conclusion Despite the subsidy, cost is still likely to be a barrier to accessing cataract surgery, as the total direct costs represented at least 50?days income for 70% of the local population. Provision of transport would reduce direct non-medical costs.
机译:背景技术经常被报告为白内障手术的障碍,但很少有研究报告过非洲访问手术的成本。这项前瞻性的宗旨是基于工厂的研究是将直接的非医疗成本与患者的直接直接进行比较,并评估如何覆盖费用。方法参与者是17岁的年龄及以上的年龄及以上首次眼前的术后访问,补贴,日情况白内障手术。系统的随机抽样用于选择受访者获得有关社会人口详细信息的数据,并在评估访问期间的支出,手术访问和第一次进行第一次进行。成本为a)直接医疗费用(患者的登记,调查,手术,药物)和b)直接的非医疗费用(患者和护送的运输费,住宿,膳食)。还评估了收到的服务支付的资金来源。结果104名参与者的近三分之二(63%)是男性。男性的平均年龄为64(±12.5)岁,女性为63(±12.9)岁。所有男人都结婚,35%的女性是寡妇。 84%的男性是家庭头,而6%的女性。所有参与者的所有访问者的中位数直接成本为N8,245(51美元),男性比女性更高(N9,020; 56美元和N7,620; US $ 47)(尽管补贴,但成本尽管是补贴,费用仍然可能是进入白内障手术的障碍,因为总直接成本至少为50?天收入为70%的当地人口。提供运输将减少直接的非医疗费用。

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