Drivers of cost of treatment for traumatic spinal cord injury in ibadan, Nigeria
Afr. j. neurol. sci. (Online)
; 39(1): 1-90, 2020. ilus
Artigo
em Inglês
| AIM
| ID: biblio-1257447
Biblioteca responsável:
CG1.1
ABSTRACT
Background:
Traumatic Spinal Cord Injury (TSCI) is a costly condition in human and economic terms. Yet, studies on direct cost of treatment for TSCI in resource-constraint countries are sparse.Objective:
To estimate the direct cost of treatment for patients with TSCI at the University College Hospital (UCH), Ibadan, Nigeria using an incidence-based costing approacheMethods:
All new cases of TSCI admitted in the hospital from January, 2009 to December, 2013 were identified and reviewed. Direct costs of in-patient and out-patient treatments over the first year of injury were estimated.Results:
114 individuals with TSCI (73 males; 41 females) were admitted and discharged home alive from the hospital. The largest cost driver to the patients and the National Health Insurance Scheme was cost of consultations by neurosurgeons which constituted about a third (34.4%) of the total costs of treatment. Less than a fourth (24.2%) of the total cost of in-patient treatment was spent on therapeutic interventions (surgery, drugs and physiotherapy). There was a significant relationship between the direct cost of treatment and each of the severity of traumatic spinal cord injury and length of hospital stay (p = 0.01). Level of injury was not significantly associated with direct cost of treatment (p=0.89).Conclusion:
Direct cost of treatment for individuals with TSCI in Ibadan, Nigeria is substantial. This high cost underscores the need for novel service models with potential for minimizing cost for patients with TSCI in Nigeria
Texto completo:
DisponíveL
Índice:
AIM (África)
Assunto principal:
Traumatismos da Medula Espinal
/
Custos de Cuidados de Saúde
/
Efeitos Psicossociais da Doença
/
Nigéria
Tipo de estudo:
Avaliação Econômica em Saúde
País/Região como assunto:
África
Idioma:
Inglês
Revista:
Afr. j. neurol. sci. (Online)
Ano de publicação:
2020
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS