Coping with the economic burden of non-communicable diseases among hypertensive and diabetic patients in private and public health facilities in Ado-Ekiti, Nigeria
Ghana Med. J. (Online)
; 57(3): 226-233, 2023. Coping strategies, economic burden, health facilities, Nigeria, non-communicable diseases
Artigo
em Inglês
| AIM
| ID: biblio-1517402
Biblioteca responsável:
CG1.1
ABSTRACT
Objective:
To assess and compare how private and public health facilities patients cope with the economic burden of non-communicable diseases.Design:
Comparative cross-sectional study.Setting:
Thirty-nine private and eleven public health facilities in Ado-Ekiti, NigeriaParticipants:
Three hundred and forty-eight (Private173; Public175) patients with hypertension or diabetes, or both were recruited. Main OutcomeMeasures:
Specific coping methods and numbers of coping strategies used by participants, as well as the perceived ability of participants to cope with the economic burden of non-communicable diseases.Results:
Majority of participants paid through out-of-pocket (OOP) than through health insurance(HI) (PrivateOOP90.2% HI9.8%; PublicOOP94.3% HI5.7%; p=0.152). More participants in private used instalment payments(p<0.001). However, other coping strategies showed no significant difference in both groups(p>0.05). Delayed treatment (Private102; Public95) was the most used strategy in both arms, and the number of strategies used by the participants showed no significant difference(p=0.061). Lower levels of education, out-of-pocket payment, increasing number of clinic visits, and hospital admission were associated with the use of higher numbers of coping strategies in both groups while being female and retired/unemployed were associated with the private arm.Conclusion:
Although most patients in both groups pay out-of-pocket and use detrimental coping strategies, more patients in private arm use instalment payment, a non-detrimental method. Healthcare providers, especially public providers, should adopt policies encouraging patients to use non-detrimental coping strategies to meet their healthcare expenditures.
Texto completo:
DisponíveL
Índice:
AIM (África)
Assunto principal:
Atenção à Saúde
Idioma:
Inglês
Revista:
Ghana Med. J. (Online)
Ano de publicação:
2023
Tipo de documento:
Artigo
Instituição/País de afiliação:
Community Medicine Department, Federal Teaching Hospital, Ido-Ekiti, Nigeria/NG
/
Medicine Department, Wesley Guild Hospital Ilesha Annex, Obafemi Awolowo/NG
/
NHIS Department, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria/NG
/
Obstetrics and Gynaecology Department, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria/NG
Similares
MEDLINE
...
LILACS
LIS