Background: Reliability on out of pocket expenditure (OOPE) for health care services is commonly seen among the Indian population. There are various determinants which affect the OOP health expenditure. Aim: The aim of this study was to identify the impact of socioeconomic, demographic, and educational factors on OOPE and distribution of it among various components of health care services and diseases among the households of Pune district of Maharashtra. Method: An observational study was considered for primary data collection. Total 415 households were surveyed and out of them 353 were considered for analysis. Cross-tabulation and chi-square test was used to find out the significant relationship between the different variables. Result: It was found that the area of residence, age, gender, and type of disease, marital status, level of education, socioeconomic status of households have significant relationship with OOPE. The medicine purchase had greatest impact on OOPE followed by OPD and IPD services. Non-communicable diseases increase the burden on OOPE. Conclusion: Households should be made aware of various modes of healthcare financing; simultaneously government should improve penetration of existing social health insurance schemes. The policy makers should consider the factors mentioned and increase spending on public health to strengthen the existing facilities to further reduce the OOPE burden related to healthcare services.
The success of implant therapy depends upon proper case selection, executed with good surgical protocol and proven by radiographic and functional outcome. This clinical report presents successful outcome of one- stage indirect sinus augmentation technique using osteotomes.
Background: The current study assesses the incidences and grades of phlebitis among patients with IV cannula to determine the association of grades of phlebitis. The purpose of the study was to study the feasibility of Routine replacement versus Clinically indicated replacement of peripheral venous catheters. The study observes the incidences of removing peripheral intravenous catheters when clinically indicated compared with removing and re‐siting the catheter routinely.
Methods: An observational study was conducted in the tertiary care private hospital of Mumbai, India. The study was conducted over 5 weeks from May -June 2020. Purposive sampling was considered during the collection of data. The sample size of the study was 117 patients admitted having peripheral venous catheters. The standard visual infusion phlebitis (VIP) score was used as a tool for data collection. Descriptive analysis was done.
Results: Out of 117 patients (VIP score 0 -56, Score 1- 49, Score -12 no cases with score 3, 4, and 5). Routine replacement of IV cannula after every 5 days is judiciously followed, 45 healthy lines were replaced at score 0; which is the major concern (Rs. 633/- the total cost of replacing 1 PVC line).
Conclusion: Following the routine practice of IV cannula replacement based on VIP score to avoid phlebitis is equally good but simultaneously clinically indicated replacement of IV cannula is advisable to make it cost-effective and reduced number of a prick to the patients; this will help to improve patient satisfaction.
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