Cost of Illness of Breast Cancer Patients on Chemotherapy in Addis Ababa Public Hospitals, the Case of Tikur Anbessa Specialized Teaching Hospital-Cross-Sectional Types of Study

Mamo, Girma; Worku, Alemayehu; Lemma, Seblewengel; Demas, Tangut

doi:10.4172/2471-268x.1000142

Cited by 10 publications

(12 citation statements)

References 14 publications

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“…Similar to another studies age of patients and cycles of chemotherapy were among the predictors for CHE [24,36]. The reasons for increasing CHE with age increases could be attributed to disease complication and income sources (as majority of participants are in the productive age).…”

Section: Discussionsupporting

confidence: 71%

Catastrophic Healthcare Expenditure and Coping Strategies among Patients Attending Cancer Treatment Services in Addis Ababa, Ethiopia

Kasahun

Gebretekle

Gecho

et al. 2019

Preprint

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Background: With the rapid increase in magnitude and mortality of cancer, which is costly disease to manage, several patients particularly in developing countries are facing a huge financial burden. Objective: The purpose of the study was to examine the level of catastrophic health expenditure (CHE), identify associated factors and coping strategies among patients attending cancer treatment services in Addis Ababa, Ethiopia. Methods: A hospital based cross-sectional survey of patients with cancer was conducted in public and private hospitals between January and March 2018. Data was collected using a structured questionnaire. All direct medical and nonmedical expenditures were measured and reported as expenditure (US$) per patient (1US$ equivalent to 23.41 Ethiopian Birr). The CHE was estimated using a threshold of 10% of annual household income. Results: A total of 352 (response rate of 87.1%) participants were interviewed. Majority (73.3%) of the respondents were females; most (94%) from public hospitals and their mean (±SD) age was 48±13.2years. Breast (37%) and Cervical (16.5%) cancers accounted the largest proportion. Vast majority (74.4%) of patients experienced CHE with mean overall expenditure of $2366 per patient (median: $1708). Medical expenditure shared the highest overall expenditure (83.6%) with mean medical and nonmedical costs of $1978 (median: $1394) and $388 (median: $222), respectively. Patients who took greater than six cycles of chemotherapy (AOR: 3.64; 95%CI: 1.11-11.92), and age (AOR: 1.03; 95%CI: 1.01-1.06) were significantly associated with CHE. Household saving (85.5%) followed by financial support (43.0%) were the main coping strategies. Conclusion: A substantial number of patients with cancer are exposed to CHE with considerable medical expenditure. Hence, mobilizing the health insurance scheme is urgently needed to ensure financial risk protection and realize universal health coverage for patients with cancer.

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Section: Discussionsupporting

confidence: 71%

Catastrophic Healthcare Expenditure and Coping Strategies among Patients Attending Cancer Treatment Services in Addis Ababa, Ethiopia

Kasahun

Gebretekle

Gecho

et al. 2019

Preprint

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“…A study on the cost of illness among outpatients also showed that the nonmedical and indirect costs of illness were significantly higher in Ethiopia. 39 The indirect cost of hypertensive illness was attributed to the travel time to the hospital and being absent from work. In this study, over half of patients were more than 10 km from the treatment centers and this indicates a lower access to services.…”

Section: Discussionmentioning

confidence: 99%

“…A comparable finding was reported by a study done on breast cancer services in that the stage of breast cancer was associated with the cost of illness among breast cancer patients on chemotherapy. 39 To sum up, we estimated the total cost of illness by considering the two major categories of costs: direct and indirect costs. Both service records and patients were used as the sources of information for estimating the costs.…”

Section: Discussionmentioning

confidence: 99%

<p>Cost of Hypertension Illness and Associated Factors Among Patients Attending Hospitals in Southwest Shewa Zone, Oromia Regional State, Ethiopia</p>

Zawudie¹,

Lemma²,

Daka³

2020

CEOR

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Background: Hypertension is a common vascular disease and the main risk factor for cardiovascular diseases. Since the incidence of hypertension is rising in Ethiopia, one may expect that the household's cost of healthcare services related to the disease will increase in the near future. Yet the cost associated with the disease is not known. We aimed to estimate the total cost of hypertension illness and identify associated factors among patients attending hospitals in Southwest Shewa zone, Oromia regional state, Ethiopia. Patients and Methods: An institution-based cross-sectional study design was employed to conduct the study from 13 August to 2 September 2018. All hypertensive patients aged 18 years and older who were on follow-up were eligible for this study. The total cost of hypertension illness was estimated by summing the direct and indirect costs. Bivariate and multivariate linear regression analyses were performed to identify factors associated with hypertension costs of illnesses. Results: A total of 349 patients participated in the study. The mean monthly total cost of hypertension illness was US$ 22.3 (95% CI, 21.3-23.3). Direct and indirect costs constitute 51% and 49% of the total cost, respectively. The mean direct cost of hypertension illness per patient per month was US$ 11.39 (95% CI, 10.6-12.1). Out of these, drugs comprised higher cost (31%), followed by food (25%). The mean indirect cost per patient per month was US$ 10.89 (95% CI, 10.4-11.4). In this study, the primary educational status, family size (4-6 and >6), distance from hospital (≥10 km), the presence of a companion and stage of hypertension (stage two) of patients were identified as the predictors of the cost of hypertension illnesses. Conclusion: The cost of hypertension illness was very high when compared to the monthly income of households, exposing patients to catastrophic costs. Hence, the government should give due attention to protect patients from catastrophic health expenditures.

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“…As a result, the majority of the population is still dependent on OOP payment for healthcare service. On the other hand, there is limited evidence about the level of CHE and OOP healthcare expenditure for the diagnosis and treatment of cancer in Ethiopia [15,16]. Therefore, the study aimed to examine the incidence of CHE, identify associated factors and coping strategies among patients attending cancer treatment services in Addis Ababa, Ethiopia.…”

Section: Introductionmentioning

confidence: 99%

Catastrophic healthcare expenditure and coping strategies among patients attending cancer treatment services in Addis Ababa, Ethiopia

et al. 2020

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Cost of Illness of Breast Cancer Patients on Chemotherapy in Addis Ababa Public Hospitals, the Case of Tikur Anbessa Specialized Teaching Hospital-Cross-Sectional Types of Study

Cited by 10 publications

References 14 publications

Catastrophic Healthcare Expenditure and Coping Strategies among Patients Attending Cancer Treatment Services in Addis Ababa, Ethiopia

Catastrophic Healthcare Expenditure and Coping Strategies among Patients Attending Cancer Treatment Services in Addis Ababa, Ethiopia

<p>Cost of Hypertension Illness and Associated Factors Among Patients Attending Hospitals in Southwest Shewa Zone, Oromia Regional State, Ethiopia</p>

Catastrophic healthcare expenditure and coping strategies among patients attending cancer treatment services in Addis Ababa, Ethiopia

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