Hospital detention practices: statement of a global taskforce

Mostert, Saskia; Lam, Catherine G.; Njuguna, Festus; Patenaude, Andrea Farkas; Kulkarni, Ketan; Salaverria, Carmen

doi:10.1016/s0140-6736(15)61495-7

Cited by 19 publications

(27 citation statements)

References 5 publications

(9 reference statements)

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“…Are families concerned about disease‐related or cost‐related aspects? Recently, professionals have been called to report the insufficiently addressed problem of detaining patients inside hospitals if families cannot pay hospital bills . We plan to conduct a home‐visit study to gain more insights into the concerns of these families.…”

Section: Discussionmentioning

confidence: 99%

Delays in diagnosis and treatment of childhood cancer in Indonesia

Handayani¹,

Sitaresmi

Supriyadi

et al. 2016

Pediatric Blood & Cancer

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Section: Discussionmentioning

confidence: 99%

Delays in diagnosis and treatment of childhood cancer in Indonesia

Handayani¹,

Sitaresmi

Supriyadi

et al. 2016

Pediatric Blood & Cancer

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“…Families may avoid coming to the hospital when they are aware of the detention practices. 30,33,34 It may contribute to the lower reported than expected childhood cancer incidence (100-110 children versus 700 children) in the service area of MTRH. 14 In conclusion we found that total delay is much longer than has been reported in most previous studies.…”

mentioning

confidence: 99%

Factors influencing time to diagnosis and treatment among pediatric oncology patients in Kenya

Njuguna

Martijn

Langat

et al. 2016

Pediatric Hematology and Oncology

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ABSTRACT. Early diagnosis and start of treatment are fundamental goals in cancer care. This study determines the time lag and the factors that influence the time to diagnosis and start of treatment.Study participants were parents of childhood cancer patients diagnosed between August 2013and July 2014 in a hospital in Kenya. Patient, physician, diagnosis, treatment, health care system, and total delay were explored using a questionnaire. Demographic and medical data were collected from the patients' medical records. Parents of 99 childhood cancer patients were interviewed (response rate: 80%). Median total delay was 102 (9-1021) days. Median patient delay (4 days) was significantly shorter than health care system delay (median 87 days;P < .001).Diagnosis delay (median 94 days) was significantly longer than treatment delay (median 6 days; P < .001). days. Lack of health insurance at diagnosis and use of alternative medicine before attending conventional health services were associated with a significantly longer patient delay (P = .041 and P = .017, respectively). The type of cancer had a significant effect on treatment delay (P = .020). The type of health facility attended affected only patient delay (P = .03). Gender, age at diagnosis, stage of disease, parents' education level or income, and distance from hospital did not have a significant effect on the length of any type of delay. Training on childhood cancer should be included in the curricula for medical training institutes. In-service workshops should be held for the health workers already working. Families must be obligated to get health insurance. Families should be encourage to attend conventional health facilities and informed on symptoms of cancer through mass media

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“…National governments in low‐ and middle‐income countries must be counseled and equipped with tools to stop these offences. Legislation must be installed and executed to make HDP punishable . Kenya already has an affordable health‐insurance scheme.…”

Section: Discussionmentioning

confidence: 99%

“…Hospital detention practices (HDP) are defined as “refusal to release living patients after medical discharge is clinically indicated or bodies of deceased patients, when families are unable to pay hospital bills.” Every extra day in detention adds to the cost of patients’ hospital bills. This increasingly hampers families’ capacity to secure the release of their loved ones . Some patients or their bodies are imprisoned for months in hospitals or mortuaries .…”

Section: Introductionmentioning

confidence: 99%