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Coping with the economic burden of non-communicable diseases among hypertensive and diabetic patients in private and public health facilities in Ado-Ekiti, Nigeria.
Ipinnimo, Tope M; Ipinnimo, Motunrayo T; Alabi, Ayodele K; Buari, Taiwo H; Ajidahun, Esther O; Olasehinde, Olanrewaju K; Ipinnimo, Oluwadare M; Ojo, John O.
Afiliação
  • Ipinnimo TM; Community Medicine Department, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
  • Ipinnimo MT; NHIS Department, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria.
  • Alabi AK; Community Medicine Department, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
  • Buari TH; Medicine Department, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
  • Ajidahun EO; Medicine Department, Wesley Guild Hospital Ilesha Annex, Obafemi Awolowo.
  • Olasehinde OK; University Teaching Hospital Complex, Ile-Ife, Nigeria.
  • Ipinnimo OM; Community Medicine Department, Federal Teaching Hospital, Ido-Ekiti, Nigeria.
  • Ojo JO; Obstetrics and Gynaecology Department, Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria.
Ghana Med J ; 57(3): 218-225, 2023 Sep.
Article em En | MEDLINE | ID: mdl-38957665
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, Nigeria.

Participants:

Three hundred and forty-eight (Private173; Public175) patients with hypertension or diabetes, or both were recruited. Main Outcome

Measures:

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.

Funding:

None declared.
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Texto completo: 1 Temas: ECOS / Aspectos_gerais / Estado_mercado_regulacao / Financiamentos_gastos Bases de dados: MEDLINE Assunto principal: Adaptação Psicológica / Gastos em Saúde / Efeitos Psicossociais da Doença / Diabetes Mellitus / Hipertensão Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Africa Idioma: En Revista: Ghana Med J Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Nigéria

Texto completo: 1 Temas: ECOS / Aspectos_gerais / Estado_mercado_regulacao / Financiamentos_gastos Bases de dados: MEDLINE Assunto principal: Adaptação Psicológica / Gastos em Saúde / Efeitos Psicossociais da Doença / Diabetes Mellitus / Hipertensão Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Africa Idioma: En Revista: Ghana Med J Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Nigéria