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The cost of providing a community-based model of care to people with spinal cord injury, and the healthcare costs and economic burden to households of spinal cord injury in Bangladesh.
Islam, Md Shofiqul; Harvey, Lisa A; Hossain, Mohammad Sohrab; Rahman, Md Akhlasur; Costa, Punam D; Liu, Hueiming; Muldoon, Stephen; Taylor, Valerie; Billot, Laurent; Lindley, Richard I; Biering-Sorensen, Fin; Cameron, Ian D; Jan, Stephen.
Afiliação
  • Islam MS; Centre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
  • Harvey LA; John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Royal North Shore Hospital, St Leonards, NSW, Australia. l.harvey@usyd.edu.au.
  • Hossain MS; Centre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
  • Rahman MA; John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Royal North Shore Hospital, St Leonards, NSW, Australia.
  • Costa PD; Centre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
  • Liu H; Centre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
  • Muldoon S; John Walsh Centre for Rehabilitation Research, University of Sydney, Kolling Institute, Royal North Shore Hospital, St Leonards, NSW, Australia.
  • Taylor V; The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
  • Billot L; Muldoon Rehabilitation, 72 Liscreevin Road, Lisnarick, County Fermanagh, BT 94 1PZ, Northern Ireland.
  • Lindley RI; Centre for the Rehabilitation of the Paralysed, Savar, Dhaka, Bangladesh.
  • Biering-Sorensen F; The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
  • Cameron ID; Westmead Applied Research Centre, University of Sydney, Sydney, NSW, Australia.
  • Jan S; Department for Spinal Cord Injuries, University of Copenhagen, Havnevej 25, DK-3100, Hornbæk, Denmark.
Spinal Cord ; 59(8): 833-841, 2021 Aug.
Article em En | MEDLINE | ID: mdl-33495581
ABSTRACT

DESIGN:

Descriptive.

SETTING:

Community, Bangladesh.

OBJECTIVES:

To determine the costs associated with providing a community-based model of care delivered as part of the CIVIC trial to people discharged from hospital with recent spinal cord injury (SCI), and to determine the economic burden to households.

METHODS:

Records were kept of the costs of providing a community-based model of care to participants of the CIVIC trial. Data were also collected at discharge and 2 years post discharge to capture out-of-pocket healthcare costs over the preceding 2 years, and the number of participants suffering catastrophic health expenditure and illness-induced poverty.

RESULTS:

The mean cost of providing the community-based model of care to participants assigned to the intervention group (n = 204) was US$237 per participant. The mean out-of-pocket healthcare cost over the first 2 years post discharge was US$472 per participant (n = 410), and US$448 per control participant (n = 206). Median (IQR) equivalent annual household incomes prior to SCI and at 2 years post discharge were US$721 (US$452-1129) and US$464 (US$214-799), respectively. Of the 378 participants alive at 2 years, 324 (86%) had catastrophic health expenditure, and 161 of 212 participants who were not in poverty prior to injury (76%) were pushed into illness-induced poverty within 2 years of injury.

CONCLUSION:

The cost of providing community-based support to people with SCI for 2 years post discharge in Bangladesh is relatively inexpensive but an overwhelming majority of households rapidly experience financial catastrophe, and most fall into poverty.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Traumatismos da Medula Espinal / Efeitos Psicossociais da Doença Tipo de estudo: Health_economic_evaluation Limite: Humans País como assunto: Asia Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Traumatismos da Medula Espinal / Efeitos Psicossociais da Doença Tipo de estudo: Health_economic_evaluation Limite: Humans País como assunto: Asia Idioma: En Ano de publicação: 2021 Tipo de documento: Article