n a facility-level observational study of dengue patients. The authors found that the economic cost per non-fatal case in Khon Kaen Provincial Hospital in 2005 averaged US$ 573. Some previous economic studies have examined only household out-of-pocket payments for treatment. This study measured total resource use from all sources, including government, households and employers. On average, inpatient care cost US$ 418 per case, almost all is paid for by the government. Ambulatory care and direct non-medical care (mostly transportation) averaged US$ 49 and US$ 60 per case, respectively. Further, indirect costs (the value of time lost) averaged US$ 45 per case, mostly incurred by households. Thus, all payers incur substantial costs for a dengue case.
Finally, the paper also estimated the cost of vector control, an important dimension that is empirically derived in very few studies. Overall, per capita costs of dengue in Thailand in 2005 were US$ 3.55, of which 28% was due to vector control and 72% due to dengue illness.
The tenth study, Clinical characterization, diagnosis and socioeconomic impact of hospitalized dengue in Cambodia, by Jose A. Suaya and co-authors, uses the same data collection instruments and methods as the ninth paper (from Thailand). When measured in US dollars, the resource cost of a hospitalized dengue case in Cambodia (US$ 116) was substantially less than that in Thailand. Yet the economic hardship associated with a dengue hospitalization in Cambodia was extraordinarily high, with the majority (88%) of households having these cases reporting a substantial adverse economic impact. For example, to pay for treatment, 39% of the households needed to borrow money beyond family or friends, and 53% needed to sell household property. These adverse effects are the combined results of considerably lower per capita income and the requirement in Cambodia that patients pay out-of-pocket for the majority of hospital costs, even in a governmPage: 1 2 3 4 5 6 7 8 Related biology news :1
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