Work

Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam

Year: 2019

Type: article

Abstract: BACKGROUND: The cost of treatment for infectious shock in intensive care in Vietnam is unknown. METHODS: We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures. RESULTS: The median hospital bills were US$617 for septic shock (n=100) and US$57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively. CONCLUSIONS: Further advocacy is required to moderate insurance co-payments for costly critical care interventions.

Source: Transactions of the Royal Society of Tropical Medicine and Hygiene

DOI: 10.1093/trstmh/trz064

Authors: Angela McBride, B Thuy Duong, V Vinh Chau Nguyen, C Louise Thwaites, Hugo C Turner, V Hao Nguyen

Institutions: Brighton and Sussex Medical School, Oxford University Clinical Research Unit, Hospital for Tropical Diseases

Language: English

Topic: Healthcare Systems and Reforms

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $2,754