Healthcare costs; HIV AIDS; Predictive factors; Healthcare consumption; Coûts de soins de santé; HIV Sida; Facteurs prédictifs; Consommation de soins
Abstract :
[en] Introduction: This article analyses the composition of healthcare costs for HIV/AIDS infected patients in a country with limited resources and attempts to identify the factors that influence these costs. The aims are to calculate medical care costs, analysing how they vary depending on patients' income, and to evaluate the factors explaining healthcare consumption.
Methods: This is a prospective cohort study focusing on patients who were admitted to hospital for a short stay between January 2010 and June 2011, before their integration into a specialised program. The patients were selected randomly. Free consent was obtained from all participants. Data were analysed using the SPSS 19.0 software. The significance threshold was set at 5% and the CI (Confidence Interval) at 95%. We used Kruskal-Wallis tests, Fisher's
exact test and multiple linear regression.
Results: We monitored 209 patients. Their average age was 36.37 years (SD: 8.72). The sex ratio was 0.58 and the women patients were generally younger than the male ones (p=0.011). The overall cost of healthcare amounted to $US 41,922. The cost of Antiretroviral Therapy represented 21.6% ($US 9,045). The price of para-clinical examinations represented 46% ($US 19,136) of the overall cost. The patient's average monthly income was $US 157.40 whereas the
average direct cost per patient was$US 201.45. Both monthly income (t=4.385; p=0.0000) and education level (t=3.703 p=0.0003) were statistically significant predictive factors for healthcare consumption. The medical care costs for patients with opportunistic infections were nine times higher than those for patients who presented none. The presence of opportunistic infections increased healthcare consumption by approximately 31$ US (CI 95%: 15-46.9).
Conclusion: The average direct cost for patients on each short-term stay was higher than the average monthly income.
To be able to access the necessary services, the patients need additional resources, which are derived from various sources. Monthly income and the level of education were both statistically significant predictors for healthcare consumption. The analysis allows us to extend the study by using different analytical accounting approaches such as by case and by pathology.
Research center :
CEPE - Centre d'Études de la Performance des Entreprises - ULiège
Disciplines :
Public health, health care sciences & services Accounting & auditing
Author, co-author :
Mundongo Tshamba, Henri; Université de Lubumbashi
Mukeng a Kaut, Clarence; Université de Lubumbashi
Mulubwa Kyalubile, Nono; ISTM Lubumbashi
Kaj Kakamba, Alphonse; Université de Lubumbashi
Ditend Yav, Grévisse; Université de Lubumbashi
Kaj Malonga, Françoise; Université de Lubumbashi
Van Caillie, Didier ; Université de Liège - ULiège > HEC-Ecole de gestion : UER > Diagnostic et contrôle de l'entreprise
Language :
English
Title :
Cost of hospital care for HIV/AIDS infected patients in three general reference hospitals in Lubumbashi, DR Congo: prospective cohort study
Alternative titles :
[fr] Le coût des soins hospitaliers des patients infectés par le SIDA/HIV dans 3 hôpitaux généraux de référence à Lubumbashi, RDC : une étude prospective par cohorte
Publication date :
26 June 2013
Journal title :
Pan African Medical Journal
eISSN :
1937-8688
Publisher :
African Field Epidemiology Network, Kampala, Uganda
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