Y H Che1, V Chongsuvivatwong2, L Li3, H Sriplung2, Y Y Wang4, J You5, S J Ma6, Y Yan7, R Y Zhang6, T Shen6, H M Chen6, S F Rao6, X L Zhang6. 1. The First Peoples' Hospital of Kunming City, Yunnan Province 650022, China. 2. Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand. 3. Department of Hepatobiliary Surgery, The First Peoples' Hospital of Kunming City, Yunnan Province 650022, China. 4. Epidemiology and Biostatistics Unit, School of Public Health, Kunming Medical University, Yunnan Province 650032, China. 5. Department of Infectious Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province 650032, China. Electronic address: jingyoukm@126.com. 6. The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province 650032, China. 7. Internal Medicine, The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China.
Abstract
OBJECTIVE: To investigate the financial burden of patients who had various stages of hepatitis B virus-related diseases and the level of alleviation from financial burden by health insurance schemes in Yunnan province of China. STUDY DESIGN: A cross-sectional survey. METHODS: Patients' information was consecutively recorded at the First Affiliated Hospital of Kunming Medical University, from December 2012 to June 2013. Consecutive cases of hepatitis B virus (HBV) (520), compensated cirrhosis (91), decompensated cirrhosis (198) and hepatocellular carcinoma (HCC) (131) were recruited from the outpatient and inpatient departments. The total direct costs, hospital charge, outpatient costs, hospitalization fees being reimbursed and household catastrophic health expenditure were estimated for each disease group. RESULTS: The average annual direct costs for each disease group were 19,496 RMB for HBV, 28,466 RMB in compensated cirrhosis, 46,061 RMB for decompensated cirrhosis, and 33,044 RMB for HCC patients. Catastrophic health expenditure occurred in all four groups. Health insurance reimbursement released the financial burden incurred by medical expenses of patients under a high level of household economic status. Public health insurance schemes helped the patients to various extents. CONCLUSIONS: Among these patient groups, direct costs represent a significant economic burden. Health expenditure and financing systems must be considered to prevent the increase of household catastrophe, particularly among the poor.
OBJECTIVE: To investigate the financial burden of patients who had various stages of hepatitis B virus-related diseases and the level of alleviation from financial burden by health insurance schemes in Yunnan province of China. STUDY DESIGN: A cross-sectional survey. METHODS:Patients' information was consecutively recorded at the First Affiliated Hospital of Kunming Medical University, from December 2012 to June 2013. Consecutive cases of hepatitis B virus (HBV) (520), compensated cirrhosis (91), decompensated cirrhosis (198) and hepatocellular carcinoma (HCC) (131) were recruited from the outpatient and inpatient departments. The total direct costs, hospital charge, outpatient costs, hospitalization fees being reimbursed and household catastrophic health expenditure were estimated for each disease group. RESULTS: The average annual direct costs for each disease group were 19,496 RMB for HBV, 28,466 RMB in compensated cirrhosis, 46,061 RMB for decompensated cirrhosis, and 33,044 RMB for HCCpatients. Catastrophic health expenditure occurred in all four groups. Health insurance reimbursement released the financial burden incurred by medical expenses of patients under a high level of household economic status. Public health insurance schemes helped the patients to various extents. CONCLUSIONS: Among these patient groups, direct costs represent a significant economic burden. Health expenditure and financing systems must be considered to prevent the increase of household catastrophe, particularly among the poor.
Authors: Huimin Zou; Meng Li; Qing Lei; Zejun Luo; Yan Xue; Dongning Yao; Yunfeng Lai; Carolina Oi Lam Ung; Hao Hu Journal: Front Public Health Date: 2022-04-21
Authors: Mamun Al Mahtab; Muntasir Chaudhury; Mohammad H Uddin; Sheikh M Noor-E Alam; Mohammad A Rahim; Mohammad A Alam; Ahmed L Moben; Faiz A Khondaker; Mohammad Fi Choudhury; Mohammad Ja Sarkar; Provat K Poddar; Syed A Foez; Sheikh Mf Akbar Journal: Euroasian J Hepatogastroenterol Date: 2016-12-01
Authors: Thieu Van Le; Thuc Thi Minh Vu; Hue Thi Mai; Long Hoang Nguyen; Nu Thi Truong; Chi Linh Hoang; Son Hoang Nguyen; Cuong Tat Nguyen; Binh Cong Nguyen; Tung Hoang Tran; Bach Xuan Tran; Carl A Latkin; Cyrus S H Ho; Roger C M Ho Journal: Int J Environ Res Public Health Date: 2019-01-31 Impact factor: 3.390