Out-of-pocket health expenditure and associated factors among patients with hypertension in Debre-Tabor Comphrensive Specialized Hospital, South Gondar zone, Northwest Ethiopia, 2020.


Journal

Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579

Informations de publication

Date de publication:
2023
Historique:
received: 08 08 2022
accepted: 07 03 2023
medline: 24 5 2023
pubmed: 22 5 2023
entrez: 22 5 2023
Statut: epublish

Résumé

Hypertension is a non-communicable chronic disease that has a wide financial effect at the individual and household levels especially in developing countries due to its complexity and chronicity. Nevertheless, there are limited studies in Ethiopia. Therefore the aim of this study was to assess out-of pocket health expenditure and associated factors among adult patients with hypertension in Debre-Tabor Comphrensive Specialized Hospital. A facility-based cross-sectional study was conducted in total of 357 adult hypertensive patients from March to April 2020 using a systematic random sampling technique. Descriptive stastics were used to estimate the magnitude of out-of-pocket health expenditure, while after checking the assumptions linear regression model was fitted for identifying the factors associated with the outcome variable at a significance level of value of A total of 346 study participants interviewed with a response rate of 96.92%. Annual mean out of pocket health expenditure of the participant was $113.40 ± $10.18 with 95% CI = (102.63, 124.16) per patient. The direct medical mean out of pocket health expenditure of the participant was $68.86 per patient per year and the median of non-medical components of the out of pocket health expenditure of the participant was $3.53. Sex, wealth status, distance from hospital, comorbidity, health insurance and number of visit are factors significantly associated to out-of-pocket expenditure. This study revealed that out of pocket health expenditure among adult patients with hypertension was found high compared to the national

Identifiants

pubmed: 37213642
doi: 10.3389/fpubh.2023.1014364
pmc: PMC10192881
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1014364

Informations de copyright

Copyright © 2023 Alemayehu, Addis and Hagos.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer TD declared a shared affiliation with the authors to the handling editor at the time of review.

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Auteurs

Melkamu Alemayehu (M)

Health Care Worker at Simada Primary Hospital, Gondar, Ethiopia.

Banchlay Addis (B)

Department of Health Systems and Policy, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

Tsega Hagos (T)

Department of Health Systems and Policy, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.

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Classifications MeSH