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Global Health Research and Policy Apr 2021In 2016, diarrhea killed around 7 children aged under 5 years per 1000 live births in Burundi. The objective of this study was to estimate the economic burden associated...
BACKGROUND
In 2016, diarrhea killed around 7 children aged under 5 years per 1000 live births in Burundi. The objective of this study was to estimate the economic burden associated with diarrhea in Burundi and to examine factors affecting the cost to provide economic evidence useful for the policymaking about clinical management of diarrhea.
METHODS
The study was designed as a prospective cost-of-illness study using an incidence-based approach from the societal perspective. The study included patients aged under 5 years with acute non-bloody diarrhea who visited Buyenzi health center and Prince Regent Charles hospital from November to December 2019. Data were collected through interviews with patients' caregivers and review of patients' medical and financial records. Multiple linear regression was performed to identify factors affecting cost, and a cost model was used to generate predictions of various clinical and care management costs. All costs were converted into international dollars for the year 2019.
RESULTS
One hundred thirty-eight patients with an average age of 14.45 months were included in this study. Twenty-one percent of the total patients included were admitted. The average total cost per episode of diarrhea was Int$109.01. Outpatient visit and hospitalization costs per episode of diarrhea were Int$59.87 and Int$292, respectively. The costs were significantly affected by the health facility type, patient type, health insurance scheme, complications with dehydration, and duration of the episode before consultation. Our model indicates that the prevention of one case of dehydration results in savings of Int$16.81, accounting for approximately 11 times of the primary treatment cost of one case of diarrhea in the community-based management program for diarrhea in Burundi.
CONCLUSION
Diarrhea is associated with a substantial economic burden to society. Evidence from this study provides useful information to support health interventions aimed at prevention of diarrhea and dehydration related to diarrhea in Burundi. Appropriate and timely care provided to patients with diarrhea in their communities and primary health centers can significantly reduce the economic burden of diarrhea. Implementing a health policy to provide inexpensive treatment to prevent dehydration can save significant amount of health expenditure.
Topics: Acute Disease; Burundi; Child Health; Child, Preschool; Cost of Illness; Diarrhea; Female; Humans; Incidence; Infant; Infant, Newborn; Male; Prospective Studies
PubMed: 33845920
DOI: 10.1186/s41256-021-00194-3 -
Journal For Nurses in Professional... 2013
Topics: Acute Disease; Decision Making, Organizational; Education, Nursing, Continuing; Humans; Nursing Care; Patient Safety; Patient Simulation
PubMed: 23877297
DOI: 10.1097/NND.0b013e31829b522c -
Functional Neurology 2018
Topics: Acute Disease; Brain Injuries; Critical Care; Humans; Length of Stay; Subacute Care
PubMed: 29984682
DOI: No ID Found -
Emergency Medicine Practice May 2017Acute decompensated heart failure is a common emergency department presentation with significant associated morbidity and mortality. Heart failure accounts for more than...
Acute decompensated heart failure is a common emergency department presentation with significant associated morbidity and mortality. Heart failure accounts for more than 1 million hospitalizations annually, with a steadily increasing incidence as our population ages. This issue reviews recent literature regarding appropriate management of emergency department presentations of acute decompensated heart failure, with special attention to newer medication options. Emergency department management and appropriate interventions are discussed, along with critical decision-making points in resuscitation for both hypertensive and hypotensive patients.
Topics: Acute Disease; Emergency Service, Hospital; Heart Failure; Humans
PubMed: 28447933
DOI: No ID Found -
Nursing RSA = Verpleging RSA May 1986
Topics: Acute Disease; Aged; Humans; Rehabilitation
PubMed: 3639305
DOI: No ID Found -
Journal of Advanced Nursing Nov 2013To compare the effectiveness of care delivered by nurses to the usual care delivered by general practitioners, in adult patients requesting same day appointments in... (Randomized Controlled Trial)
Randomized Controlled Trial
AIMS
To compare the effectiveness of care delivered by nurses to the usual care delivered by general practitioners, in adult patients requesting same day appointments in primary care practices in Catalonia (Spain).
BACKGROUND
Same day appointments conducted by nurses are characterized by high patient satisfaction and a high resolution index. The profile of nursing and the organization of primary care services in our country differ from other countries.
DESIGN
Multicentre, randomized, unblinded clinical trial with two parallel groups.
METHODS
Patients were randomized to an intervention group (seen by nurses trained to respond to low complexity problems) or a control group (seen by the general practitioner) using an automatic probabilistic function.
SETTING
38 primary care practices in Catalonia, 142 general practitioners and 155 nurses participated. Population study: ≥ 18-year-old patients who requested a same day consultation. Recruitment period: January-May, 2009. Of the 1,461 randomized patients, 92.5% completed the study.
MAIN OUTCOME MEASURES
resolution of symptoms and patient satisfaction 2 weeks after the visit.
RESULTS
Seven hundred and fifty-three patients were assigned to the intervention group and 708 to the control group. Nurses successfully solved 86.3% of the cases. We did not observe any differences in resolution of symptoms or patient satisfaction between the groups.
CONCLUSIONS
Nurses trained specifically to resolve acute health problems of low complexity give comparable quality of care to that provided by general practitioners in terms of resolution of the problem 15 days after the visit and in patient satisfaction with the visit.
Topics: Acute Disease; Adult; Appointments and Schedules; Female; General Practitioners; Humans; Male; Middle Aged; Nurses; Outcome Assessment, Health Care; Patient Satisfaction; Primary Health Care; Spain; Young Adult
PubMed: 23517494
DOI: 10.1111/jan.12120 -
Nutrition (Burbank, Los Angeles County,... Jun 2001
Review
Topics: Acute Disease; Acute-Phase Reaction; Chronic Disease; Diet; Humans; Nutritional Physiological Phenomena
PubMed: 11434344
DOI: 10.1016/s0899-9007(01)00581-0 -
The Internist Mar 1982
Topics: Acute Disease; Economic Competition; Humans; Internal Medicine; United States
PubMed: 10257498
DOI: No ID Found -
Nephron 2018Chronic kidney disease affects approximately 10% of the world's adult population: it is within the top 20 causes of death worldwide, and its impact on patients and their... (Review)
Review
Chronic kidney disease affects approximately 10% of the world's adult population: it is within the top 20 causes of death worldwide, and its impact on patients and their families can be devastating. World Kidney Day and International Women's Day in 2018 coincide, thus offering an opportunity to reflect on the importance of women's health and specifically their kidney health, on the community and the next generations, as well as to strive to be more curious about the unique aspects of kidney disease in women so that we may apply those learnings more broadly. Girls and women, who make up approximately 50% of the world's population, are important contributors to society and their families. Gender differences continue to exist around the world in access to education, medical care, and participation in clinical studies. Pregnancy is a unique state for women, offering an opportunity for diagnosis of kidney disease, but also a state where acute and chronic kidney diseases may manifest, and which may impact future generations with respect to kidney health. There are various autoimmune and other conditions that are more likely to have an impact on women, with profound consequences for child bearing, and on the fetus. Women have different complications on dialysis than men, and are more likely to be donors than recipients of kidney transplants. In this editorial, we focus on what we do and do not know about women, kidney health, and kidney disease, and what we might learn in the future to improve outcomes worldwide.
Topics: Acute Disease; Adult; Female; Health Services Accessibility; Health Status Disparities; Humans; Kidney Diseases; Pregnancy; Renal Insufficiency, Chronic; Women; Women's Health
PubMed: 29439263
DOI: 10.1159/000485267 -
Acute Cardiac Care 2008
Topics: Acute Disease; Coronary Care Units; Critical Care; Heart Failure; Humans
PubMed: 19031187
DOI: 10.1080/17482940802594075