Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service
Abstract Background: Psoriasis is a chronic disease that derives great costs to the health care system. In Colombia, due to deficiencies in this system, patients are more likely to incur in out-of-pocket expenses; money that has never been quantified in this country. Objectives: To quantify out-of...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Dermatologia
2021-07-01
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| Series: | Anais Brasileiros de Dermatologia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962021000300295&tlng=en |
| _version_ | 1819282411596283904 |
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| author | Ana María Maya-Rico Ángela Londoño-García Arlex Uriel Palacios-Barahona Sol Beatriz Jimenez-Tamayo Estefanía Muriel-Lopera |
| author_facet | Ana María Maya-Rico Ángela Londoño-García Arlex Uriel Palacios-Barahona Sol Beatriz Jimenez-Tamayo Estefanía Muriel-Lopera |
| author_sort | Ana María Maya-Rico |
| collection | DOAJ |
| description | Abstract Background: Psoriasis is a chronic disease that derives great costs to the health care system. In Colombia, due to deficiencies in this system, patients are more likely to incur in out-of-pocket expenses; money that has never been quantified in this country. Objectives: To quantify out-of-pocket expenses and to analyze their relation to patients' clinical and labor characteristics in a cohort of psoriatic patients. Methods: A single-center, cross-sectional study was performed, evaluating psoriasis patients. Results: A total of 100 psoriasis patients were analyzed. We identified that patients with higher dermatology life quality index and in phototherapy treatment were the ones that had higher out-of-pocket costs (p = 0.006 and 0.005, respectively). We found no correlation between out-of-pocket costs and occupational status, psoriasis area severity index or other types of treatment. The largest amount of money was used to buy medications and bus transportation with a maximum up to 440.50 and 528.60 USD, respectively. Among the 100 participants the total expense was 11131.90 USD in a 6-month period. Study limitations: Lack of measurement of the labor productivity and labor absenteeism secondary to sick leave. Conclusion: Out-of-pocket costs are similar with what was shown in previous studies. We found statistically significant differences for the DLQI in comparison with out-of-pocket expenses, regardless of the PASI level. Phototherapy treatment also had statistically significant differences in relationship with out-of-pocket expenses, when compared to other treatments, because it requires higher expenses in transportation, copayments, and alimentation during appointment assistance. |
| first_indexed | 2024-12-24T01:15:10Z |
| format | Article |
| id | doaj.art-767fa64aeb154258b6ebc71cdc48a7b8 |
| institution | Directory Open Access Journal |
| issn | 0365-0596 |
| language | English |
| last_indexed | 2024-12-24T01:15:10Z |
| publishDate | 2021-07-01 |
| publisher | Sociedade Brasileira de Dermatologia |
| record_format | Article |
| series | Anais Brasileiros de Dermatologia |
| spelling | doaj.art-767fa64aeb154258b6ebc71cdc48a7b82022-12-21T17:22:47ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962021-07-0196329530010.1016/j.abd.2020.09.004Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral serviceAna María Maya-Ricohttps://orcid.org/0000-0002-1609-4529Ángela Londoño-Garcíahttps://orcid.org/0000-0003-2209-9972Arlex Uriel Palacios-Barahonahttps://orcid.org/0000-0002-3740-0353Sol Beatriz Jimenez-Tamayohttps://orcid.org/0000-0002-6769-943XEstefanía Muriel-Loperahttps://orcid.org/0000-0002-9247-3678Abstract Background: Psoriasis is a chronic disease that derives great costs to the health care system. In Colombia, due to deficiencies in this system, patients are more likely to incur in out-of-pocket expenses; money that has never been quantified in this country. Objectives: To quantify out-of-pocket expenses and to analyze their relation to patients' clinical and labor characteristics in a cohort of psoriatic patients. Methods: A single-center, cross-sectional study was performed, evaluating psoriasis patients. Results: A total of 100 psoriasis patients were analyzed. We identified that patients with higher dermatology life quality index and in phototherapy treatment were the ones that had higher out-of-pocket costs (p = 0.006 and 0.005, respectively). We found no correlation between out-of-pocket costs and occupational status, psoriasis area severity index or other types of treatment. The largest amount of money was used to buy medications and bus transportation with a maximum up to 440.50 and 528.60 USD, respectively. Among the 100 participants the total expense was 11131.90 USD in a 6-month period. Study limitations: Lack of measurement of the labor productivity and labor absenteeism secondary to sick leave. Conclusion: Out-of-pocket costs are similar with what was shown in previous studies. We found statistically significant differences for the DLQI in comparison with out-of-pocket expenses, regardless of the PASI level. Phototherapy treatment also had statistically significant differences in relationship with out-of-pocket expenses, when compared to other treatments, because it requires higher expenses in transportation, copayments, and alimentation during appointment assistance.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962021000300295&tlng=enHealth care costsHealth expendituresPsoriasis |
| spellingShingle | Ana María Maya-Rico Ángela Londoño-García Arlex Uriel Palacios-Barahona Sol Beatriz Jimenez-Tamayo Estefanía Muriel-Lopera Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service Anais Brasileiros de Dermatologia Health care costs Health expenditures Psoriasis |
| title | Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service |
| title_full | Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service |
| title_fullStr | Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service |
| title_full_unstemmed | Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service |
| title_short | Out-of-pocket costs for patients with psoriasis in an outpatient dermatology referral service |
| title_sort | out of pocket costs for patients with psoriasis in an outpatient dermatology referral service |
| topic | Health care costs Health expenditures Psoriasis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962021000300295&tlng=en |
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