Catastrophic health expenditures in hospitalized patients with delta variant of COVID-19: A cross-sectional study
Background: Financial protection of populations against healthcare costs is one of the fundamental responsibilities of governments. This study aimed to investigate the incidence of catastrophic health expenditures (CHE) and it’s affecting factors in hospitalized patients with delta variant of COVID-...
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| Format: | Article |
| Language: | English |
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Tabriz University of Medical Sciences
2023-04-01
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| Series: | Health Promotion Perspectives |
| Subjects: | |
| Online Access: | https://hpp.tbzmed.ac.ir/PDF/hpp-13-68.pdf |
| _version_ | 1797832305553702912 |
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| author | Zahra Gheinali Esmaeil Moshiri Masoumeh Ebrahimi Tavani Mehdi Haghi Farid Gharibi |
| author_facet | Zahra Gheinali Esmaeil Moshiri Masoumeh Ebrahimi Tavani Mehdi Haghi Farid Gharibi |
| author_sort | Zahra Gheinali |
| collection | DOAJ |
| description | Background: Financial protection of populations against healthcare costs is one of the fundamental responsibilities of governments. This study aimed to investigate the incidence of catastrophic health expenditures (CHE) and it’s affecting factors in hospitalized patients with delta variant of COVID-19. Methods: In this cross-sectional study, we included 400 hospitalized COVID-19 patients at Kosar Hospital of Semnan in 2022, using a researcher-made checklist. Based on qualitative nature of the variables, chi-square test was used to investigate the statistical associations between the demographic/background characteristics and the incidence of CHE. Results: On average, COVID-19 imposed 1833.43 USD direct medical costs per one hospitalized patient. The ratio of direct-medical costs to household’s non-food expenses was 2.35, and 61% (CI:±4.78%) of the patients were subject to CHE. Besides, residence place, basic insurance type, benefitting from supplementary insurance, suffering from underlying diseases, hospitalization in ICU, falling into a coma, facing pulmonary failure, and performing hemoperfusion had significant associations with CHE (P<0.05). Conclusion: The incidence of CHE in hospitalized COVID-19 patients was undesirable, which may be due to geographical, economical, and occupational inequalities apart from the factors related to the severity of the disease. So, health policymakers should pay attention to the provision of proper financial risk protection policies to make the health insurance system more efficient and appropriate. |
| first_indexed | 2024-04-09T14:05:41Z |
| format | Article |
| id | doaj.art-9db0614ec6c645699c6b84059a62dd26 |
| institution | Directory Open Access Journal |
| issn | 2228-6497 |
| language | English |
| last_indexed | 2024-04-09T14:05:41Z |
| publishDate | 2023-04-01 |
| publisher | Tabriz University of Medical Sciences |
| record_format | Article |
| series | Health Promotion Perspectives |
| spelling | doaj.art-9db0614ec6c645699c6b84059a62dd262023-05-07T09:32:07ZengTabriz University of Medical SciencesHealth Promotion Perspectives2228-64972023-04-01131687610.34172/hpp.2023.09hpp-40710Catastrophic health expenditures in hospitalized patients with delta variant of COVID-19: A cross-sectional studyZahra Gheinali0Esmaeil Moshiri1Masoumeh Ebrahimi Tavani2Mehdi Haghi3Farid Gharibi4Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, IranSocial Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, IranQuality Improvement, Monitoring and Evaluation Department, Center of Health Network Management, Deputy of Public Health, Ministry of Health & Medical Education, Tehran, IranSocial Determinants of Health Research Center, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, IranSocial Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, IranBackground: Financial protection of populations against healthcare costs is one of the fundamental responsibilities of governments. This study aimed to investigate the incidence of catastrophic health expenditures (CHE) and it’s affecting factors in hospitalized patients with delta variant of COVID-19. Methods: In this cross-sectional study, we included 400 hospitalized COVID-19 patients at Kosar Hospital of Semnan in 2022, using a researcher-made checklist. Based on qualitative nature of the variables, chi-square test was used to investigate the statistical associations between the demographic/background characteristics and the incidence of CHE. Results: On average, COVID-19 imposed 1833.43 USD direct medical costs per one hospitalized patient. The ratio of direct-medical costs to household’s non-food expenses was 2.35, and 61% (CI:±4.78%) of the patients were subject to CHE. Besides, residence place, basic insurance type, benefitting from supplementary insurance, suffering from underlying diseases, hospitalization in ICU, falling into a coma, facing pulmonary failure, and performing hemoperfusion had significant associations with CHE (P<0.05). Conclusion: The incidence of CHE in hospitalized COVID-19 patients was undesirable, which may be due to geographical, economical, and occupational inequalities apart from the factors related to the severity of the disease. So, health policymakers should pay attention to the provision of proper financial risk protection policies to make the health insurance system more efficient and appropriate.https://hpp.tbzmed.ac.ir/PDF/hpp-13-68.pdfcatastrophichealth expenditurescovid-19 |
| spellingShingle | Zahra Gheinali Esmaeil Moshiri Masoumeh Ebrahimi Tavani Mehdi Haghi Farid Gharibi Catastrophic health expenditures in hospitalized patients with delta variant of COVID-19: A cross-sectional study Health Promotion Perspectives catastrophic health expenditures covid-19 |
| title | Catastrophic health expenditures in hospitalized patients with delta variant of COVID-19: A cross-sectional study |
| title_full | Catastrophic health expenditures in hospitalized patients with delta variant of COVID-19: A cross-sectional study |
| title_fullStr | Catastrophic health expenditures in hospitalized patients with delta variant of COVID-19: A cross-sectional study |
| title_full_unstemmed | Catastrophic health expenditures in hospitalized patients with delta variant of COVID-19: A cross-sectional study |
| title_short | Catastrophic health expenditures in hospitalized patients with delta variant of COVID-19: A cross-sectional study |
| title_sort | catastrophic health expenditures in hospitalized patients with delta variant of covid 19 a cross sectional study |
| topic | catastrophic health expenditures covid-19 |
| url | https://hpp.tbzmed.ac.ir/PDF/hpp-13-68.pdf |
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