Discrepancy of financial burden among elderly visiting a private general hospital in Phnom Penh, Cambodia: A three-year cross-sectional study

Objectives: This study aims to clarify the financial burden of health on the elderly. Out-of-pocket payment (OOPP) in a major private general hospital in Phnom Penh was considered an indicator of financial burden. Study design: This study is a three-year cross-sectional study. Methods: To investigat...

Full description

Bibliographic Details
Main Authors: Yurie Kobashi, Khemvitou Sok, Yoshifumi Hayashi, Hong Chhay, Masaharu Tsubokura, Kimhab Chou, Nobukazu Hokamura, Akihiko Ozaki, Yoshitaka Nishikawa, Manabu Okawada
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Public Health in Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666535222000829
_version_ 1828265476660133888
author Yurie Kobashi
Khemvitou Sok
Yoshifumi Hayashi
Hong Chhay
Masaharu Tsubokura
Kimhab Chou
Nobukazu Hokamura
Akihiko Ozaki
Yoshitaka Nishikawa
Manabu Okawada
author_facet Yurie Kobashi
Khemvitou Sok
Yoshifumi Hayashi
Hong Chhay
Masaharu Tsubokura
Kimhab Chou
Nobukazu Hokamura
Akihiko Ozaki
Yoshitaka Nishikawa
Manabu Okawada
author_sort Yurie Kobashi
collection DOAJ
description Objectives: This study aims to clarify the financial burden of health on the elderly. Out-of-pocket payment (OOPP) in a major private general hospital in Phnom Penh was considered an indicator of financial burden. Study design: This study is a three-year cross-sectional study. Methods: To investigate the characteristics of patients who visited the Sunrise Japan Hospital (SJH), their data were obtained from the electronic reception database. Results: A total of 119,938 patients who visited SJH from January 2017 to September 2019 were included. The median age (25th, 75th centiles) was 52 years (36, 66) and 38.31% of patients were aged over 60 years. The OOPP median (25th, 75th centiles was 73.78 USD (32, 161.89). The median OOPP was the lowest in the 20s and highest in the 90s. The OOPP of an emergency patient was the highest in the consultation classifications. Conclusions: The need to raise public awareness regarding the financial burden on the elderly is becoming increasingly urgent. It is vital to establish a social system to prevent the medical catastrophes.
first_indexed 2024-04-13T04:39:51Z
format Article
id doaj.art-a4e96de32a054390b13b96d68f49ff2e
institution Directory Open Access Journal
issn 2666-5352
language English
last_indexed 2024-04-13T04:39:51Z
publishDate 2022-12-01
publisher Elsevier
record_format Article
series Public Health in Practice
spelling doaj.art-a4e96de32a054390b13b96d68f49ff2e2022-12-22T03:02:02ZengElsevierPublic Health in Practice2666-53522022-12-014100306Discrepancy of financial burden among elderly visiting a private general hospital in Phnom Penh, Cambodia: A three-year cross-sectional studyYurie Kobashi0Khemvitou Sok1Yoshifumi Hayashi2Hong Chhay3Masaharu Tsubokura4Kimhab Chou5Nobukazu Hokamura6Akihiko Ozaki7Yoshitaka Nishikawa8Manabu Okawada9Department of General Internal Medicine, Sunrise Japan Hospital Phnom Penh, Sangkat Chroy Changvar, Phnom Penh, Cambodia; Corresponding author.Department of Radiology, Sunrise Japan Hospital Phnom Penh, Sangkat Chroy Changvar, Phnom Penh, CambodiaDepartment of Neurosurgery, Sunrise Japan Hospital Phnom Penh, Sangkat Chroy Changvar, Phnom Penh, Cambodia; Department of Neurosurgery, Kitahara International Hospital, Owadamachi, Hachioji, Tokyo, 192-0045, JapanDepartment of General Internal Medicine, Sunrise Japan Hospital Phnom Penh, Sangkat Chroy Changvar, Phnom Penh, CambodiaDepartment of Internal Medicine, Soma Central Hospital, Soma, Fukushima, 976-0016, JapanDepartment of Medicine, University of Puthisastra, Sangkat Boeung Raing, Phnom Penh, CambodiaDepartment of Gastroenterology, Sunrise Japan Hospital Phnom Penh, Sangkat Chroy Changvar, Phnom Penh, CambodiaDepartment of Breast and Thyroid Surgery, Jyoban Hospital of Tokiwa Foundation, Jyobankamiyunagaya, Iwaki, Fukushima, 972-8322, JapanDepartment of Health Informatics, Kyoto University School of Public Health, Yoshida-Konoe-cho, Sakyo-ku, Kyoto, 606-8501, JapanDepartment of Pediatrics, Sunrise Japan Hospital Phnom Penh, Sangkat Chroy Changvar, Phnom Penh, CambodiaObjectives: This study aims to clarify the financial burden of health on the elderly. Out-of-pocket payment (OOPP) in a major private general hospital in Phnom Penh was considered an indicator of financial burden. Study design: This study is a three-year cross-sectional study. Methods: To investigate the characteristics of patients who visited the Sunrise Japan Hospital (SJH), their data were obtained from the electronic reception database. Results: A total of 119,938 patients who visited SJH from January 2017 to September 2019 were included. The median age (25th, 75th centiles) was 52 years (36, 66) and 38.31% of patients were aged over 60 years. The OOPP median (25th, 75th centiles was 73.78 USD (32, 161.89). The median OOPP was the lowest in the 20s and highest in the 90s. The OOPP of an emergency patient was the highest in the consultation classifications. Conclusions: The need to raise public awareness regarding the financial burden on the elderly is becoming increasingly urgent. It is vital to establish a social system to prevent the medical catastrophes.http://www.sciencedirect.com/science/article/pii/S2666535222000829DisparityAgingOut-of-pocket paymentCambodia
spellingShingle Yurie Kobashi
Khemvitou Sok
Yoshifumi Hayashi
Hong Chhay
Masaharu Tsubokura
Kimhab Chou
Nobukazu Hokamura
Akihiko Ozaki
Yoshitaka Nishikawa
Manabu Okawada
Discrepancy of financial burden among elderly visiting a private general hospital in Phnom Penh, Cambodia: A three-year cross-sectional study
Public Health in Practice
Disparity
Aging
Out-of-pocket payment
Cambodia
title Discrepancy of financial burden among elderly visiting a private general hospital in Phnom Penh, Cambodia: A three-year cross-sectional study
title_full Discrepancy of financial burden among elderly visiting a private general hospital in Phnom Penh, Cambodia: A three-year cross-sectional study
title_fullStr Discrepancy of financial burden among elderly visiting a private general hospital in Phnom Penh, Cambodia: A three-year cross-sectional study
title_full_unstemmed Discrepancy of financial burden among elderly visiting a private general hospital in Phnom Penh, Cambodia: A three-year cross-sectional study
title_short Discrepancy of financial burden among elderly visiting a private general hospital in Phnom Penh, Cambodia: A three-year cross-sectional study
title_sort discrepancy of financial burden among elderly visiting a private general hospital in phnom penh cambodia a three year cross sectional study
topic Disparity
Aging
Out-of-pocket payment
Cambodia
url http://www.sciencedirect.com/science/article/pii/S2666535222000829
work_keys_str_mv AT yuriekobashi discrepancyoffinancialburdenamongelderlyvisitingaprivategeneralhospitalinphnompenhcambodiaathreeyearcrosssectionalstudy
AT khemvitousok discrepancyoffinancialburdenamongelderlyvisitingaprivategeneralhospitalinphnompenhcambodiaathreeyearcrosssectionalstudy
AT yoshifumihayashi discrepancyoffinancialburdenamongelderlyvisitingaprivategeneralhospitalinphnompenhcambodiaathreeyearcrosssectionalstudy
AT hongchhay discrepancyoffinancialburdenamongelderlyvisitingaprivategeneralhospitalinphnompenhcambodiaathreeyearcrosssectionalstudy
AT masaharutsubokura discrepancyoffinancialburdenamongelderlyvisitingaprivategeneralhospitalinphnompenhcambodiaathreeyearcrosssectionalstudy
AT kimhabchou discrepancyoffinancialburdenamongelderlyvisitingaprivategeneralhospitalinphnompenhcambodiaathreeyearcrosssectionalstudy
AT nobukazuhokamura discrepancyoffinancialburdenamongelderlyvisitingaprivategeneralhospitalinphnompenhcambodiaathreeyearcrosssectionalstudy
AT akihikoozaki discrepancyoffinancialburdenamongelderlyvisitingaprivategeneralhospitalinphnompenhcambodiaathreeyearcrosssectionalstudy
AT yoshitakanishikawa discrepancyoffinancialburdenamongelderlyvisitingaprivategeneralhospitalinphnompenhcambodiaathreeyearcrosssectionalstudy
AT manabuokawada discrepancyoffinancialburdenamongelderlyvisitingaprivategeneralhospitalinphnompenhcambodiaathreeyearcrosssectionalstudy