The economic burden and determinant factors of parents/caregivers of children with cerebral palsy in Malaysia: a mixed methods study
The economic burden is a major concern for parents/caregivers of children with cerebral palsy (CP). This study used the sequential explanatory mixed-method approach to explorethe economic burden on parents/caregivers with a CP child in Malaysia and the factors associated with the economic burden. Th...
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Multidisciplinary Digital Publishing Institute
2022
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author | Ismail, Aniza Abd Razak, Ruhana Sk Suddin, Leny Suzana Mahmud, Aidalina Kamaralzaman, Sazlina Yusri, Ghazali |
author_facet | Ismail, Aniza Abd Razak, Ruhana Sk Suddin, Leny Suzana Mahmud, Aidalina Kamaralzaman, Sazlina Yusri, Ghazali |
author_sort | Ismail, Aniza |
collection | UPM |
description | The economic burden is a major concern for parents/caregivers of children with cerebral palsy (CP). This study used the sequential explanatory mixed-method approach to explorethe economic burden on parents/caregivers with a CP child in Malaysia and the factors associated with the economic burden. The study period spanned April 2020 and December 2020. A total of 106 questionnaire respondents were selected for the quantitative part, and 15 were interviewed to obtain qualitative input. A retrospective costing analysis was conducted based on the cost data obtained from the questionnaire. The majority of the children were GrossMotor Function Classification System (GMFCS) Level 5 (71%), quadriplegic (63%), and aged >4 years (90%). The estimated annual median total economic burden on the parents/caregivers per child in 2020 was RM52,540.00 (~USD12,515.03), with indirect cost being the greatest cost (RM28,800.00, ~USD6860.16), followed by developmental cost (RM16,200.00, ~USD3858.84), direct healthcare cost (RM4540.00, ~USD1081.43) and direct non-healthcare cost (RM3000.00, ~USD714.60). The annual household income was identified as a significant determinant factor (p=0.019, 95% CI: 0.04, 0.40) of the economic burden. The participants' responses during the in-depth interview in the qualitative part of the study supported the premise that socioeconomic factors play a substantial role in determining the total economic burden. Our findings may aid local policymakers when planning the greater provision of support to the affected families in the future, especially for the parents/caregivers of children with CP, who are facing socioeconomic challenges. |
first_indexed | 2024-03-06T11:18:36Z |
format | Article |
id | upm.eprints-103493 |
institution | Universiti Putra Malaysia |
last_indexed | 2024-03-06T11:18:36Z |
publishDate | 2022 |
publisher | Multidisciplinary Digital Publishing Institute |
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spelling | upm.eprints-1034932023-05-24T03:47:29Z http://psasir.upm.edu.my/id/eprint/103493/ The economic burden and determinant factors of parents/caregivers of children with cerebral palsy in Malaysia: a mixed methods study Ismail, Aniza Abd Razak, Ruhana Sk Suddin, Leny Suzana Mahmud, Aidalina Kamaralzaman, Sazlina Yusri, Ghazali The economic burden is a major concern for parents/caregivers of children with cerebral palsy (CP). This study used the sequential explanatory mixed-method approach to explorethe economic burden on parents/caregivers with a CP child in Malaysia and the factors associated with the economic burden. The study period spanned April 2020 and December 2020. A total of 106 questionnaire respondents were selected for the quantitative part, and 15 were interviewed to obtain qualitative input. A retrospective costing analysis was conducted based on the cost data obtained from the questionnaire. The majority of the children were GrossMotor Function Classification System (GMFCS) Level 5 (71%), quadriplegic (63%), and aged >4 years (90%). The estimated annual median total economic burden on the parents/caregivers per child in 2020 was RM52,540.00 (~USD12,515.03), with indirect cost being the greatest cost (RM28,800.00, ~USD6860.16), followed by developmental cost (RM16,200.00, ~USD3858.84), direct healthcare cost (RM4540.00, ~USD1081.43) and direct non-healthcare cost (RM3000.00, ~USD714.60). The annual household income was identified as a significant determinant factor (p=0.019, 95% CI: 0.04, 0.40) of the economic burden. The participants' responses during the in-depth interview in the qualitative part of the study supported the premise that socioeconomic factors play a substantial role in determining the total economic burden. Our findings may aid local policymakers when planning the greater provision of support to the affected families in the future, especially for the parents/caregivers of children with CP, who are facing socioeconomic challenges. Multidisciplinary Digital Publishing Institute 2022 Article PeerReviewed Ismail, Aniza and Abd Razak, Ruhana Sk and Suddin, Leny Suzana and Mahmud, Aidalina and Kamaralzaman, Sazlina and Yusri, Ghazali (2022) The economic burden and determinant factors of parents/caregivers of children with cerebral palsy in Malaysia: a mixed methods study. International Journal of Environmental Research and Public Health, 19 (1). art. no. 475. pp. 1-21. ISSN 1660-4601 https://www.mdpi.com/1660-4601/19/1/475 10.3390/ijerph19010475 |
spellingShingle | Ismail, Aniza Abd Razak, Ruhana Sk Suddin, Leny Suzana Mahmud, Aidalina Kamaralzaman, Sazlina Yusri, Ghazali The economic burden and determinant factors of parents/caregivers of children with cerebral palsy in Malaysia: a mixed methods study |
title | The economic burden and determinant factors of parents/caregivers of children with cerebral palsy in Malaysia: a mixed methods study |
title_full | The economic burden and determinant factors of parents/caregivers of children with cerebral palsy in Malaysia: a mixed methods study |
title_fullStr | The economic burden and determinant factors of parents/caregivers of children with cerebral palsy in Malaysia: a mixed methods study |
title_full_unstemmed | The economic burden and determinant factors of parents/caregivers of children with cerebral palsy in Malaysia: a mixed methods study |
title_short | The economic burden and determinant factors of parents/caregivers of children with cerebral palsy in Malaysia: a mixed methods study |
title_sort | economic burden and determinant factors of parents caregivers of children with cerebral palsy in malaysia a mixed methods study |
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