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The societal cost and economic impact of surgical care on patients’ households in rural Uganda; a mixed method study by Nwanna–Nzewunwa, Obieze (author);Oke, Rasheedat (author);Agwang, Esther (author);Ajiko, Mary-Margaret (author);Yoon, Christopher (author);Carvalho, Melissa (author);Kirya, Fred (author);Marseille, Elliot (author);Dicker, Rochelle A. (author) is a Health Professions article available to read on EtoBox.
What is The societal cost and economic impact of surgical care on patients’ households in rural Uganda; a mixed method study about?
## Background The epidemiology and cost of surgical care delivery in low-and middle-income countries (LMICs) is poorly understood. This study characterizes the cost of surgical care, rate of catastrophic medical expenditure and medical impoverishment, and impact of surgical hospitalization on patients’ households at Soroti Regional Referral Hospital (SRRH), Uganda. ## Methods We prospectively collected demographic, clinical, and cost data from all surgical inpatients and caregivers at SRRH between February 2018 and January 2019. We conducted and thematically analyzed qualitative interviews to discern the impact of hospitalization on patients’ households. We employed the chi-square, t-test, ANOVA, and Bonferroni tests and built regression models to identify predictors of societal cost of surgical care. Out of pocket spending (OOPS) and catastrophic expenses were determined. ## Results We encountered 546 patients, mostly male (62%) peasant farmers (42%), at a median age of 22 years; and 615 caregivers, typically married (87%), female (69%), at a median age of 35 years. Femur fractures (20.4%), soft tissue infections (12.3%), and non-femur fractures (11.9%) were commonest. The total s
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It is typically read by researchers, students, and practitioners in Health Professions.
- Author
- Nwanna–Nzewunwa, Obieze (author);Oke, Rasheedat (author);Agwang, Esther (author);Ajiko, Mary-Margaret (author);Yoon, Christopher (author);Carvalho, Melissa (author);Kirya, Fred (author);Marseille, Elliot (author);Dicker, Rochelle A. (author)
- Publisher
- Springer Science and Business Media LLC
- Published
- 2021
- Language
- EN
- Field
- Health Professions (Health Sciences)