Coût de la prise en charge des pathologies cardio-vasculaires au Burkina Faso.

IF 0.3 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Sante Publique Pub Date : 2024-01-01

Seydou Traoré, Tewendé Martine Sanre, Somnoma Jean-Baptiste Tougouma, Cheick Ahmed Ouattara, Gueswende Léon Blaise Savadogo

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Abstract

Introduction: The management of cardiovascular pathologies has a high cost for users.

Purpose of the research: It is therefore important to assess the costs of hospitalization to gain a better understanding of its impact on care.

Results: This was a case series-type, descriptive, observational study with prospective data collection.

Results: A total of 103 patients were included, with a mean age of 51 years and extremes ranging from 14 to 86 years. The average length of stay was 7.1 days. Heart failure was the most frequent pathology (61.7%). The average monthly income per patient was 101,360 CFA francs. The average total direct cost during hospitalization was 114,015 CFAF. The average direct cost of drugs and consumables was 60,553.77 CFAF. The average direct cost of paraclinical examinations was 34,360.29 CFAF. Hospitalization costs averaged 16,747.47 CFAF. Total direct costs during hospitalization were 11,737,060 CFAF, dominated by drugs and medical consumables (53.14%), followed by complementary examinations (29.86%) and non-medical expenses (17%). During the study, 13.59% of patients were discharged against medical advice. Expenses were covered by the parents in 71.84% of cases.

Conclusions: The average direct cost of hospitalization is well above the purchasing power of the majority of patients.

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布基纳法索治疗心血管疾病的成本。

导言：心血管疾病的治疗对使用者来说成本很高：因此，必须对住院费用进行评估，以便更好地了解其对护理的影响：这是一项前瞻性数据收集的病例系列型、描述性、观察性研究：共纳入 103 名患者，平均年龄为 51 岁，极端年龄从 14 岁到 86 岁不等。平均住院时间为 7.1 天。心力衰竭是最常见的病症（61.7%）。每位患者的平均月收入为 101,360 非洲法郎。住院期间的平均直接费用总额为 114 015 非洲法郎。药品和耗材的平均直接费用为 60,553.77 非洲法郎。辅助检查的平均直接费用为 34 360.29 非洲法郎。住院费用平均为 16 747.47 非洲金融共同体法郎。住院期间的直接费用总额为 11 737 060 非洲金融共同体法郎，主要是药品和医疗消耗品（53.14%），其次是辅助检查（29.86%）和非医疗费用（17%）。在研究期间，13.59%的病人不听医嘱出院。71.84%的病例由家长承担费用：住院的平均直接费用远高于大多数患者的购买力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sante Publique PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

0.40

自引率

33.30%

发文量

252

审稿时长

>12 weeks

期刊介绍： La revue Santé Publique s’adresse à l’ensemble des acteurs de santé publique qu’ils soient décideurs, professionnels de santé, acteurs de terrain, chercheurs, enseignants ou formateurs, etc. Elle publie des travaux de recherche, des évaluations, des analyses d’action, des réflexions sur des interventions de santé, des opinions, relevant des champs de la santé publique et de l’analyse des services de soins, des sciences sociales et de l’action sociale. Santé publique est une revue à comité de lecture, multidisciplinaire et généraliste, qui publie sur l’ensemble des thèmes de la santé publique parmi lesquels : accès et recours aux soins, déterminants et inégalités sociales de santé, prévention, éducation pour la santé, promotion de la santé, organisation des soins, environnement, formation des professionnels de santé, nutrition, politiques de santé, pratiques professionnelles, qualité des soins, gestion des risques sanitaires, représentation et santé perçue, santé scolaire, santé et travail, systèmes de santé, systèmes d’information, veille sanitaire, déterminants de la consommation de soins, organisation et économie des différents secteurs de production de soins (hôpital, médicament, etc.), évaluation médico-économique d’activités de soins ou de prévention et de programmes de santé, planification des ressources, politiques de régulation et de financement, etc