Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam

Abstract Background The cost of treatment for infectious shock in intensive care in Vietnam is unknown. Methods We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures. Result...

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Published in:Transactions of the Royal Society of Tropical Medicine and Hygiene 2019-10, Vol.113 (10), p.649-651
Main Authors: McBride, Angela, Thuy Duong, B, Chau Nguyen, V Vinh, Thwaites, C Louise, Turner, Hugo C, Hao Nguyen, V
Format: Article
Language:English
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Short Communications
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Summary:Abstract Background The cost of treatment for infectious shock in intensive care in Vietnam is unknown. Methods We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures. Results The median hospital bills were US$617 for septic shock (n=100) and US$57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively. Conclusions Further advocacy is required to moderate insurance co-payments for costly critical care interventions.
ISSN:0035-9203
1878-3503
DOI:10.1093/trstmh/trz064