Catastrophic Health Expenditure among Chronic Patients Attending Dessie Referral Hospital, Northeast Ethiopia

Yohannes Shumet Yimer · Solomon Ahmed Mohammed · Mesfin Haile Kahissay · Birhanu Demeke Workneh

23 citations0/0 files storedClinicoEconomics and Outcomes Research

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Healthcare Systems and Reforms Healthcare Policy and Management Economic and Financial Impacts of Cancer

Abstract

Background: Catastrophic health expenditure is health spending that is not covered by a health-care plan. These costs tend to escalate over time, due to chronic illnesses. Catastrophic health expenditure leads to decreased use of health services and poorer treatment outcomes. This study measured the extent of and factors associated with catastrophic health expenditure among chronically ill patients attending Dessie Referral Hospital in northeast Ethiopia. Methods: An institution-based cross-sectional study design was used to quantify catastrophic health expenditure among 302 chronically ill patients from May 25, 2018 to June 30, 2018. A stratified sampling technique was used to select the study participants. Descriptive and inferential statistics were computed using SPSS 20. Results: Catastrophic health expenditure was found in 194 (64.2%, 95% CI 58.8%– 70.5%) of chronic patients. Costly service (151, 50%), transport (104, 34.4%), and pharmaceuticals (189, 62.6%) were the reasons for catastrophic health expenditure among chronic patients. Factors associated with catastrophic health expenditure were age < 30 years (AOR 7.74, CI 0.94– 63.62; P =0.01), patient monthly income <Br1,068 (AOR 203.47, CI 34.72– 41.70; P =0), being single (, AOR 0.2, CI 0.02– 1.4; P =0.04), familymonthly income <Br1,068 (AOR 0.02, CI 0– 0.47; P =0), laboratory examinations (, AOR 1.54, CI 0.23– 10.41; P =0.04), and transport, food, and lodging (AOR 0.05, CI 0.00– 0.52; P =0.01). Conclusion: Two-thirds of chronic patients had catastrophic health expenditure. Starting and strengthening various health-insurance schemes will make chronic-care services more accessible and affordable. Keywords: chronic illness, out-of-pocket, health expenditure

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 23 citations exist upstream.

References

2003Household catastrophic health expenditure: a multicountry analysis 2007Protecting Households From Catastrophic Health Spending 2008Financial Burden Of Health Care, 2001–2004 2012Factors affecting catastrophic health expenditure and impoverishment from medical expenses in China: policy implications of universal health insurance 2002Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges.2018Out-of-Pocket Payments, Catastrophic Health Expenditure and Poverty Among Households in Nigeria 2010 2009Catastrophic health expenditure and impoverishment in Turkey 2017Trends in catastrophic health expenditure in India: 1993 to 2014

Cited by

2025Catastrophic health payments in Ghana post-National Health Insurance Scheme implementation: an analysis of service-specific health expenditures

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.