The direct cost of care among surgical inpatients at a tertiary hospital in south west Nigeria

The Pan African Medical Journal

Olayinka Stephen Ilesanmi¹  Akinola Ayoola Fatiregun² 

[1] Department of Community Medicine, University College Hospital, Ibadan, Nigeria;Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria;

关键词: cost;    surgery;    anaesthesia;    health care;    resource;    hospital bill;    hospital length of stay;   

DOI  :  10.11604/pamj.2014.18.3.3177

来源: DOAJ

【 摘 要 】

INTRODUCTION: This study was conducted to assess the direct cost of care and its determinants among surgical inpatients at university College Hospital, Ibadan. METHODS: A retrospective review of records of 404 inpatients that had surgery from January to December, 2010 was conducted. Information was extracted on socio-demographic variables, investigations, drugs, length of stay (LOS)and cost of carewith a semi-structured pro-forma. Mean cost of care were compared using t-test and Analysis of variance (ANOVA). Linear regression analysis was used to identify determinants of cost of care.Level of significance of 5% was used. In year 2010 $1 was equivalent to 150 naira ($1=naira 150). RESULTS: The median age of patients was 30 years with inter-quartile range of 13-42 years. Males were 257(63.6%).The mean overall cost of care was naira 66,983 , naira 31,985. Cost of surgery is about 50% of total cost of care.Patient first seen at the Accident and Emergency had a significantly higher mean cost of care of , = naira 17,207(95% CI: naira 4,003 to naira 30,410). Neuro Surgery (=naira 36,210), and Orthopaedic Surgery versus General Surgery(=naira 10,258),and Blood transfusion (=naira 18,493) all contributed to cost of care significantly. Increase of one day in LOS significantly increased cost of care by naira 2,372.57. CONCLUSION: The evidence evaluated here shows that costs and LOS are interrelated. Attempt at reducing LOS will reduce the costs of care of surgical inpatient.

【 授权许可】

Unknown