Economic burden of heart failure: investigating outpatient and inpatient costs in abeokuta, southwest Nigeria

 

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dc.contributor.author Ogah, Okechukwu S en_ZA
dc.contributor.author Stewart, Simon en_ZA
dc.contributor.author Onwujekwe, Obinna E en_ZA
dc.contributor.author Falase, Ayodele O en_ZA
dc.contributor.author Adebayo, Saheed O en_ZA
dc.contributor.author Olunuga, Taiwo en_ZA
dc.contributor.author Sliwa, Karen en_ZA
dc.date.accessioned 2015-11-11T14:26:57Z
dc.date.available 2015-11-11T14:26:57Z
dc.date.issued 2014 en_ZA
dc.identifier.citation Ogah, O. S., Stewart, S., Onwujekwe, O. E., Falase, A. O., Adebayo, S. O., Olunuga, T., & Sliwa, K. (2013). Economic burden of heart failure: investigating outpatient and inpatient costs in abeokuta, southwest Nigeria. PloS one, 9(11), e113032. doi:10.1371/journal.pone.0113032 en_ZA
dc.identifier.uri http://hdl.handle.net/11427/14921
dc.identifier.uri http://dx.doi.org/10.1371/journal.pone.0113032
dc.description.abstract Background: Heart failure (HF) is a deadly, disabling and often costly syndrome world-wide. Unfortunately, there is a paucity of data describing its economic impact in sub Saharan Africa; a region in which the number of relatively younger cases will inevitably rise. Methods: Heath economic data were extracted from a prospective HF registry in a tertiary hospital situated in Abeokuta, southwest Nigeria. Outpatient and inpatient costs were computed from a representative cohort of 239 HF cases including personnel, diagnostic and treatment resources used for their management over a 12-month period. Indirect costs were also calculated. The annual cost per person was then calculated. Results: Mean age of the cohort was 58.0±15.1 years and 53.1% were men. The total computed cost of care of HF in Abeokuta was 76, 288,845 Nigerian Naira (US$508, 595) translating to 319,200 Naira (US$2,128 US Dollars) per patient per year. The total cost of in-patient care (46% of total health care expenditure) was estimated as 34,996,477 Naira (about 301,230 US dollars). This comprised of 17,899,977 Naira- 50.9% ($US114,600) and 17,806,500 naira −49.1%($US118,710) for direct and in-direct costs respectively. Out-patient cost was estimated as 41,292,368 Naira ($US 275,282). The relatively high cost of outpatient care was largely due to cost of transportation for monthly follow up visits. Payments were mostly made through out-of-pocket spending. Conclusion: The economic burden of HF in Nigeria is particularly high considering, the relatively young age of affected cases, a minimum wage of 18,000 Naira ($US120) per month and considerable component of out-of-pocket spending for those affected. Health reforms designed to mitigate the individual to societal burden imposed by the syndrome are required. en_ZA
dc.language.iso eng en_ZA
dc.publisher Public Library of Science en_ZA
dc.rights This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. en_ZA
dc.rights.uri http://creativecommons.org/licenses/by/4.0 en_ZA
dc.source PLoS One en_ZA
dc.source.uri http://journals.plos.org/plosone en_ZA
dc.subject.other Heart failure en_ZA
dc.subject.other Hospitals en_ZA
dc.subject.other Nigeria en_ZA
dc.subject.other Outpatients en_ZA
dc.subject.other Allied health care professionals en_ZA
dc.subject.other Indirect costs en_ZA
dc.title Economic burden of heart failure: investigating outpatient and inpatient costs in abeokuta, southwest Nigeria en_ZA
dc.type Journal Article en_ZA
dc.rights.holder © 2014 Ogah et al en_ZA
uct.type.publication Research en_ZA
uct.type.resource Article en_ZA
dc.publisher.institution University of Cape Town
dc.publisher.faculty Faculty of Health Sciences en_ZA
dc.publisher.department Division of Cardiology en_ZA
uct.type.filetype Text
uct.type.filetype Image


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This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Except where otherwise noted, this item's license is described as This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.