Health insurance and the financial implications of sickle cell disease among parents of affected children attending a tertiary facility in Lagos, south-west Nigeria.
Health insurance and the financial implications of sickle cell disease among parents of affected children attending a tertiary facility in Lagos, south-west Nigeria.
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DOI：
10.11604/pamj.2020.36.227.24636
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Adesina OA
中科院分区：
文献类型：
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作者：
Ogamba CF;Akinsete AM;Mbaso HS;Adesina OA
在尼日利亚，关于镰状细胞病对受影响儿童家庭的财务影响以及他们使用医疗保险的数据很少。这项研究评估了在尼日利亚一家三级医疗机构寻求护理的儿童对医疗保险的认识、医疗服务利用的模式以及镰状细胞疾病的财务影响。2019年5月至12月，向拉各斯大学教学医院儿科血液科就诊的314名镰状细胞病儿童的父母发放了结构化问卷。儿童平均年龄为91.5±43.1个月。男女比例为1.17：1.45.5%的家庭月收入超过15万新台币(合417美元)。71.3%的父母听说过医疗保险，但只有20.7%的父母参加了医疗保险计划。健康保险知晓率与社会阶层(p=0.000)和家庭月收入(p=0.000)显著相关。60.8%的家长倾向于院前治疗。社会阶层(p=0.001)和家庭月收入(p=0.001)与家庭治疗显著相关。入院时间2~18天，平均4.31天。平均住院费用为148美元±14.2美元，总护理费用为20,787美元。儿童年龄(p=0.857)、估计家庭收入(p=0.863)和社会阶层(p=0.397)都与护理费用无关。在我们的研究人群中观察到护理费用很高，这突出表明有镰状细胞病儿童的家庭需要提高认识和获得医疗保险。
there is a paucity of data on the financial implications of sickle cell disease on households of affected children and their use of health insurance in Nigeria. This study assessed the awareness of health insurance, patterns of health service utilization and financial implications of sickle cell disease among children seeking care at a tertiary facility in Nigeria. a structured questionnaire was administered to parents of 314 children with sickle cell disease attending the pediatric hematology unit of the Lagos University Teaching Hospital between May and December 2019. mean age of the children was 91.5 ± 43.1 months. M: F was 1.17: 1. 45.5% of households earned above NGN 150,000 (USD 417) monthly. 71.3% of the parents had heard of health insurance but only 20.7% were enrolled in a health insurance scheme. Awareness of health insurance was significantly associated with social class (p=0.000) and monthly household income (p=0.000). 60.8% of the parents preferred pre-facility treatment. Social class (p=0.01) and monthly household income (p=0.001) were significantly associated with home treatment. Time on admission ranged from 2-18 days with an average of 4.31 days. Average cost of hospitalization was USD 148 ± USD 14.2 and total cost of care incurred was USD 20,787. Neither age of child (p=0.857), estimated household income (p=0.863) nor social class (p=0.397) was associated with cost of care. a high cost of care was observed in our study population underscoring the need for increased awareness and access to health insurance for households of children with sickle cell disease.