The utilization of health care services by children with Foetal Alcohol Syndrome in the Western Cape, South Africa
The utilization of health care services by children with Foetal Alcohol Syndrome in the Western Cape, South Africa
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DOI：
10.1016/j.drugalcdep.2010.10.019
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发表时间：
2011-06-01
影响因子：
4.2
通讯作者：
London, Leslie
中科院分区：
文献类型：
--
作者：
Crede, Sarah;Sinanovic, Edina;London, Leslie
南非的胎儿酒精综合症(FAS)和部分胎儿酒精谱(PFAS)的发病率是世界上报告的最高的。在西开普省，对患有Fas/PFAS的儿童(0-12岁)的照料者进行了一项横断面分析研究，以估计医疗服务的利用率；每个儿童每年的直接和间接医疗费用，以及向Fas/PFAS儿童提供医疗服务的社会总成本。调查发现，每个儿童每年前往公共保健机构就诊的中位数为8次(IQR4至14)。每个儿童的年平均总成本为1039.38美元(95%氯：808.68美元；1270.07美元)，西开普省的年社会总成本为70,960,053.68美元(95%氯：5,528,895.48美元；86,709,971.13美元)。接受社会支持补助金的照顾者报告说，患有Fas/Pfas的儿童在医疗保健上的支出显著减少(费舍尔确切p=0.004)。这些研究结果证实了Fas/PFAS对西开普省经济和卫生保健系统造成的重大负担，这对预防Fas具有重要意义。(C)2010爱思唯尔爱尔兰有限公司。保留所有权利。
The rates of Foetal Alcohol Syndrome (FAS) and Partial Foetal Alcohol Spectrum (PFAS) in South Africa are the highest reported worldwide. There is a paucity of research examining the health care costs of caring for children with FAS or PFAS in this country.A cross-sectional analytical study was conducted using an interviewer-administered questionnaire amongst caregivers of children (0-12 years) with FAS/PFAS in the Western Cape to estimate the utilization of health care services; the annual direct and indirect health care costs per child as well as the total cost to society for providing health care services to children with FAS/PFAS. it was found that the median number of annual visits to public health care facilities per child was 8 (IQR 4 to 14). The total average annual cost per child was $1039.38 (95% Cl: $808.68; $1270.07) and the total annual societal cost for the Western Cape was $70,960,053.68 (95% Cl: $5,528,895.48; $86,709,971.13). Caregivers in receipt of a social support grant reported spending significantly less on health care for a child with FAS/PFAS (Fisher's exact p = 0.004). These study results confirm the significant burden of FAS/PFAS on the Western Cape economy and the health care system which has significant implications for FAS prevention. (C) 2010 Elsevier Ireland Ltd. All rights reserved.