Economic burden for management of community-acquired pneumonia in children below 5 years in India
Journal Title: Journal of the Indian Medical Association - Year 2018, Vol 116, Issue 10
Abstract
For reporting direct and indirect costs for managing community-acquired pneumonia (CAP) in children <5 years in India,we reviewed medical records of 532 children with respiratory conditions hospitalized in public hospital (PBH) and private hospital (PVH) between 2012 and 2014. Inpatient costs were estimated from discharge records; outpatient costs were estimated using physician and parent surveys. Cost analysis was performed in 169 children with CAP (PVH: 102 [60.35%]; PBH: 67 [39.64%]). Mean duration of hospitalization was shorter in PVH than in PBH (5.87 versus 7.97 days). Average per-episode hospitalization cost was almost 7 times higher in PVH than in PBH. Mean outpatient direct and indirect costs were 10,688 ($148) and 9,286 ($129).Sick-time costs in PVH and PBH were 9,286 ($129) and 3,118 ($43). High costs of CAP management are attributed to hospitalization and diagnostic test costs. Pneumococcal vaccination may reduce these costs.
Authors and Affiliations
Canna J Ghia, Shalaka A Marfatia, Tushar H Maniar, Baratu B Bhaisara, Craig Roberts, Gautam S Rambhad
Keywords
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