当前位置： SCI文献检索 > HEALTH POLICY AND PLANNING期刊下所有文献 > The patient costs of care for those with TB and HIV: a cross-sectional study from South Africa.

The patient costs of care for those with TB and HIV: a cross-sectional study from South Africa.

Abstract：

Background:This study describes the post-diagnosis care-seeking costs incurred by people living with TB and/or HIV and their households, in order to identify the potential benefits of integrated care. Methods:We conducted a cross-sectional study with 454 participants with TB or HIV or both in public primary health care clinics in Ekurhuleni North Sub-District, South Africa. We collected information on visits to health facilities, direct and indirect costs for participants and for their guardians and caregivers. We define 'integration' as receipt of both TB and HIV services at the same facility, on the same day. Costs were presented and compared across participants with TB/HIV, TB-only and HIV-only. Costs exceeding 10% of participant income were considered catastrophic. Results:Participants with both TB and HIV faced a greater economic burden (US$74/month) than those with TB-only (US$68/month) or HIV-only (US$40/month). On average, people with TB/HIV made 18.4 visits to health facilities, more than TB-only participants or HIV-only participants who made 16 and 5.1 visits, respectively. However, people with TB/HIV had fewer standalone TB (10.9) and HIV (2.2) visits than those with TB-only (14.5) or HIV-only (4.4). Although people with TB/HIV had access to 'integrated' services, their time loss was substantially higher than for other participants. Overall, 55% of participants encountered catastrophic costs. Access to official social protection schemes was minimal. Conclusions:People with TB/HIV in South Africa are at high risk of catastrophic costs. To some extent, integration of services reduces the number of standalone TB and HIV of visits to the health facility. It is however unlikely that catastrophic costs can be averted by service integration alone. Our results point to the need for timely social protection, particularly for HIV-positive people starting TB treatment.

journal_name

Health Policy Plan

journal_title

Health policy and planning

authors

Mudzengi D,Sweeney S,Hippner P,Kufa T,Fielding K,Grant AD,Churchyard G,Vassall A

doi

10.1093/heapol/czw183

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

iv48-iv56

issue

suppl_4

eissn

0268-1080

issn

1460-2237

pii

2999103

journal_volume

pub_type

杂志文章

在线工具

The patient costs of care for those with TB and HIV: a cross-sectional study from South Africa.