Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam
- Resource Type
- Authors
- McBride, A; Duong, B; Nguyen, VV; Thwaites, CL; Turner, HC; Nguyen, V
- Source
- Transactions of the Royal Society of Tropical Medicine and Hygiene
- Subject
- Adult
Male
Insurance, Health
Short Communications
cost of illness
shock
Middle Aged
Shock, Septic
Hospitalization
Young Adult
Vietnam
Humans
Female
Prospective Studies
Severe Dengue
Cost Sharing
Health Expenditures
Catastrophic Illness
septic, severe dengue
health care economics and organizations
- Language
- English
BACKGROUND:The cost of treatment for infectious shock in intensive care in Vietnam is unknown. METHODS:We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures. RESULTS:The median hospital bills were US$617 for septic shock (n=100) and US$57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively. CONCLUSIONS:Further advocacy is required to moderate insurance co-payments for costly critical care interventions.