The Financial Burden of Road Traffic Injuries in Mozambique: A Hospital-Related Cost-of-Illness Study of Maputo Central Hospital View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-09-10

AUTHORS

Ipshita Prakash, Otilia Neves, Eduardo Cumbe, Fadi Hamadani, Tarek Razek, Paola Fata, Andrew Beckett, Kosar Khwaja, Jeremy Grushka, Evan G. Wong, Mario Jacobe, Assis de Costa, Dan L. Deckelbaum, Prem Yohannan

ABSTRACT

BackgroundRoad traffic injuries (RTIs) are increasingly being recognized for their significant economic impact. Mozambique, like other low-income countries, suffers staggering rates of road traffic collisions. To our knowledge, this is the first study to estimate direct hospital costs of RTIs using a bottom-up, micro-costing approach in the Mozambican context. This study aims to calculate the direct, inpatient costs of RTIs in Mozambique and compare it to the financial capacity of the Mozambican public health care system.MethodsThis was a retrospective, single-centre study. Charts of all patients with RTIs admitted to Maputo Central Hospital over a period of 2 months were reviewed. The costs were recorded and analysed based on direct costs, human resource costs, and overhead costs. Costs were calculated using a micro-costing approach.ResultsIn total, 114 patients were admitted and treated for RTIs at Maputo Central Hospital during June–July 2015. On average, the hospital cost per patient was US$ 604.28 (IQR 1033.58). Of this, 44% was related to procedural costs, 23% to diagnostic imaging costs, 17% to length-of-stay costs, 9% to medication costs, and 7% to laboratory test costs. The average annual inpatient cost of RTIs in Mozambique was almost US$ 116 million (0.8% of GDP).ConclusionThe financial burden of RTIs in Mozambique represents approximately 40% of the annual public health care budget. These results help highlight the economic impact of trauma in Mozambique and the importance of an organized trauma system to reduce such costs. More... »

PAGES

2959-2966

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00268-019-05152-2

DOI

http://dx.doi.org/10.1007/s00268-019-05152-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1120967098

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31506715


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72 low-income countries
73 medication costs
74 micro-costing approach
75 months
76 overhead costs
77 patients
78 period
79 procedural costs
80 public health care budget
81 public health care system
82 rate
83 resource costs
84 results
85 road traffic collisions
86 road traffic injuries
87 significant economic impact
88 single-center study
89 staggering rate
90 stay costs
91 study
92 such costs
93 system
94 test cost
95 total
96 traffic collisions
97 traffic injuries
98 trauma
99 trauma system
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