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Estimating cost of dengue treatment: Khon-Kaen Hospital, THAILAND

Estimating cost of dengue treatment: Khon-Kaen Hospital, THAILAND. Sukhontha Kongsin 1 , Sukhum Jiamton 2 , Sirijitt Vasanawathana 3 , Petcherut Sirisuwan 1, Jose A. Suaya 4 , Donald S. Shepard 4 1 Faculty of Public Health, Mahidol University, Bangkok, Thailand

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Estimating cost of dengue treatment: Khon-Kaen Hospital, THAILAND

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  1. Estimating cost of dengue treatment: Khon-Kaen Hospital, THAILAND Sukhontha Kongsin1, Sukhum Jiamton2, Sirijitt Vasanawathana3, Petcherut Sirisuwan1, Jose A. Suaya4 ,Donald S. Shepard4 1Faculty of Public Health, Mahidol University, Bangkok, Thailand 2Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand3Khon-Kaen Hospital, Thailand; 3Brandeis University, USA ASTMH Annual Meeting New Orleans, LA Dec. 11, 2008

  2. OBJECTIVE To estimate the cost of dengue hospitalised episode in one selected province: Khon-Kaen Provincial Hospital

  3. Framework: Estimating cost of dengue hospitalised episode Cost of dengue hospitalised episode

  4. DATA COLLECTION Subjects (or caregivers) interviewed once or twice about illness, treatment, and caregiver visits. Medical record extraction form Lab data collected from records or tests during the study. Information entered into customised Microsoft Access database. Data exported to Excel and SPSS, cleaned, aggregated by subject.

  5. DATA ANALYSIS Keyformula.Totalcostofresources- Quantity x unitcost. Quantityandunitcostcanbeobtainedfromseparatedatasources. Example 1: HospitalcostsHospitalisationcost- lengthofstay x costperday Example 2: Losttimefromself-employmentorhouseholdactivitiesCostoflosttime- daylost x valueperday

  6. CHARACTERISTICS OF THAILAND

  7. CHARACTERISTICS OF KHON-KAEN PROVINCE (STUDY SITE)

  8. CHARACTERISTICS OF PARTICIPANTS

  9. UTILIZATION OF HEALTH SERVICES AND IMPACT PER DENGUE CASE BY STUDY SITE

  10. MEANS (± STANDARD DEVIATIONS) OF COST COMPONENTS PER DENGUE CASE

  11. CONCLUSIONS The economic cost of dengue per case is substantial The main component of the cost is the hospital care, paid largely by government As the patients were children, the indirect costs were relatively small Other studies that focused only on out of pocket costs to households gave substantially smaller numbers

  12. Acknowledgements All dengue patients in the study All staff members:Khon-Kaen Hospital Mentors: Scott Halstead Special thanks to PDVI for financial support We highly appreciate supports from Drs. Somsak Chunharas, Sutee Yoksan, Suwich Thammapalo, Prida Malasit, Kanittha Boonthamchareon, Nattakamol Chansathitporn and Viroj Tangchareonsathein.

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