The financial burden of cancer: Estimates from patients undergoing cancer care in a tertiary care hospital

ABSTRACT Pharmacy store of hospital is among one the major revenue generating area of hospital. Its performance can be a vital element in the success of any upcoming hospital. Nowadays, not only the availability of prescribed drugs matters but explanation of dose, frequency and duration of drugs to be taken, behavior of pharmacist and waiting time to get drugs play an important role in satisfaction of patients. The pharmacy store of the hospital provides more specialized and more time-saving services for patients. It also eases the financial burden on pharmacy users via drug discounts. A cross-sectional comparative study was conducted on 90 respondents. A self administered predesigned, pretested, structured questionnaire was given to selected respondents on first contact to the pharmacy store of the hospital with the aim to study the perception of patients and hospital on various parameters. Seventy-one percent respondents appreciated the accessibility to pharmacy. When segregated by sociodemographic characteristics females showed greater level of satisfaction than males, respondents above 50 years of age, respondents who were unmarried, those who had came for a follow-up were most satisfied with services. Eighty-six percent respondents appreciated the politeness in communication by pharmacists. There was some discordance between the perception of patients and the perception of hospital in accessibility to pharmacy. A large number of respondents were satisfied with clarity and brevity of information given by pharmacy staff, the presence of pharmacist, and availability of prescribed drugs. How to cite this article Bajpai J, Gurbani NK. Gap Analysis between Patients’ Expectations and Services Provided by Pharmacy Store of a Tertiary Care Hospital. Int J Res Foundation Hosp Healthc Adm 2014;2(2):73-78.

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Estimation of Financial Burden to Victims of Ocular Injuries Presenting to a Tertiary Care Hospital in Coastal Karnataka

Indian Journal of Forensic Medicine & Toxicology ◽

10.5958/0973-9130.2019.00175.0 ◽

2019 ◽

Vol 13 (3) ◽

pp. 102

Author(s):

Apoorva Vittal ◽

Ashalata Pati ◽

Rahul Munikrishna ◽

Panchajanya Paul ◽

Ajay Pal Singh ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Financial Burden ◽

Tertiary Care ◽

Care Hospital ◽

Ocular Injuries

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Experience of Managing Snake Bite Cases in a Medicine Unit of Tertiary Care Hospital in Bangladesh - A Case Series

Journal of Medicine ◽

10.3329/jom.v22i1.51397 ◽

2021 ◽

Vol 22 (1) ◽

pp. 72-76

Author(s):

Md Abu Bakar Siddique ◽

Md Mujibur Rahman ◽

AKM Humayon Kabir ◽

Md Uzzwal Mallik ◽

Md Habibullah ◽

...

Keyword(s):

Tertiary Care Hospital ◽

Public Awareness ◽

Financial Burden ◽

Tertiary Care ◽

Case Series ◽

Public Health Problem ◽

Snake Bite ◽

Care Hospital ◽

Tropical Country ◽

Time Period

Background: Snakebite is a neglected public health problem in many countries of the world. Being a tropical country Bangladesh is also facing this problem. In this case series we have tried to focus the illiteracy, prejudice and mismanagement happen in snake bite cases from primary to tertiary level and how effective management can save life of snake bite victim. Case presentation: Among the 29 snake bite cases admitted in a medicine ward of tertiary care hospital four were venomous bites- two male and two female. Our patients came from around Dhaka city. Though victim failed to bring the snake, by studying clinical features and syndromic approaches we suspected Kraits as the culprit in three cases and Cobra in one case. Time period between bite and attend to hospital ranged from 4 hr to 16.30 hours. All victims had inappropriate application of tourniquet to their limbs as a first aid management. Most of them first visit OZHA (traditional healer). Two of them developed respiratory failure. All cases were managed in ICU with polyvalent ASV. One developed anaphylaxis which was managed with adrenaline. All patients recovered completely. Conclusion: Arrival to hospital without delay, facilities for management with trained physicians and proper supply of ASV may reduce death from snake bite and reduce financial burden to the patient. Developing public awareness to remove prejudice about snakes and identifying venomous snake bite is also necessary. J MEDICINE JAN 2021; 22 (1) : 72-76

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A comparative study on the health status of caregivers between intensive and non-intensive care unit patients in a tertiary care hospital of urban Bengaluru

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20214999 ◽

2021 ◽

Vol 9 (1) ◽

pp. 214

Author(s):

N. R. Ramesh Masthi ◽

Laveena S ◽

M. Sharmila ◽

Nitu Kumari ◽

Aparna A. ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Psychological Health ◽

Tertiary Care Hospital ◽

Financial Burden ◽

Tertiary Care ◽

Depression Scale ◽

Physical Symptoms ◽

Care Hospital ◽

Psychological Burden

Background: Caregivers providing care to hospitalized family members are potentially at risk for declining physical and psychological health. To assess and compare physical and psychological burden of caregivers of Intensive care unit and non-Intensive care unit (non-ICU) patients.Methods: A descriptive, hospital-based, cross-sectional study was conducted among 256 caregivers (127 Intensive care unit and 129 non-ICU patients) in a tertiary care hospital in urban Bengaluru for 6 months (July-December, 2019). A modified Hospital anxiety and depression scale (HADS) and Perceived stress scale was used to assess the anxiety and stress burden among the caregivers, respectively.Results: Out of 256 caregivers, 196 (76.56%) experienced some form of physical burden, 112 (57.14%) belonged to ICU group and 84 (42.86%) non-ICU group (Z=2, p=0.045). Anxiety problem was observed in 54.29% caregivers, and was found statistically significant in caregivers of ICU (62.59%) patients than non-ICU (37.41%) patients (Z=2.969, p=0.002). Similarly, the burden of stress was observed in 203 (79.29%) caregivers, predominantly in ICU group (54.19%) compared to non-ICU (45.81%) group.Conclusions: Three-fourth of the caregivers had one or the other physical symptoms and nearly half of them had stress and anxiety irrespective of ICU or non-ICU admission. The financial burden was more among the ICU caregivers and the longer duration of stay had affected the health of the caregivers.

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Drug utilisation pattern in dermatology outpatient department at a tertiary care hospital

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20184197 ◽

2018 ◽

Vol 7 (11) ◽

pp. 2101

Author(s):

G. N. S. Sangeetha Lakshmi ◽

Chilkuri Priyanka ◽

Mortha Vineela

Keyword(s):

Tertiary Care Hospital ◽

Generic Drugs ◽

Financial Burden ◽

Tertiary Care ◽

Educational Interventions ◽

Oral Formulation ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Male And Female

Background: Skin is the part of integumentary system that constitutes the largest organ of human body and thus it is exposed to injury by various extrinsic and intrinsic factors. The skin disorders have serious detrimental effect on quality of life of the general population. The present study was planned to define the prescription pattern in terms of rationality, drug interactions and financial burden of disease to the individual. Also, in the identification of problems related to drug use such as poly-pharmacy and drug-drug interaction.Methods: The present study was conducted in the male and female out-patient Department of Dermatology at a Tertiary Care Hospital in Hyderabad, Telangana over a period of two months. Prescriptions of 400 patients were analyzed i.e. 200 each were taken from the male and female OPD patients. An observational and cross-sectional study design was adopted for this study.Results: Prescriptions of 400 patients were analyzed. The average number of drugs per prescription was 3.73 in male OPD and 3.59 in female OPD. The percentage of generic drugs prescribed was 84.13% in male OPD and 77.3% in female OPD, drugs prescribed by brand name was 15.82% in male OPD and 22.7% in female OPD. Antihistamines were the most commonly prescribed drugs followed by antibacterial in female OPD and antifungals in male OPD.Conclusions: Prescription of maximum drugs was by their generic name and was dispensed free of cost to the patients from the hospital pharmacy. Almost all the drugs prescribed as oral formulation were present in the NLEM, India 2011. Whereas some topical formulations prescribed are not present in the NLEM. Therefore, were prescribed by trade name. Regular educational interventions like sensitization on pharmacovigilance may further promote rational prescribing.

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Out of pocket Expenditure on Health Service Delivery at a Tertiary Care Women’s Hospital: A Descriptive Cross-sectional Study

Journal of Nepal Medical Association ◽

10.31729/jnma.5433 ◽

2020 ◽

Vol 58 (232) ◽

Author(s):

Puja Gartaula ◽

Shristi Neupane ◽

Dip Narayan Thakur ◽

Raj Kumar Sangroula

Keyword(s):

Health Service ◽

Service Delivery ◽

Tertiary Care Hospital ◽

Financial Burden ◽

Tertiary Care ◽

Health Service Delivery ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

Introduction: Institutional delivery in Nepal is increasing in the past decades and has been the priority program of the government of Nepal. However, due to the hidden costs related to institutional deliveries, the financial burden remains unacceptably high for poor households. The study aimed to find out the major out of pocket expenditure on health service delivery at a tertiary care hospital in Kathmandu, Nepal. Methods: A descriptive cross-sectional study was carried out at a tertiary care hospital from December 2018 to May 2019. Ethical approval was taken from Nepal Health Research Council (ref. no. 2087) and permission was taken from the hospital. Informed consent was taken from the participants. Convenient sampling was done. A semi-structured questionnaire was used as a tool for the interview. Data was entered into Epidata and analyzed using the Statistical Package of the Social Sciences version 23. Descriptive analysis was done using mean, median, standard deviation, inter-quartile range, frequency, and percentage. Results: The median out of pocket expenditure of the participants to maternal delivery was NRs. 11720 (7610–20263). The median expenditure was found highest for food and drinking NRs. 2500 (1500–5550) and transportation NRs. 2150 (1400–4543) respectively. Conclusions: Indirect expenditures were found to be higher than direct medical expenditures. Accessibility of the birthing centers and health insurance may reduce the costs related to maternal deliveries.

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