scholarly journals An exploratory study to estimate cost-effectiveness threshold value for life saving treatments in western Iran

2020 ◽  
Author(s):  
Najmeh Moradi ◽  
Abraha Woldemichael ◽  
Parisa Malekian ◽  
Delnia Moradi Rotavandi ◽  
Satar Rezaei
Keyword(s):  
Cost Effectiveness ◽  
Family Members ◽  
Threshold Value ◽  
Monthly Income ◽  
Tobit Regression ◽  
Western Iran ◽  
Life Saving ◽  
Additional Qaly ◽  
The Family ◽  
The Mean

Abstract Background: Cost-effectiveness analysis provides a crucial means for evidence-informed decision-making on resource allocation. This study aims to elicit individuals' willingness to pay (WTP) for one additional quality-adjusted life-year (QALY) gained from life-saving treatment and associated factors in Kermanshah city, western Iran.Methods: We conducted a cross-sectional study on a total of 847 adults aged 18 years and above to elicit their WTP for one additional QALY gained by oneself and a family member using a hypothetical life-saving treatment. We used a multistage sampling technique to select the samples, and the Iranian version of EQ-5D-3L, and visual analogue scale (VAS) measures to obtain the participants’ health utility value. The Tobit regression model was used to identify the factors affecting WTP per QALY values.Results: The mean WTP value and standard deviation (SD) was US$ 862 (3,224) for the respondents and US$ 1,355 (3,993) for the family members. The mean utility values using EQ-5D-3L and VAS methods were 0.779 and 0.800, respectively. Besides, the WTP for the additional QALY gained by the individual participants using the EQ-5D-3L and VAS methods were respectively US$ 1,202 and US$ 1,101, while the estimated value of the family members was US$ 1,355 (SD= 3,993). The Tobit regression models indicated that monthly income, education level, sex, and birthplace were statistically significantly associated (p < 0.05) with both the WTP for the extra QALY values using the EQ-5D-3L and the VAS methods. Educational level and monthly income also showed statistically significant relationships with the WTP for the additional QALY gained by the family members (p < 0.05). Conclusion: Our findings indicated that the participants' WTP value of the additional QALY gained from the hypothetical life-saving treatment was in the range of 0.20 to 0.24 of the gross domestic product (GDP) per capita of Iran. This value is far lower than the World Health Organization (WHO) recommended CE threshold value of one. This wide gap reflects the challenges the health system is facing and requires further research for defining the most appropriate CE threshold at the local level.

scholarly journals An exploratory study to estimate cost-effectiveness threshold value for life saving treatments in western Iran

2020 ◽  
Author(s):  
Najmeh Moradi ◽  
Abraha Woldemichael ◽  
Parisa Malekian ◽  
Delnia Moradi Rotavandi ◽  
Satar Rezaei
Keyword(s):  
Cost Effectiveness ◽  
Family Members ◽  
Threshold Value ◽  
Monthly Income ◽  
Tobit Regression ◽  
Western Iran ◽  
Life Saving ◽  
Additional Qaly ◽  
The Family ◽  
The Mean

Abstract Background: Cost-effectiveness analysis provides a crucial means for evidence-informed decision-making on resource allocation. This study aims to elicit individuals' willingness to pay (WTP) for one additional quality-adjusted life-year (QALY) gained from life-saving treatment and associated factors in Kermanshah city, western Iran.Methods: We conducted a cross-sectional study on a total of 847 adults aged 18 years and above to elicit their WTP for one additional QALY gained by oneself and a family member using a hypothetical life-saving treatment. We used a multistage sampling technique to select the samples, and the Iranian version of EQ-5D-3L, and visual analogue scale (VAS) measures was used to obtain the participants’ health utility value. The Tobit regression model was used to identify the factors affecting WTP per QALY values.Results: The mean WTP value and standard deviation (SD) was US$ 862 (3,224) for the respondents and US$ 1,355 (3,993) for the family members. The mean utility values using EQ-5D-3L and VAS methods were 0.779 and 0.800, respectively. Besides, Tthe WTP for the additional QALY gained by the individual participants using the EQ-5D-3L and VAS methods were respectively US$ 1,202 and US$ 1,101, while the estimated value of the family members was US$ 1,355 (SD= 3,993). The Tobit regression models indicated that monthly income, education level, sex, and birthplace were statistically significantly associated (p < 0.05) with both the WTP for the extra QALY values using the EQ-5D-3L and the VAS methods. Besides, eEducational level and monthly income also showed statistically significant relationships with the WTP for the additional QALY gained by the family members (p < 0.05). Conclusion: Our findings indicated that the participants' WTP value of the additional QALY gained from the hypothetical life-saving treatment was in the range of 0.20 to 0.24 of the Iran’s gross domestic product (GDP) per capita of Iran. This value, which is far lower than the World Health Organization (WHO) recommended CE threshold value of one. This wide gap reflects the challenges the health system is facing and requires further research for defining the most appropriate CE threshold at the local level.

scholarly journals An exploratory study to estimate cost-effectiveness threshold value for life saving treatments in western Iran

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Najmeh Moradi ◽  
Abraha Woldemichael ◽  
Parisa Malekian ◽  
Delnia Moradi Rotvandi ◽  
Satar Rezaei
Keyword(s):  
Cost Effectiveness ◽  
Family Members ◽  
Threshold Value ◽  
Monthly Income ◽  
Tobit Regression ◽  
Western Iran ◽  
Life Saving ◽  
Additional Qaly ◽  
The Family ◽  
The Mean

Abstract Background Cost-effectiveness analysis provides a crucial means for evidence-informed decision-making on resource allocation. This study aims to elicit individuals' willingness to pay (WTP) for one additional quality-adjusted life-year (QALY) gained from life-saving treatment and associated factors in Kermanshah city, western Iran. Methods We conducted a cross-sectional study on a total of 847 adults aged 18 years and above to elicit their WTP for one additional QALY gained by oneself and a family member using a hypothetical life-saving treatment. We used a multistage sampling technique to select the samples, and the Iranian version of EQ-5D-3L, and visual analogue scale (VAS) measures to obtain the participants’ health utility value. The Tobit regression model was used to identify the factors affecting WTP per QALY values. Results The mean WTP value and standard deviation (SD) was US$ 862 (3,224) for the respondents. The mean utility values using EQ-5D-3L and VAS methods for respondents were 0.779 and 0.800, respectively. Besides, the WTP for the additional QALY gained by the individual participants using the EQ-5D-3L and VAS methods were respectively US$ 1,202 and US$ 1,101, while the estimated value of the family members was US$ 1,355 (SD = 3,993). The Tobit regression models indicated that monthly income, education level, sex, and birthplace were statistically significantly associated (p < 0.05) with both the WTP for the extra QALY values using the EQ-5D-3L and the VAS methods. Educational level and monthly income also showed statistically significant relationships with the WTP for the additional QALY gained by the family members (p < 0.05). Conclusion Our findings indicated that the participants' WTP value of the additional QALY gained from the hypothetical life-saving treatment was in the range of 0.20–0.24 of the gross domestic product (GDP) per capita of Iran. This value is far lower than the World Health Organization (WHO) recommended CE threshold value of one. This wide gap reflects the challenges the health system is facing and requires further research for defining the most appropriate CE threshold at the local level.

scholarly journals An exploratory study to estimate cost-effectiveness threshold value for life saving treatments in western Iran

2021 ◽  
Author(s):  
Najmeh Moradi ◽  
Abraha Woldemichael ◽  
Parisa Malekian ◽  
Delnia Moradi Rotavandi ◽  
Satar Rezaei
Keyword(s):  
Cost Effectiveness ◽  
Family Members ◽  
Threshold Value ◽  
Monthly Income ◽  
Tobit Regression ◽  
Western Iran ◽  
Life Saving ◽  
Additional Qaly ◽  
The Family ◽  
The Mean

Abstract Background: Cost-effectiveness analysis provides a crucial means for evidence-informed decision-making on resource allocation. This study aims to elicit individuals' willingness to pay (WTP) for one additional quality-adjusted life-year (QALY) gained from life-saving treatment and associated factors in Kermanshah city, western Iran.Methods: We conducted a cross-sectional study on a total of 847 adults aged 18 years and above to elicit their WTP for one additional QALY gained by oneself and a family member using a hypothetical life-saving treatment. We used a multistage sampling technique to select the samples, and the Iranian version of EQ-5D-3L, and visual analogue scale (VAS) measures to obtain the participants’ health utility value. The Tobit regression model was used to identify the factors affecting WTP per QALY values.Results: The mean WTP value and standard deviation (SD) was US$ 862 (3,224) for the respondents. The mean utility values using EQ-5D-3L and VAS methods for respondents were 0.779 and 0.800, respectively. Besides, the WTP for the additional QALY gained by the individual participants using the EQ-5D-3L and VAS methods were respectively US$ 1,202 and US$ 1,101, while the estimated value of the family members was US$ 1,355 (SD= 3,993). The Tobit regression models indicated that monthly income, education level, sex, and birthplace were statistically significantly associated (p < 0.05) with both the WTP for the extra QALY values using the EQ-5D-3L and the VAS methods. Educational level and monthly income also showed statistically significant relationships with the WTP for the additional QALY gained by the family members (p < 0.05). Conclusion: Our findings indicated that the participants' WTP value of the additional QALY gained from the hypothetical life-saving treatment was in the range of 0.20 to 0.24 of the gross domestic product (GDP) per capita of Iran. This value is far lower than the World Health Organization (WHO) recommended CE threshold value of one. This wide gap reflects the challenges the health system is facing and requires further research for defining the most appropriate CE threshold at the local level.

scholarly journals An exploratory study to estimate cost-effectiveness threshold value for life saving treatments in western Iran

2020 ◽  
Author(s):  
Najmeh Moradi ◽  
Abraha Woldemichael ◽  
Parisa Malekian ◽  
Delnia Moradi Rotavandi ◽  
Satar Rezaei
Keyword(s):  
Cost Effectiveness ◽  
Family Members ◽  
Threshold Value ◽  
Monthly Income ◽  
Tobit Regression ◽  
Western Iran ◽  
Life Saving ◽  
Additional Qaly ◽  
The Family ◽  
The Mean

Abstract Background: Cost-effectiveness analysis provides a crucial means for evidence-informed decision-making on resource allocation. This study aims to elicit individuals' willingness to pay (WTP) for one additional quality-adjusted life-year (QALY) gained from life-saving treatment and associated factors in Kermanshah city, western Iran.Methods: We conducted a cross-sectional study on a total of 847 adults aged 18 years and above to elicit their WTP for one additional QALY gained by oneself and a family member using a hypothetical life-saving treatment. We used a multistage sampling technique to select the samples, and the Iranian version of EQ-5D-3L, and visual analogue scale (VAS) measures to obtain the participants’ health utility value. The Tobit regression model was used to identify the factors affecting WTP per QALY values.Results: The mean WTP value and standard deviation (SD) was US$ 862 (3,224) for the respondents. The mean utility values using EQ-5D-3L and VAS methods for respondents were 0.779 and 0.800, respectively. Besides, the WTP for the additional QALY gained by the individual participants using the EQ-5D-3L and VAS methods were respectively US$ 1,202 and US$ 1,101, while the estimated value of the family members was US$ 1,355 (SD= 3,993). The Tobit regression models indicated that monthly income, education level, sex, and birthplace were statistically significantly associated (p < 0.05) with both the WTP for the extra QALY values using the EQ-5D-3L and the VAS methods. Educational level and monthly income also showed statistically significant relationships with the WTP for the additional QALY gained by the family members (p < 0.05). Conclusion: Our findings indicated that the participants' WTP value of the additional QALY gained from the hypothetical life-saving treatment was in the range of 0.20 to 0.24 of the gross domestic product (GDP) per capita of Iran. This value is far lower than the World Health Organization (WHO) recommended CE threshold value of one. This wide gap reflects the challenges the health system is facing and requires further research for defining the most appropriate CE threshold at the local level.

scholarly journals An exploratory study to estimate cost-effectiveness threshold value for life saving treatments in western Iran

2020 ◽  
Author(s):  
Najmeh Moradi ◽  
Abraha Woldemichael ◽  
Parisa Malekian ◽  
Delnia Moradi Rotavandi ◽  
Satar Rezaei
Keyword(s):  
Cost Effectiveness ◽  
Family Members ◽  
Threshold Value ◽  
Education Level ◽  
Monthly Income ◽  
Tobit Regression ◽  
Life Saving ◽  
Additional Qaly ◽  
The Family ◽  
The Mean

Abstract Background Cost-effectiveness analysis provides a crucial means for evidence-informed decision-making on resource allocation. This study aims to elicit individuals' willingness to pay (WTP) for one additional quality-adjusted life-year (QALY) gained from life-saving treatment and associated factors in Kermanshah city, western Iran. Methods We conducted a cross-sectional study on a total of 847 adults aged 18 years and above to elicit their WTP for one additional QALY gained by oneself and a family member using a hypothetical life-saving treatment. We used a multistage sampling technique to select the samples, and the Iranian version of EQ-5D-3L, and visual analogue scale (VAS) measures was used to obtain the participants’ health utility value. The Tobit regression model was used to identify the factors affecting WTP per QALY values. Results The mean WTP value and standard deviation (SD) was US$ 862 (3224) for the respondents and US$ 1355 (3993) for the family members. The mean utility values using EQ-5D-3L and VAS methods were 0.779 and 0.800, respectively. The WTP for the additional QALY gained by the individual participants using the EQ-5D-3L and VAS methods were respectively US$ 1202 and US$ 1101, while the estimated value of the family members was US$ 1355 (SD= 3993). The Tobit regression models indicated that monthly income, education level, sex, and birthplace were statistically significantly associated (p < 0.05) with both the WTP for the extra QALY values using the EQ-5D-3L and the VAS methods. Besides, education level and monthly income showed statistically significant relationships with the WTP for the additional QALY gained by the family members (p < 0.05). Conclusion Our findings indicated that the participants' WTP value of the additional QALY gained from the hypothetical life-saving treatment was in the rage of 0.20 to 0.24 of Iran’s gross domestic product (GDP) per capita, which is far lower than the World Health Organization (WHO) recommended CE threshold value of one. This wide gap reflects the challenges the health system is facing and requires further research for defining the most appropriate CE threshold at the local level.

scholarly journals An Exploratory Study to Estimate Cost-effectiveness Threshold Value for Life Saving Treatments in Western Iran

2020 ◽  
Author(s):  
Najmeh Moradi ◽  
Abraha Woldemichael ◽  
Parisa Malekian ◽  
Delnia Moradi Rotavandi ◽  
Satar Rezaei
Keyword(s):  
Cost Effectiveness ◽  
Family Members ◽  
Threshold Value ◽  
Education Level ◽  
Monthly Income ◽  
Tobit Regression ◽  
Life Saving ◽  
Additional Qaly ◽  
The Family ◽  
The Mean

Abstract Background: Cost-effectiveness analysis provides a crucial means for evidence-informed decision-making on resource allocation. This study aims to elicit individuals' willingness to pay (WTP) for one additional quality-adjusted life-year (QALY) gained from life-saving treatment and associated factors in Kermanshah city, western Iran.Methods: We conducted a cross-sectional study on a total of 847 adults aged 18 years and above to elicit their WTP for one additional QALY gained by oneself and a family member using a hypothetical life-saving treatment. We used a multistage sampling technique to select the samples, and the Iranian version of EQ-5D-3L, and visual analogue scale (VAS) measures was used to obtain the participants’ health utility value. The Tobit regression model was used to identify the factors affecting WTP per QALY values.Results: The mean WTP value and standard deviation (SD) was US$ 862 (3224) for the respondents and US$ 1355 (3993) for the family members. The mean utility values using EQ-5D-3L and VAS methods were 0.779 and 0.800, respectively. The WTP for the additional QALY gained by the individual participants using the EQ-5D-3L and VAS methods were respectively US$ 1202 and US$ 1101, while the estimated value of the family members was US$ 1355 (SD= 3993). The Tobit regression models indicated that monthly income, education level, sex, and birthplace were statistically significantly associated (p < 0.05) with both the WTP for the extra QALY values using the EQ-5D-3L and the VAS methods. Besides, education level and monthly income showed statistically significant relationships with the WTP for the additional QALY gained by the family members (p < 0.05). Conclusion: Our findings indicated that the participants' WTP value of the additional QALY gained from the hypothetical life-saving treatment was in the rage of 0.20 to 0.24 of Iran’s gross domestic product (GDP) per capita, which is far lower than the World Health Organization (WHO) recommended CE threshold value of one. This wide gap reflects the challenges the health system is facing and requires further research for defining the most appropriate CE threshold at the local level.

scholarly journals An exploratory study to estimate cost-effectiveness threshold value for life saving treatments in western Iran

2020 ◽  
Author(s):  
Najmeh Moradi ◽  
Abraha Woldemichael ◽  
Parisa Malekian ◽  
Delnia Moradi Rotavandi ◽  
Satar Rezaei
Keyword(s):  
Cost Effectiveness ◽  
Family Members ◽  
Threshold Value ◽  
Education Level ◽  
Monthly Income ◽  
Tobit Regression ◽  
Life Saving ◽  
Additional Qaly ◽  
The Family ◽  
The Mean

Abstract Background Cost-effectiveness analysis provides a crucial means for evidence-informed decision-making on resource allocation. This study aims to elicit individuals' willingness to pay (WTP) for one additional quality-adjusted life-year (QALY) gained from life-saving treatment and associated factors in Kermanshah city, western Iran. Methods We conducted a cross-sectional study on a total of 847 adults aged 18 years and above to elicit their WTP for one additional QALY gained by oneself and a family member using a hypothetical life-saving treatment. We used a multistage sampling technique to select the samples, and the Iranian version of EQ-5D-3L, and visual analogue scale (VAS) measures was used to obtain the participants’ health utility value. The Tobit regression model was used to identify the factors affecting WTP per QALY values. Results The mean WTP value and standard deviation (SD) was US$ 862 (3224) for the respondents and US$ 1355 (3993) for the family members. The mean utility values using EQ-5D-3L and VAS methods were 0.779 and 0.800, respectively. The WTP for the additional QALY gained by the individual participants using the EQ-5D-3L and VAS methods were respectively US$ 1202 and US$ 1101, while the estimated value of the family members was US$ 1355 (SD= 3993). The Tobit regression models indicated that monthly income, education level, sex, and birthplace were statistically significantly associated (p < 0.05) with both the WTP for the extra QALY values using the EQ-5D-3L and the VAS methods. Besides, education level and monthly income showed statistically significant relationships with the WTP for the additional QALY gained by the family members (p < 0.05). Conclusion Our findings indicated that the participants' WTP value of the additional QALY gained from the hypothetical life-saving treatment was in the rage of 0.20 to 0.24 of Iran’s gross domestic product (GDP) per capita, which is far lower than the World Health Organization (WHO) recommended CE threshold value of one. This wide gap reflects the challenges the health system is facing and requires further research for defining the most appropriate CE threshold at the local level.

High Levels of Protein C Are Determinated by PROCR H3 in a Dutch Family.

Blood ◽  
2009 ◽  
Vol 114 (22) ◽  
pp. 2139-2139
Author(s):  
Maria Carolina Pintao ◽  
Sara Roshani ◽  
Marieke C.H. de Visser ◽  
Cris Tieken ◽  
Michael W.T. Tanck ◽  
...  
Keyword(s):  
Linkage Analysis ◽  
Candidate Genes ◽  
Protein C ◽  
Transmembrane Domain ◽  
Family Members ◽  
Endothelial Protein C Receptor ◽  
Lod Score ◽  
Chromosome 20 ◽  
The Family ◽  
The Mean

Abstract Abstract 2139 Poster Board II-116 The natural anticoagulant protein C (PC) circulates in blood at a concentration of about 60 nM. Inter-individual variations in the levels of PC are in part genetically determined, but which loci in the genome are involved is only partially known. In a recent study we identified a locus on chromosome 20 which was associated with high PC levels in a large pedigree from the GENES study (LOD score >5 at 55 cMorgan). Candidate genes related to the PC pathway under the LOD-1 region encoded FOXA2 (previously known as HNF3 beta, a nuclear factor regulating protein C gene transcription), thrombomodulin (THBD,which is key to activation of PC), and the endothelial protein C receptor (PROCR). Here we present data that pinpoint a SNP in PROCRas being responsible for the observed segregation of high PC levels. The pedigree has 218 members and was ascertained through a proband with a family history of venous thrombosis (VT). Classical genetic risk factors for thrombosis (i.e. PC-, PS-, antithrombin deficiency, factor V Leiden and prothrombin G20201A) were not present. Complete medical data, plasma measurements and DNA was available for 161 family members. The mean age was 47±15 (range 15-87) years. The mean PC plasma level was 116±25% (range 72-212). Four family members had experienced VT and 2 had had recurrence. These symptomatic members had normal to high PC levels (66, 82, 114 and 178%).Haplotypes (and genotypes) for PROCR were determined in the family members by TaqMan assay using tag SNPs (single nucleotide polymorphisms) and PROCR H3 was associated with the levels of PC in the family. Furthermore, the promoter, exons, and 3`UTR of the 3 candidate genes were sequenced in 13 individuals, 9 with high and 4 with normal plasma PC levels. Critical SNPs that were encountered during sequencing were genotyped in all family members, namely FOXA2 rs1055080 (3`UTR) and rs2277764 (promoter region). As those 2 SNPs were inherited together in the set of 13 patients and also in the LETS (data not shown), our further analysis used only rs1055080. Plasma soluble endothelial protein C receptor (sEPCR) and soluble thrombomodulin (sTM) levels were measured with an ELISA assay. PC and sEPCR and levels were compared between PROCR H3 and FOXA2 rs1055080 carriers and non carriers by Student's t-test. sTM was analyzed by Mann-Whitney test. Association between PC levels and sEPCR/sTM levels were evaluated using linear regression analysis. Afterwards associations were adjusted for the PROCR H3 and FOXA2 rs1055080 SNP separately to detect their possible confounding effect. DNA sequencing only yielded previously reported SNPs in FOXA2, THBD and PROCR. Only the above mentioned SNPs were associated with PC plasma levels. Linkage analysis for PC levels using the original markers (from Marshifield) and adding the new PROCR and FOXA2 SNPs did not change the LOD score. When the analysis was adjusted for the mentioned markers, the LOD score dropped below 2. sEPCR has a bimodal distribution; mean ± SD was 103±27 ng/ml for the first mode and 262±70 ng/ml for the second mode. Median (range) sTM was 1.2 ng/ml (0.1-4). Linkage analysis for sEPCR levels yielded a high LOD score (above 6) that was accentuated to above 8 when PROCR H3 was included as a marker. For sTM, the LOD score was low with every combination of markers. PC, sEPCR and sTM levels were compared between PROCR H3 carriers and non-carriers and both PC levels and sEPCR levels were influenced by this PROCR haplotype, but not sTM. In conclusion, chromosome 20 harbors a locus which influences PC levels and also the levels of sEPCR, but not the levels of sTM. A detailed analysis with SNPs in PROCR, THBD and FOXA2suggests that the so-called PROCR H3 is directly responsible for the increased PC and sEPCR levels in this family. PROCR H3 is known to represent a g.A6936G substitution leading to a p.Ser219Gly replacement in the transmembrane domain of EPCR. The Gly219 isoform is more sensitive to sheddases (such as the ADAM17 metalloprotease) and is associated with generation of truncated mRNA lacking the transmembrane domain. However, the exact mechanism by which EPCR and sEPCR levels influence the level of PC remains to be determined Disclosures: No relevant conflicts of interest to declare.

scholarly journals Problems Faced By Kith & Kin in Dealing with Their Parents

1970 ◽  
Vol 17 (2) ◽  
pp. 106-110
Author(s):  
SA Chowdhury ◽  
S Jabeen
Keyword(s):  
Family Members ◽  
Descriptive Study ◽  
Financial Constraint ◽  
Monthly Income ◽  
Cross Sectional ◽  
Rural People ◽  
Educational Levels ◽  
Limited Space ◽  
Average Monthly Income ◽  
The Mean

Objectives: This study was conducted to find out the problems faced by the kith and kin (children) to deal with their aged parents.Methodology: This cross-sectional descriptive study was conducted among the rural people of Dhamrai, who had either one or both living parents. Data was collected from January to March, 2008.Results: Three hundred respondents were interviewed; the mean age was 33.73 (S.D ±7.27) years. Most of the respondents were Muslims (92%) and male (86%). Majority were day labourer (37.3%), agriculture worker (26%) and businessman (19.3%). Rests were service holders (11.3%) and housewives (9%). The educational levels of the respondents were SSC and above (41%) while 8.6% were illiterate. Mean family size was 5.5 members with mean average monthly income 4173(S.D ±2007.77) taka. Majority of the respondents (58.3%) had their parents living with them and 92% parents were dependant upon them for their living. More than half (56%) respondents had problems due to the presence of their parents in their families. Among them, majority (63%) had financial constrain, others were too busy with occupation (18%), limited space in their houses (10%), due to pressure from family members family members (9%). More financial support (32%), more attention (31%), more honour (20%) were the main expectations from their kith and kin by the parents.Conclusion: The main problems found among the majority (56%) of the respondents were, financial constraint (63%), busy with occupation (18%), limited space at home(10%), and non co-operation from other family members(9%). Key Words: Kith & Kin; Caregivers; Elderly DOI: 10.3329/jdmc.v17i2.6592J Dhaka Med Coll. 2008; 17(2) : 106-110

scholarly journals Socioeconomic impact of stroke in patients and family members

2020 ◽  
pp. 05-40
Author(s):  
Henriques Tchinjengue Capiñala ◽  
Miguel Santana Bettencourt
Keyword(s):  
Household Income ◽  
Functional Dependence ◽  
Family Members ◽  
Public Health Problem ◽  
Monthly Income ◽  
Physical Medicine ◽  
Acquired Disability ◽  
Cross Sectional ◽  
The Mean ◽  
The Unemployed

Introduction: Stroke is a worldwide public health problem and one of the major causes of acquired disability worldwide. Objective: To study the socioeconomic weight of stroke in patients and family members, followed by an external consultation of Neurology at Hospital Américo Boavida (HAB) and at the Center for Physical Medicine and Rehabilitation of Luanda (CMFRL) from June to August 2013. Methods: A cross-sectional descriptive observational study of 56 patients after stroke, assisted in the HAB and CMFRL/2013, was conducted. The sample was non-probabilistic, convenience-type. The data were collected using a form as well as the Barthel Index (IB) to assess the degree of functional dependence. Results: The mean age was 53 years, since the modal age group was 50-59 years, the male gender was the most frequent (53.6%), the majority of patients were married (69.6%), unemployed (25%), with primary education done (37.5%); 80.4% go to public transport consultation, the majority reported being taken care of by the spouse (67.9%), so 100% of the unemployed was due to their illness; 50% reported having households consisting of 6-8 people; the most frequent monthly income was 2-5 minimum wages (47%), and more was spent on complementary diagnostic tests with an average of 9,844.6 4 Kz/month and a total expenditure on average of 28510.71 Kz/month and that 25% of the sample spent more than 50% of the monthly income for the disease; 44.6% was moderately dependent. Finally, it was found that most of those who had some degree of dependence became unemployed and spent more than 50% of the monthly household income for the disease. Conclusion: Stroke affects, often the most deprived people and, at the same time, contributes even more to socioeconomic deprivation.

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