Evaluation of the economic impact of the care of childrem affected by IRR on the average expenses fo families

Complementary medicine is more and more used in children and though its clinical outcome has not been clearly assessed. The aim of our group is to evaluate, besides clinical result, the role of biotherapies in a bio-psycho-social environment. In another study we compare the quality of life in families with children affected by atopic dermatitis, who received biotherapic treatment, before and after, by DFIQ. Preliminary results of this study show a clear improvement of indexes for these families. So, in this psycho-social perspective we led this other study, aiming at evaluating the treatment costs in children of age 3 to 6 attending kindergarten and affected by Recurrent Respiratory Infection (IRR), the so called “ever sick children”. The expenses evaluation difference was considered between families who use allopathic therapy, and families who use complementary therapies, from January to April. So far , as the first results are being gathered , the emerging impression referring to some of the sheets points out that some of the pure complementary medicine utilizes shows significant costs as the season starts , but on the long run meet lowering expenses both about illness ( sick child ) and social charges ( school and working days loss ). The Complementary Medicine treated children show a significantly smaller number of diseases all over the examined season. The average cost of conventional care treatment stands between 100 and 150 euro during the 4 months , while the charge of CAM was 100 -150 euro of actual cost . The expenses for CAM treatments are associated to a smaller number of diseases and therefore, as for social costs, CAM user´s expenses prove less charging.

Faktor Risiko Kejadian Recurrent Respiratory Infection pada Anak Usia 2-5 Tahun

<p class="AbstractNormal"><strong><em>Introduction:</em></strong><em> Acute Respiratory Infection (ARI) is the most prevalent disease with high mortality and morbidity on infant. ARI that happens more than five times annually is called Recurrent Respiratory Infection (RRI). Some mortality of ARI comes from kind of ARI that developed from diseases that could be prevented by immunization. This study aimed to find correlation between immunization status, nutritional status, crowding, smoker in house, mother education level, family income level and RRI incident on children age 2-5 years old in Sibela Primary Health Care (PHC) work area, Surakarta.</em></p><p class="AbstractNormal"><strong><em>Methods</em></strong><em>:</em><em> This was an observational analytic study with cross-sectional approach. Sample for this study was children age 2-5 years old from Sibela PHC work area, Surakarta. Sample was taken by cluster sampling method as much as 121 children, the parent interviewed using questioner and children was measured for their height and weight. Data of immunization history was obtained from Kesehatan Ibu dan Anak (KIA) Book and PHC data information system for ARI diagnosis. Data was analyzed using chi-square and logistic regression.</em></p><p class="AbstractNormal"><strong><em>Result</em></strong><em>:</em><em> Chi-square result shows significant correlation between incomplete immunization status and incident of RRI (p=0,000) and OR = 18,774. Logistic regression results shows significant correlation between immunization status and incident of RRI (p=0,000; OR=21,3). </em></p><p class="AbstractNormal"><strong><em>Conclusions</em></strong><em>:</em> <em>Incomplete immunization status significantly correlate to increasing RRI incident 21,3 times on children age 2-5 years old than children which acquired complete immunization status.</em> <em>Nutritional status, crowding, smoker in house, mother educational level, and family income level has no significant correlation with RRI incidence.</em></p>