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Out of Pocket Spending for Febrile Illnesses among Children Admitted to Two Teaching Hospitals in Sri Lanka

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Out of Pocket Spending for Febrile Illnesses among Children Admitted to Two Teaching Hospitals in Sri Lanka

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Abstract

Background: The private health service has influenced the escalation of out of pocket spending (OOPS), while there is an established free health service in Sri Lanka. Aim: This study evaluates the extent, impact and reasons for rising OOPS among patients admitted to two teaching hospitals in central Sri Lanka. Setting and Design: Prospective mixed method was used and quantitative and qualitative data regarding health expenses were gathered by an interviewer-administered questionnaire among 100 consecutive admissions with acute febrile illnesses. Results: Majority (78%) expressed concern about cost of care; low and high income groups have spent 33.6% and 10.7% respectively, of their monthly earning for the current acute febrile illness. low-income group with lack of savings have managed with loans and curtailing routine living expenses of the family. Conclusion: OOPS appears to be a considerable burden on the public. Deficiencies of doctor patient communication and lack of defined target population could be responsible for this situation.

References

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Rasnayaka Mudiyanse. 2014. "Out of Pocket Spending for Febrile Illnesses among Children Admitted to Two Teaching Hospitals in Sri Lanka". Global Journal of Medical Research - K: Interdisciplinary GJMR-K Volume 14 (GJMR Volume 14 Issue 51 (K5)).

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords
Classification
GJMR-K Classification NLMC Code: WD 300
Version of record
v1.2

Issue date
October 29, 2014

Language
English
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Out of Pocket Spending for Febrile Illnesses among Children Admitted to Two Teaching Hospitals in Sri Lanka

Rasnayaka Mudiyanse
Rasnayaka Mudiyanse University of Peradeniya