Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam

Trans R Soc Trop Med Hyg. 2019 Oct 11;113(10):649-651. doi: 10.1093/trstmh/trz064.

Abstract

Background: The cost of treatment for infectious shock in intensive care in Vietnam is unknown.

Methods: We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures.

Results: The median hospital bills were US$617 for septic shock (n=100) and US$57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively.

Conclusions: Further advocacy is required to moderate insurance co-payments for costly critical care interventions.

Keywords: cost of illness; septic, severe dengue; shock.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Catastrophic Illness / economics*
  • Cost Sharing / statistics & numerical data
  • Female
  • Health Expenditures / statistics & numerical data*
  • Hospitalization / economics
  • Hospitalization / statistics & numerical data
  • Humans
  • Insurance, Health / economics
  • Insurance, Health / statistics & numerical data
  • Male
  • Middle Aged
  • Prospective Studies
  • Severe Dengue / economics*
  • Severe Dengue / epidemiology
  • Shock, Septic / economics*
  • Shock, Septic / epidemiology
  • Vietnam / epidemiology
  • Young Adult