Preference and willingness to pay for using treatment diet services at Hanoi Medical University hospital in 2018 - 2019

Tham Pham Thi, Thuy Tien Doan Ngoc, Cong Son Dang, Minh Dat Le
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Abstract

Background: An appropriate nutrition diet assists patients to increase the effectiveness of medical treatments, reduce relapse, prevent disease progression, shorten the duration of treatment and reduce medical expenses. In Vietnam, treatment diet services have been concerned at the early stage and implemented among some hospitals but its performance did not widespread and highly effective. Methodology: A cross-sectional study, direct interview with questionnaires on 220 inpatients being treated in 4 clinical departments, namely Department of Internal Medicine, Department of Cardiology, Department of General Surgery, and Department of Oncology and palliative care, in Hanoi Medical University Hospital. Result: The proportion of patients used to using treatment diet was 48.2%.The percentage of respondents want to use treatment diet was 54.95%. There was 54.95% of respondents were willing to pay for treatment meal services with the mean amount of 35,100 VND (95% CI, 31,950 VND-38,240 VND. Comparing to males, more females were willing to pay for the treatment meal services (63.29%) but at a lower mean amount (30,800 VND) and the difference among two groups was statistically significant (p<0.05). Respondents aging from 18 to under 60 were willing to pay at a higher mean amount than those aging 60 and above (37,690 VND and 31,950 VND respectively). Conclusion: The proportion of patients who want to use treatment diet is high. Strengthen communication exchange with leaders, doctors, nurses, patients and family members to increase the proportion of patients use treatment meal over 70% according to the Ministry of Health standards.
2018 - 2019年河内医科大学医院治疗饮食服务的偏好和支付意愿
背景:适当的营养饮食有助于患者提高医疗效果,减少复发,预防疾病进展,缩短治疗时间,降低医疗费用。在越南,治疗饮食服务在早期就受到关注,并在一些医院中实施,但其效果并不普遍和有效。方法:采用横断面研究方法,对河内医科大学医院内科、心内科、普外科、肿瘤及姑息治疗科4个临床科室的220例住院患者进行直接访谈和问卷调查。结果:患者习惯使用治疗饮食的比例为48.2%。受访者希望使用治疗饮食的比例为54.95%。54.95%的应答者愿意支付治疗餐服务费用,平均费用为35100越南盾(95%置信区间为31950越南盾- 38240越南盾)。与男性相比,女性更愿意支付治疗餐服务(63.29%),但平均支付金额较低(30,800越南盾),两组差异有统计学意义(p<0.05)。18岁至60岁以下的受访者愿意支付的平均金额高于60岁及以上的受访者(分别为37,690越南盾和31,950越南盾)。结论:希望采用治疗饮食的患者比例较高。加强与领导、医生、护士、患者及家属的沟通交流,按照卫生部标准将患者使用治疗餐比例提高到70%以上。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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