Out-of-pocket expenditures in hospitalized COVID-19 patients: A systematic review and meta-analysis.

IF 1.4 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Journal of Education and Health Promotion Pub Date : 2024-10-28 eCollection Date: 2024-01-01 DOI:10.4103/jehp.jehp_1365_23
Ahmad Dehghani Ahmadabad, Sayyed Morteza Hosseini Shokouh, Parisa Mehdizadeh, Mohammad Meskarpour Amiri
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引用次数: 0

Abstract

The outbreak of COVID-19 has led to substantial out-of-pocket (OOP) expenditures for households during treatment. This study aimed to investigate the OOP expenditures among hospitalized patients with COVID-19 through a systematic review and meta-analysis. A systematic review and meta-analysis were conducted following the PRISMA guidelines. Articles were retrieved from the PubMed, Scopus, and Google Scholar in the period of 2019-2022 and evaluated for quality using the STROBE guidelines. Homogeneity was assessed using the I2 index, and publication bias was examined using a funnel plot. Meta-analysis was performed using Stata 16. Results of the study have shown that a total of nine articles were included in the meta-analysis. The average OOP expenditure for hospitalized COVID-19 patients was found to be US $308.25 (95% CI: 4.17-620.67). The highest OOP expenditure was reported by CHAU (2021) (US $3171.28), followed by GRAG (2022) (US $1582.38), and the lowest by KOTWANI (2021) (US $56.35). According to the results obtained Significant inequality was observed in the OOP expenditures across different countries. Consistent policy recommendations should be made in international forums to reduce these costs in future pandemics for patients in both developed and developing nations.

住院COVID-19患者的自付费用:系统回顾和荟萃分析
2019冠状病毒病的爆发导致家庭在治疗期间支付了大量自付费用。本研究旨在通过系统回顾和荟萃分析的方法调查COVID-19住院患者的OOP支出。根据PRISMA指南进行了系统评价和荟萃分析。从2019-2022年期间的PubMed、Scopus和谷歌Scholar中检索文章,并使用STROBE指南进行质量评估。使用I2指数评估同质性,使用漏斗图检查发表偏倚。采用Stata 16进行meta分析。研究结果显示,共有9篇文章被纳入meta分析。住院COVID-19患者的平均OOP支出为308.25美元(95% CI: 4.17-620.67)。最高的OOP支出是CHAU(2021年)(3171.28美元),其次是GRAG(2022年)(1582.38美元),最低的是KOTWANI(2021年)(56.35美元)。根据获得的结果,在不同国家的OOP支出中观察到显著的不平等。应在国际论坛上提出一致的政策建议,以减少发达国家和发展中国家患者在未来流行病中所付出的代价。
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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来源期刊
CiteScore
2.60
自引率
21.40%
发文量
218
审稿时长
34 weeks
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