ArticleClinicoEconomics and outcomes research : CEOR2021
Catastrophic Health Expenditure among Chronic Patients Attending Dessie Referral Hospital, Northeast Ethiopia.
Article in ClinicoEconomics and outcomes research : CEOR, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The burden of household out-of-pocket healthcare expenditures in Ethiopia: a systematic review and meta-analysis.International journal for equity in health · 2022Pooled it
- Factors associated with catastrophic health expenditure in sub-Saharan Africa: A systematic review.PloS one · 2022Pooled it
- The effect of community-based health insurance on out-of-pocket expenditure among diabetic patients at hawassa university comprehensive specialized hospital: facility-based comparative cross-sectional study.BMC health services research · 2026Article
- Determinants of catastrophic health expenditure: Evidence from a patient survey at public hospitals in the Northern midlands and mountainous areas, Vietnam.Journal of public health research · 2026Article
- Catastrophic health payments in Ghana post-National Health Insurance Scheme implementation: an analysis of service-specific health expenditures.BMJ global health · 2025Article
- Socioeconomic inequality in financial hardship in accessing quality healthcare services in Ethiopia: a community-based cross-sectional study.Frontiers in public health · 2025Article
- Willingness and ability to pay for breast cancer treatment among patients from Addis Ababa, Ethiopia: A cross-sectional study.PloS one · 2024Article
- Investigating catastrophic health expenditure among people living with HIV and AIDS in South Western Nigeria.Health care science · 2023Article
- Building Sustainable Reconstructive Microsurgery in Countries with Limited Resources: The Rwandan Experience.Plastic and reconstructive surgery. Global open · 2023Article
- Effect of community-based health insurance on catastrophic health expenditure among chronic disease patients in Asella referral hospital, Southeast Ethiopia: a comparative cross-sectional study.BMC health services research · 2023Article
- Article
- Households' Direct Economic Burden Associated with Chronic Non-Communicable Diseases in Saudi Arabia.International journal of environmental research and public health · 2022Article
- Does Elderly Chronic Disease Hinder the Sustainability of Borderline Poor Families' Wellbeing: An Investigation From Catastrophic Health Expenditure in China.International journal of public health · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCatastrophic health expenditure is health spending that is not covered by a health-care plan. These costs tend to escalate over time, due to chronic illnesses. Catastrophic health expenditure leads to decreased use of health services and poorer treatment outcomes. This study measured the extent of and factors associated with catastrophic health expenditure among chronically ill patients attending Dessie Referral Hospital in northeast Ethiopia.
methodsAn institution-based cross-sectional study design was used to quantify catastrophic health expenditure among 302 chronically ill patients from May 25, 2018 to June 30, 2018. A stratified sampling technique was used to select the study participants. Descriptive and inferential statistics were computed using SPSS 20.
resultsCatastrophic health expenditure was found in 194 (64.2%, 95% CI 58.8%-70.5%) of chronic patients. Costly service (151, 50%), transport (104, 34.4%), and pharmaceuticals (189, 62.6%) were the reasons for catastrophic health expenditure among chronic patients. Factors associated with catastrophic health expenditure were age <30 years (AOR 7.74, CI 0.94-63.62;
conclusionTwo-thirds of chronic patients had catastrophic health expenditure. Starting and strengthening various health-insurance schemes will make chronic-care services more accessible and affordable.
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