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Catastrophic care-seeking costs as an indicator for lung health

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Squire, S. B., Thomson, R., Namakhoma, I., El Sony, A., Kritski, A. and Madan, Jason (2015) Catastrophic care-seeking costs as an indicator for lung health. BMC Proceedings, 9 (Supplement 10). S4. doi:10.1186/1753-6561-9-S10-S4 ISSN 1753-6561.

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Official URL: https://doi.org/10.1186/1753-6561-9-S10-S4

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Abstract

Costs incurred during care-seeking for chronic respiratory disease are a major problem with severe consequences for socio-economic status and health outcomes. Most of the published evidence to date relates to tuberculosis (TB) and there is a lack of information for the major non-communicable chronic respiratory diseases: asthma and chronic obstructive pulmonary disease (COPD). International policy is recognising the need to address this problem and measure progress towards eliminating catastrophic care-seeking costs (see the post-2015 TB strategy). Current tools for measuring, defining, and understanding the full consequences of catastrophic care-seeking costs are inadequate. We propose two areas of work which are urgently needed to prepare health systems and countries for the burden of chronic lung disease that will fall on poor populations in the coming 10-20 years:

a) Rapid scale up of the number and scope of studies of patient costs associated with chronic non-communicable respiratory disease.

b) Work towards deeper understanding and effective measurement of catastrophic care-seeking costs.

This will produce a range of indicators, such as dissaving, which can more effectively inform health policy decision-making for lung health. These will also be useful for other health problems. We argue that reduction in care-seeking costs will be a key monitoring indicator for improvements in lung health in particular, and health in general, in the coming 10 to 20 years.

Item Type: Journal Article
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: BMC Proceedings
Publisher: BioMed Central Ltd.
ISSN: 1753-6561
Official Date: 18 December 2015
Dates:
DateEvent
18 December 2015Published
Volume: 9
Number: Supplement 10
Article Number: S4
DOI: 10.1186/1753-6561-9-S10-S4
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 18 July 2018

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