Costs and process of in-patient tuberculosis management at a central academic hospital, Cape Town, South Africa

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dc.contributor.authorJanson, J.
dc.contributor.authorMarais, Fredericken_ZA
dc.contributor.authorMehtar, Shaheenen_ZA
dc.contributor.authorBaltussen, R. M. P. M.
dc.date.accessioned2013-04-29T12:53:44Z
dc.date.available2013-04-29T12:53:44Z
dc.date.issued2012-09
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund.en_ZA
dc.descriptionThe original publication is available at http://www.ingentaconnect.com/journals/browse/iuatld/en_ZA
dc.description.abstractSetting: South Africa reports more cases of tuberculosis (TB) than any other country, but an up-to-date, precise estimate of the costs associated with diagnosing, treating and preventing TB at the in-patient level is not available. Objective: To determine the costs associated with TB management among in-patients and to study the use of personal protective equipment (PPE) at a central academic hospital in Cape Town. Design: Retrospective and partly prospective cost analysis of TB cases diagnosed between May 2008 and October 2009. Results: The average daily in-patient costs were US$238; the average length of stay was 9.7 days. Mean laboratory and medication costs per stay were respectively US$26.82 and US$8.68. PPE use per day cost US$0.99. The average total TB management costs were US$2373 per patient. PPE was not always properly used. Discussion: The costs of in-patient TB management are high compared to community-based treatment; the main reason for the high costs is the high number of in-patient days. An efficiency assessment is needed to reduce costs. Cost reduction per TB case prevented was approximately US$2373 per case. PPE use accounted for the lowest costs. Training is needed to improve PPE use.en_ZA
dc.description.sponsorshipStellenbosch University Open Access Funden_ZA
dc.description.versionPublishers' versionen_ZA
dc.format.extentp. 61-65
dc.identifier.citationJanson, J., Marais, F., Mehtar, S. & Baltussen, R.M.P.M. 2012. Costs and process of inpatient-tuberculosis management at a central academic hospital in Cape Town, South Africa. Public Health Action, 2(3):61-65, doi:10.5588/pha.12.0003.en_ZA
dc.identifier.issn2220-8372 (online)
dc.identifier.otherdoi:10.5588/pha.12.0003
dc.identifier.urihttp://hdl.handle.net/10019.1/80702
dc.language.isoen_ZAen_ZA
dc.publisherIUATLD -- International Union Against Tuberculosis and Lung Diseaseen_ZA
dc.rights.holderAuthors retain copyrighten_ZA
dc.subjectTuberculosis -- Treatment -- South Africa -- Cape Town -- Costsen_ZA
dc.subjectMedical care, Cost of -- South Africa -- Cape Townen_ZA
dc.subjectHospital care -- South Africa -- Cape Town -- Costsen_ZA
dc.titleCosts and process of in-patient tuberculosis management at a central academic hospital, Cape Town, South Africaen_ZA
dc.typeArticleen_ZA
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