Posthospital Discharge Medical Care Costs and Family Burden Associated with Osteoporotic Fracture Patients in China from 2011 to 2013
Objectives. This study collected and evaluated data on the costs of outpatient medical care and family burden associated with osteoporosis-related fracture rehabilitation following hospital discharge in China. Materials and Methods. Data were collected using a patient questionnaire from osteoporosis...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Journal of Osteoporosis |
| Online Access: | http://dx.doi.org/10.1155/2015/258089 |
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| _version_ | 1832553951135793152 |
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| author | Zhao Xie Russel Burge Yicheng Yang Fen Du Tie Lu Qiang Huang Wenyu Ye Weihua Xu |
| author_facet | Zhao Xie Russel Burge Yicheng Yang Fen Du Tie Lu Qiang Huang Wenyu Ye Weihua Xu |
| author_sort | Zhao Xie |
| collection | DOAJ |
| description | Objectives. This study collected and evaluated data on the costs of outpatient medical care and family burden associated with osteoporosis-related fracture rehabilitation following hospital discharge in China. Materials and Methods. Data were collected using a patient questionnaire from osteoporosis-related fracture patients (N = 123) who aged 50 years and older who were discharged between January 2011 and January 2013 from 3 large hospitals in China. The survey captured posthospital discharge direct medical costs, indirect medical costs, lost work time for caregivers, and patient ambulatory status. Results. Hip fracture was the most frequent fracture site (62.6%), followed by vertebral fracture (34.2%). The mean direct medical care costs per patient totaled 3,910¥, while mean indirect medical costs totaled 743¥. Lost work time for unpaid family caregivers was 16.4 days, resulting in an average lost income of 3,233¥. The average posthospital direct medical cost, indirect medical cost, and caregiver lost income associated with a fracture patient totaled 7,886¥. Patients’ ambulatory status was negatively impacted following fracture. Conclusions. Significant time and cost of care are placed on patients and caregivers during rehabilitation after discharge for osteoporotic fracture. It is important to evaluate the role and responsibility for creating the growing and inequitable burden placed on patients and caregivers following osteoporotic fracture. |
| format | Article |
| id | doaj-art-7bcf876d64f04d109d3c9d46305cd7b9 |
| institution | Kabale University |
| issn | 2090-8059 2042-0064 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Osteoporosis |
| spelling | doaj-art-7bcf876d64f04d109d3c9d46305cd7b92025-02-03T05:52:45ZengWileyJournal of Osteoporosis2090-80592042-00642015-01-01201510.1155/2015/258089258089Posthospital Discharge Medical Care Costs and Family Burden Associated with Osteoporotic Fracture Patients in China from 2011 to 2013Zhao Xie0Russel Burge1Yicheng Yang2Fen Du3Tie Lu4Qiang Huang5Wenyu Ye6Weihua Xu7Southwest Hospital, Third Military Medical University, Chongqing 400038, ChinaEli Lilly and Company, Indianapolis, IN 46285, USALilly Suzhou Pharmaceutical Co., Ltd., Shanghai Branch, Shanghai 200001, ChinaBeijing Brainpower Pharma Consulting Co., Ltd., Beijing 100000, ChinaBeijing Chaoyang Hospital, Capital Medical University, Beijing 100026, ChinaSouthwest Hospital, Third Military Medical University, Chongqing 400038, ChinaEli Lilly and Company, Indianapolis, IN 46285, USAUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430074, ChinaObjectives. This study collected and evaluated data on the costs of outpatient medical care and family burden associated with osteoporosis-related fracture rehabilitation following hospital discharge in China. Materials and Methods. Data were collected using a patient questionnaire from osteoporosis-related fracture patients (N = 123) who aged 50 years and older who were discharged between January 2011 and January 2013 from 3 large hospitals in China. The survey captured posthospital discharge direct medical costs, indirect medical costs, lost work time for caregivers, and patient ambulatory status. Results. Hip fracture was the most frequent fracture site (62.6%), followed by vertebral fracture (34.2%). The mean direct medical care costs per patient totaled 3,910¥, while mean indirect medical costs totaled 743¥. Lost work time for unpaid family caregivers was 16.4 days, resulting in an average lost income of 3,233¥. The average posthospital direct medical cost, indirect medical cost, and caregiver lost income associated with a fracture patient totaled 7,886¥. Patients’ ambulatory status was negatively impacted following fracture. Conclusions. Significant time and cost of care are placed on patients and caregivers during rehabilitation after discharge for osteoporotic fracture. It is important to evaluate the role and responsibility for creating the growing and inequitable burden placed on patients and caregivers following osteoporotic fracture.http://dx.doi.org/10.1155/2015/258089 |
| spellingShingle | Zhao Xie Russel Burge Yicheng Yang Fen Du Tie Lu Qiang Huang Wenyu Ye Weihua Xu Posthospital Discharge Medical Care Costs and Family Burden Associated with Osteoporotic Fracture Patients in China from 2011 to 2013 Journal of Osteoporosis |
| title | Posthospital Discharge Medical Care Costs and Family Burden Associated with Osteoporotic Fracture Patients in China from 2011 to 2013 |
| title_full | Posthospital Discharge Medical Care Costs and Family Burden Associated with Osteoporotic Fracture Patients in China from 2011 to 2013 |
| title_fullStr | Posthospital Discharge Medical Care Costs and Family Burden Associated with Osteoporotic Fracture Patients in China from 2011 to 2013 |
| title_full_unstemmed | Posthospital Discharge Medical Care Costs and Family Burden Associated with Osteoporotic Fracture Patients in China from 2011 to 2013 |
| title_short | Posthospital Discharge Medical Care Costs and Family Burden Associated with Osteoporotic Fracture Patients in China from 2011 to 2013 |
| title_sort | posthospital discharge medical care costs and family burden associated with osteoporotic fracture patients in china from 2011 to 2013 |
| url | http://dx.doi.org/10.1155/2015/258089 |
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