Hospital Cost Associated With Pediatrics Urinary Tract Infection: Before and After Health Sector Evolution Program in the West of Iran Publisher



Rezaei S¹ ; Moradi K² ; Akhgar A² ; Bazyar M³ ; Orejlu PH⁴
Source: International Journal of Pediatrics Published:2015

Abstract

Introduction Urinary tract infections (UTIs) are one of the most important bacterial infections among children throughout the world. The study aimed to assess the cost of hospitalization associated with pediatrics UTIs in Kermanshah province between 20 April 2013 and 20 February 2015. Materials and Methods This survey was a cross sectional and descriptive study. The study subjects included all those aged 20 years and younger who were admitted to the Imam Reza hospital, a referral hospital in Kermanshah, with the diagnosis primary of the UTI in the studied period. The data on age, gender, Length of stay (LOS), and cost of hospitalization were collected from the medical records. The data analysis was performed by Stata V.12. Results Overall average of age and length of stay was 2.7+ 3.9 years and 6.2+ 4.4 days, respectively. The study showed the average cost per patient and per one day hospitalization was 9,206,699 and 1,484,951 Iranian Rials (IRR), respectively. Patient's share of total cost of hospitalization in before and after Health Sector Evolution Program (HSEP) was 1,565,710 and 982,619 IRR, respectively. In addition, there are a significant positive relationship between age, being boy and length of stay with total cost of hospitalization. Conclusion Our finding implies that the total cost of pediatric UTIs is substantial; at about 877,719,440 IRR before HSEP and 1,734,770,576 IRR after HSEP. The study also indicates that Health Sector evolution program causes considerable decrease the patient's share of total cost of hospitalization (8.7 % vs. 23.4 %).