Catastrophic care-seeking costs as an indicator for lung health.

Squire, Bertie ORCID: https://orcid.org/0000-0001-7173-9038, Thomson, Rachael, Namakhoma, Ireen, El Sony, Asma, Kritski, Afranio and Madan, Jason (2015) 'Catastrophic care-seeking costs as an indicator for lung health.'. BMC Proceedings, Vol 9, Issue Suppl 10, 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:	Article
Additional Information:	The 2014 CAHRD (Collaboration for Applied Health Research and Delivery) Consultation, Liverpool, UK, 12-13 June 2014
Subjects:	WA Public Health > WA 30 Socioeconomic factors in public health (General) WF Respiratory System > WF 20 Research (General) WF Respiratory System > Lungs > WF 600 Lungs
Faculty: Department:	Clinical Sciences & International Health > Clinical Sciences Department Biological Sciences > Department of Tropical Disease Biology
Digital Object Identifer (DOI):	https://doi.org/10.1186/1753-6561-9-s10-s4
SWORD Depositor:	JISC Pubrouter
Depositing User:	JISC Pubrouter
Date Deposited:	27 Apr 2017 14:33
Last Modified:	13 Nov 2019 11:22
URI:	https://archive.lstmed.ac.uk/id/eprint/7014

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