Economic burden of stroke in a rural South African setting

Show simple item record 2016-01-28 en 2022-08-17T16:07:10Z 2022-08-17T16:07:10Z 2016-01-28 en
dc.description.abstract Stroke is the second leading cause ofmortality and leading cause of disability in South Africa yet published data on the economic costs of stroke is lacking particularly in rural settings. We estimate the total direct costs of stroke in 2012 from a health system perspective using a prevalence-based, bottom-up costing approach. Direct costs include diagnosis, inpatient and outpatient care. Analysis is based on the Agincourt health and socio-demographic surveillance system, which covers approximately 90,000 people. Published data from the SASPI study, Tintswalo Hospital Stroke register, and national cost databases were used. Sensitivity analysis was carried out to account for the variability in the data used. e total direct costs of stroke were estimated to be R2.5-R4.2 million (US$283,500-US$485,000) in 2012 or 1.6-3% of the sub-district health expenditure. Of this, 80% was attributed to inpatient costs. Total costs were most sensitive to the underlying incidence rates and to assumptions regarding service utilisation. Our study provides a snapshot of costs incurred on stroke in rural South Africa.We showthat stroke is a disease with high economic costs. Further studies that assess the lifetime costs of stroke are needed to better understand savings accrued from intervening at different stages of the disease. en
dc.format.medium Print en
dc.publisher Elsevier en
dc.subject HEALTH en
dc.subject STROKES en
dc.title Economic burden of stroke in a rural South African setting en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 3 en
dc.BudgetYear 2015/16 en
dc.ResearchGroup Population Health, Health Systems and Innovation en
dc.SourceTitle eNeurologicalSci en
dc.PlaceOfPublication Amsterdam, Netherlands en
dc.ArchiveNumber 8967 en
dc.PageNumber 26-32 en
dc.outputnumber 7759 en
dc.bibliographictitle Maredza, M. & Chola, L. (2016) Economic burden of stroke in a rural South African setting. eNeurologicalSci. 3:26-32. en
dc.publicationyear 2016 en
dc.contributor.author1 Maredza, M. en
dc.contributor.author2 Chola, L. en

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