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Open Source HMIS Enabled Evaluation of Financial Burden of Disease and Patient Coverage in Three University Hospitals in Great Lakes Africa.

Submitted by karopka on Fri, 2019/08/30 - 18:25
TitleOpen Source HMIS Enabled Evaluation of Financial Burden of Disease and Patient Coverage in Three University Hospitals in Great Lakes Africa.
Publication TypeJournal Article
Year of Publication2019
AuthorsKarara, G, Verbeke, F, Byiringiro, J-C, Nziza, F, Buyl, R, Nyssen, M
JournalStud Health Technol Inform
Volume264
Pagination969-973
Date Published2019 Aug 21
ISSN1879-8365
Abstract

Since the eighties, case mix evaluation methods based on diagnosis-related groups (DRG) were gradually introduced in developed countries. These methods of assessing the costs of diseases to measure the productivity of the hospital have been introduced in management softwares that are not accessible to low-income countries. In this study, the authors applied these methods to an open source hospital management information system (HMIS) implemented in three university hospitals in Great Lakes Africa. A comparative study of the financial burden of five major diseases, monitored as part of a universal health coverage (UHC) analysis, was carried out. The level of coverage of patients in the hospitals was evaluated and the impact of UHC policies demonstrated. Although the financial protection of patients treated in the three hospitals had improved, HIV and tuberculosis treatments that ought to be free, remained a considerable financial burden for the patient.

DOI10.3233/SHTI190368
Alternate JournalStud Health Technol Inform
PubMed ID31438068
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