Abstract
Objective: To determine direct and indirect non-medical costs derived from caring for patients with chronic non-communicable diseases (NCDs) in three health institutions located in the metropolitan area of Bucaramanga, Colombia. Methods: a descriptive cross-sectional study was conducted with 77 patients with NCDs and their family caregivers, who were selected through systematic sampling between 2018 and 2019. Results: Most people with NCDs are women (55 %) at an average age of 70. Four out of five caregivers are women, at an average age of 40, who deliver care for an average of 14 hours a day. The total monthly cost for patient care was on average 324,207 COP. The most significant costs are related to health, food, housing, transport, and communication. 60.5 % of NCDs patients were responsible for household finances before becoming ill. About half of them stopped working and the other half experienced a reduction of 33 % in their monthly income after becoming ill. Conclusion: due to the need for complementary and comprehensive treatment, care, and interventions, costs related to care of NCDs patients increase despite the income of NCDs patients and their caregivers do not.
Highlights
RESUMO Objetivo: determinar os custos diretos não aplicáveis aos serviços de saúde e indiretos derivados do cuidado familiar do paciente com doença crônica não transmissível (DCNT) de três instituições de saúde da área metropolitana de Bucaramanga, Colômbia
indirect non-medical costs derived from caring for patients with chronic non-communicable diseases
in three health institutions located in the metropolitan area of Bucaramanga
Summary
Transversal y descriptivo. La muestra estuvo conformada por adultos con enfermedades crónicas y sus cuidadores familiares de tres hospitales del área metropolitana de Bucaramanga, Colombia, seleccionados a través de muestreo sistemático. En cuanto a la caracterización de los pacientes, más de las mitad eran mujeres (55 %), con edades promedio de 70 años, provenientes de la zona urbana (94 %), estrato socioeconómico dos (52 %), grupo familiar conformado en promedio por cuatro personas, con nivel de escolaridad primaria (84 %), dedicados principalmente al hogar (51 %), casados (34 %), de religión católica (82 %), con un puntaje PULSES. En la caracterización de los cuidadores, aproximadamente cuatro de cada cinco son mujeres (78 %), con edades promedio de [42,8] años, provenientes de la zona urbana (94 %), estrato socioeconómico dos (44 %), grupo familiar conformado por 4 personas, con nivel de escolaridad secundaria (47 %), dedicados principalmente al hogar (44 %), solteros (35 %), de religión católica (78 %), con un puntaje PULSES entre 6 y 8 (49 %) —baja dependencia—, y un puntaje en el test SPMSQ entre 0 y 2 (75 %) —función intelectual intacta—. Caracterización de las personas con enfermedad crónica no transmisible y sus cuidadores familiares
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