Table 3.
Direct medical cost per major service categories–study based
| Services | Out-of-Pocket Payment | Total Payment (OoP + Insurance) | ||||
|---|---|---|---|---|---|---|
| Mean (SD) | Median (IQR) | The proportion of OoP (%) | Mean (SD) | Median (IQR) | The proportion of total cost (%) | |
| Direct cost | ||||||
| Inpatient | 105 (2,738) | 891 (1,396) | 34% | 1,003 (22,782) | 11,371 (23,105) | 68% |
| Outpatient Visits | 16 (183) | 42 (41) | 5% | 78 (449) | 165 (120) | 5% |
| Laboratory | 11 (228) | 99 (192) | 3% | 17 (310) | 197 (284) | 1% |
| Diagnostic | 10 (400) | 107 (129) | 3% | 45 (1,130) | 579 (1,053) | 3% |
| Rehabilitation | 0 (0) | 0 (0) | 0% | 0 (0) | 0 (0) | 0% |
| Pharmacy | 141 (621) | 510 (716) | 46% | 311 (1,015) | 562 (1,004) | 21% |
| Equipment | 4 (101) | 1,002 (72) | 1% | 11 (539) | 708 (973) | 1% |
| Home service | 22 (6,196) | 0 (5,366) | 7% | 0 (0) | 0 (0) | 0% |
| Total | 308 | 1,464 | ||||
| Indirect cost | ||||||
| Non- health | 302 (302) | 154 (390) | ||||
| Absenteeism | 1,423 (1,423) | 670 (872) | ||||
| Lower productivity | 14,397 (14,397) | 14,309 (17,886) | ||||
| Wasted time | 713 (713) | 674 (350) | ||||
| Total | 31,255 | |||||
Costs are calculated using the 2018 Rials to the Dollars exchange rate, The analysis has been done for 209 patients who have filled all three follow-ups are included, The average cost estimated for each month was multiplied by 12 to calculate the average annual cost. Absenteeism includes absenteeism for the patients, their caregivers as a family member, and childcare by a family member (non-paid), 5- Lower productivity includes loss of productivity for the patients and their caregivers as a family member, 6- Wasted time includes the value of time lost in waiting rooms, both for the patients and their caregiver as a family member