Table 6.
Patient and Caregiver Cost of Illness Due to Paratyphoid Fever: Direct Medical, Direct Nonmedical, Indirect, and Total Costs—Nepal, September 2016–December 2018
| Patients Who Did Not Report Any Inpatient Care Expensesa | Patients Who Reported Inpatient Care Expensesa | All Patients | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Cost Type | n | Median | 25th Pctl | 75th Pctl | n | Median | 25th Pctl | 75th Pctl | n | Median | 25th Pctl | 75th Pctl |
| Direct medical costs, 2018 US $ | ||||||||||||
| Total direct medical costs | 43 | 20.06 | 12.05 | 32.09 | 10 | 141.00 | 56.05 | 205.14 | 53 | 27.57 | 12.81 | 29.63 |
| Registration | 39 | 0.73 | 0.64 | 1.23 | 6 | 0.91 | 0.64 | 1.09 | 45 | 0.73 | 0.64 | 1.14 |
| Clinical examination | 2 | 1.83 | 0.38 | 3.28 | 0 | … | … | … | 2 | 1.83 | 0.38 | 3.28 |
| Inpatient stay | 0 | N/A | N/A | N/A | 10 | 15.89 | 4.74 | 25.53 | 10 | 15.89 | 4.74 | 25.53 |
| Laboratory tests | 36 | 9.23 | 4.63 | 18.48 | 9 | 31.17 | 19.88 | 71.16 | 45 | 12.26 | 5.33 | 23.72 |
| Drugs and medications | 43 | 7.59 | 3.80 | 11.12 | 8 | 37.84 | 6.18 | 103.59 | 51 | 7.94 | 4.24 | 12.76 |
| Other servicesb | 0 | … | … | … | 0 | … | … | … | 0 | … | … | … |
| Direct nonmedical costs, 2018 US $ | ||||||||||||
| Total direct nonmedical costs | 40 | 2.53 | 1.26 | 4.79 | 9 | 3.61 | 0.64 | 48.32 | 49 | 2.64 | 1.09 | 5.29 |
| Transport | 38 | 1.47 | 0.55 | 2.92 | 8 | 2.28 | 0.60 | 12.11 | 46 | 1.47 | 0.57 | 3.61 |
| Food, lodging, child care | 25 | 1.90 | 0.47 | 3.42 | 4 | 32.85 | 28.29 | 46.73 | 29 | 2.74 | 1.09 | 4.27 |
| Indirect costs—patient | ||||||||||||
| Days spent seeking care | 44 | 0.21 | 0.16 | 0.37 | 10 | 5.00 | 4.00 | 7.00 | 54 | 0.25 | 0.17 | 3.33 |
| Days unable to work | 12 | 19.00 | 11.50 | 35.00 | 2 | 15.50 | 7.00 | 24.00 | 14 | 19.00 | 9.00 | 30.00 |
| Days of sick leave | 8 | 6.50 | 4.00 | 13.00 | 2 | 22.00 | 19.00 | 25.00 | 10 | 10.50 | 4.00 | 16.00 |
| School days lost | 15 | 14.00 | 6.00 | 19.00 | 3 | 20.00 | 12.00 | 63.00 | 18 | 14.00 | 6.00 | 20.00 |
| Total productivity loss, 2018 US $ | 18 | 59.60 | 18.81 | 99.75 | 3 | 71.47 | 26.33 | 184.30 | 21 | 66.54 | 26.33 | 99.75 |
| Indirect costs—caregiver | ||||||||||||
| Days spent accompanying the patient seeking care | 42 | 0.30 | 0.17 | 1.00 | 10 | 6.05 | 4.00 | 10.00 | 52 | 0.81 | 0.17 | 3.00 |
| Days unable to work | 8 | 3.00 | 2.00 | 6.00 | 3 | 10.00 | 4.00 | 21.00 | 11 | 4.00 | 3.00 | 10.00 |
| Days of sick leave | 5 | 1.00 | 1.00 | 2.00 | 0 | … | … | … | 5 | 1.00 | 1.00 | 2.00 |
| Total productivity loss, 2018 US $ | 13 | 11.28 | 3.76 | 17.20 | 3 | 37.61 | 15.05 | 78.99 | 16 | 11.51 | 3.76 | 28.21 |
| Cost of illness, 2018 US $ | ||||||||||||
| Total cost of illness per case | 46 | 37.04 | 18.03 | 76.22 | 10 | 284.15 | 59.65 | 325.96 | 56 | 51.95 | 20.65 | 140.01 |
N = 57.
Abbreviations: N/A, not applicable because it excludes inpatient care; 25th Pctl, 25th percentile; 75th Pctl, 75th percentile.
aInpatient care expenses: expenses for inpatient care regardless of patient recruitment location (outpatient care, inpatient care, hospital laboratory, surgery).
bOther services that patients did not report in the above categories (eg, medical materials or equipment for surgery).