Assessment of the impact of heart failure on household economic well-being: a protocol [version 2; peer review: 2 approved]

Background: Heart failure (HF), which is an emerging public health issue, adversely affects the strained health system in India. The adverse impact of HF on the economic well-being has been narrated in various anecdotal reports from India, with affected individuals and their dependents pushed into t...

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Autores principales:	Sivadasanpillai Harikrishnan, Sanjay Ganapathi, Salim Reethu, Ajay Bahl, Anand Katageri, Animesh Mishra, Anoop George Alex, Bhavesh Roy, Bishav Mohan, Hasit Joshi, Jabir Abdullakutty, Justin Paul, Maneesh Rai, Cholenahally Manjunath, Prakash C. Negi, Durgaprasad Rajasekhar, Rishi Sethi, Satyanarayan Routray, Radhakrishnan Shanmugasundaram, Sumanta Shekhar Padhi, Shyam Sunder Reddy P, Panniyammakal Jeemon
Formato:	article
Lenguaje:	EN
Publicado:	Wellcome 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c550928c57814bd79341e384e42999ce
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spelling	oai:doaj.org-article:c550928c57814bd79341e384e42999ce2021-11-15T15:27:33ZAssessment of the impact of heart failure on household economic well-being: a protocol [version 2; peer review: 2 approved]2398-502X10.12688/wellcomeopenres.16709.2https://doaj.org/article/c550928c57814bd79341e384e42999ce2021-11-01T00:00:00Zhttps://wellcomeopenresearch.org/articles/6-167/v2https://doaj.org/toc/2398-502XBackground: Heart failure (HF), which is an emerging public health issue, adversely affects the strained health system in India. The adverse impact of HF on the economic well-being has been narrated in various anecdotal reports from India, with affected individuals and their dependents pushed into the vicious cycle of poverty. There is limited research quantifying how HF impacts the economic well-being of households from low- and middle-income countries. Methods: We describe the methods of a detailed economic impact assessment of HF at the household level in India. The study will be initiated across 20 hospitals in India, which are part of the National heart Failure Registry (NHFR). The selected centres represent different regions in India, stratified based on the prevailing stages of epidemiological transition levels (ETLs). We will collect data from 1800 patients with acute decompensated HF and within 6-15 months follow-up from the time of initial admission. The data that we intend to collect will consist of a) household healthcare expenditure including out-of-pocket expenditure, b) financing mechanisms used by households and (c) the impoverishing effects of health expenditures including distress financing and catastrophic health expenditure. Trained staff at each centre will collect data by using a validated and structured interview schedule. The study will have 80% power to detect an 8% difference in the proportion of households experiencing catastrophic health expenditures between two ETL groups. After considering a non-response rate of 5%, the target sample size is approximately 600 patients from each group and the total sample size is 1800 patients. Potential Impact: Our study will provide information on catastrophic health spending, distress financing and household expenditure in heart failure patients. Our findings will help policy makers in understanding the micro-economic impact of HF in India and aid in allocation of appropriate resources for prevention and control of HF.Sivadasanpillai HarikrishnanSanjay GanapathiSalim ReethuAjay BahlAnand KatageriAnimesh MishraAnoop George AlexBhavesh RoyBishav MohanHasit JoshiJabir AbdullakuttyJustin PaulManeesh RaiCholenahally ManjunathPrakash C. NegiDurgaprasad RajasekharRishi SethiSatyanarayan RoutrayRadhakrishnan ShanmugasundaramSumanta Shekhar PadhiShyam Sunder Reddy PPanniyammakal JeemonWellcomearticleMedicineRScienceQENWellcome Open Research, Vol 6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sivadasanpillai Harikrishnan Sanjay Ganapathi Salim Reethu Ajay Bahl Anand Katageri Animesh Mishra Anoop George Alex Bhavesh Roy Bishav Mohan Hasit Joshi Jabir Abdullakutty Justin Paul Maneesh Rai Cholenahally Manjunath Prakash C. Negi Durgaprasad Rajasekhar Rishi Sethi Satyanarayan Routray Radhakrishnan Shanmugasundaram Sumanta Shekhar Padhi Shyam Sunder Reddy P Panniyammakal Jeemon Assessment of the impact of heart failure on household economic well-being: a protocol [version 2; peer review: 2 approved]
description	Background: Heart failure (HF), which is an emerging public health issue, adversely affects the strained health system in India. The adverse impact of HF on the economic well-being has been narrated in various anecdotal reports from India, with affected individuals and their dependents pushed into the vicious cycle of poverty. There is limited research quantifying how HF impacts the economic well-being of households from low- and middle-income countries. Methods: We describe the methods of a detailed economic impact assessment of HF at the household level in India. The study will be initiated across 20 hospitals in India, which are part of the National heart Failure Registry (NHFR). The selected centres represent different regions in India, stratified based on the prevailing stages of epidemiological transition levels (ETLs). We will collect data from 1800 patients with acute decompensated HF and within 6-15 months follow-up from the time of initial admission. The data that we intend to collect will consist of a) household healthcare expenditure including out-of-pocket expenditure, b) financing mechanisms used by households and (c) the impoverishing effects of health expenditures including distress financing and catastrophic health expenditure. Trained staff at each centre will collect data by using a validated and structured interview schedule. The study will have 80% power to detect an 8% difference in the proportion of households experiencing catastrophic health expenditures between two ETL groups. After considering a non-response rate of 5%, the target sample size is approximately 600 patients from each group and the total sample size is 1800 patients. Potential Impact: Our study will provide information on catastrophic health spending, distress financing and household expenditure in heart failure patients. Our findings will help policy makers in understanding the micro-economic impact of HF in India and aid in allocation of appropriate resources for prevention and control of HF.
format	article
author	Sivadasanpillai Harikrishnan Sanjay Ganapathi Salim Reethu Ajay Bahl Anand Katageri Animesh Mishra Anoop George Alex Bhavesh Roy Bishav Mohan Hasit Joshi Jabir Abdullakutty Justin Paul Maneesh Rai Cholenahally Manjunath Prakash C. Negi Durgaprasad Rajasekhar Rishi Sethi Satyanarayan Routray Radhakrishnan Shanmugasundaram Sumanta Shekhar Padhi Shyam Sunder Reddy P Panniyammakal Jeemon
author_facet	Sivadasanpillai Harikrishnan Sanjay Ganapathi Salim Reethu Ajay Bahl Anand Katageri Animesh Mishra Anoop George Alex Bhavesh Roy Bishav Mohan Hasit Joshi Jabir Abdullakutty Justin Paul Maneesh Rai Cholenahally Manjunath Prakash C. Negi Durgaprasad Rajasekhar Rishi Sethi Satyanarayan Routray Radhakrishnan Shanmugasundaram Sumanta Shekhar Padhi Shyam Sunder Reddy P Panniyammakal Jeemon
author_sort	Sivadasanpillai Harikrishnan
title	Assessment of the impact of heart failure on household economic well-being: a protocol [version 2; peer review: 2 approved]
title_short	Assessment of the impact of heart failure on household economic well-being: a protocol [version 2; peer review: 2 approved]
title_full	Assessment of the impact of heart failure on household economic well-being: a protocol [version 2; peer review: 2 approved]
title_fullStr	Assessment of the impact of heart failure on household economic well-being: a protocol [version 2; peer review: 2 approved]
title_full_unstemmed	Assessment of the impact of heart failure on household economic well-being: a protocol [version 2; peer review: 2 approved]
title_sort	assessment of the impact of heart failure on household economic well-being: a protocol [version 2; peer review: 2 approved]
publisher	Wellcome
publishDate	2021
url	https://doaj.org/article/c550928c57814bd79341e384e42999ce
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Assessment of the impact of heart failure on household economic well-being: a protocol [version 2; peer review: 2 approved]

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