title: A cost analysis of road traffic injuries in a tertiary hospital in south-west Nigeria.
abstract: This study examines the burden of road traffic injuries (RTIs) among road crash victims in a tertiary hospital in Ibadan, Nigeria. The study adopted a purposive sampling method to obtain primary data. Interview was done with 266 RTI victims who were admitted to the University College Hospital, Ibadan and discharged between March and May, 2015, using a structured questionnaire. From the data obtained, the study carried out descriptive statistical analyses. The results showed that the average cost per patient for RTI treatment was ₦ 42,946 ($215.9); on average, the amount expended on surgery was the highest followed by wound dressing and drugs; and the prevalence of catastrophic out-of-pocket (OOP) expenditure was over 86%. It is recommended that given the high burden of OOP hospital expenditure associated with RTI, there is need to implement more effective financial protection mechanisms against the high OOP expenditure faced by crash victims.
authors.affiliation: a Department of Health Policy and Management, Faculty of Public Health , University of Ibadan , Ibadan , Nigeria.
authors.forename: Uduak
authors.initials: U
authors.lastname: Urua
authors.affiliation: a Department of Health Policy and Management, Faculty of Public Health , University of Ibadan , Ibadan , Nigeria.
authors.forename: Kayode
authors.initials: K
authors.lastname: Osungbade
authors.affiliation: a Department of Health Policy and Management, Faculty of Public Health , University of Ibadan , Ibadan , Nigeria.
authors.forename: Taiwo
authors.initials: T
authors.lastname: Obembe
authors.affiliation: a Department of Health Policy and Management, Faculty of Public Health , University of Ibadan , Ibadan , Nigeria.
authors.forename: Folashayo
authors.initials: F
authors.lastname: Adeniji
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D001336:Automobiles / Q000706:statistics & numerical data; D004180:Direct Service Costs / Q000706:statistics & numerical data; D016527:Drug Costs / Q000706:statistics & numerical data; D005249:Fees and Charges / Q000706:statistics & numerical data*; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D017721:Hospital Costs / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D018986:Motor Vehicles / Q000706:statistics & numerical data*; D009049:Motorcycles / Q000706:statistics & numerical data; D009549:Nigeria; D000069636:Pedestrians / Q000706:statistics & numerical data; D019736:Prostheses and Implants / Q000191:economics; D011795:Surveys and Questionnaires; D062606:Tertiary Care Centers / Q000191:economics*; D014947:Wounds and Injuries / Q000191:economics* / Q000209:etiology; D055815:Young Adult
keywords: Nigeria; catastrophic expenditure; hospital cost; out-of-pocket expenditure; road traffic injury