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Deferred recovery of health expenditures for pediatric life-threatening emergencies in a resource-limited setting: Alternative before achieving universal health coverage in Cameroon in Central Africa

Author

Listed:
  • Calixte Ida Penda
  • Charlotte Eposse Ekoube
  • Ritha Mbono Betoko
  • Cedric Nlend
  • Bertrand Eyoum Bilé
  • Francis Ateba Ndongo
  • Loic Boupda
  • Daniele Christiane Kedy Koum
  • Carole Eboumbou Moukoko
  • André Bita Fouda
  • Louis Richard Njock

Abstract

The lack of health cover in low-income countries is a real barrier to emergency care. The objective of our study was to evaluate the immediate management of pediatric emergencies by deferred recovery of the costs of care at Douala Laquintinie Hospital. A prospective cross-sectional study was conducted from 1st February to 30 June 2020 on patients admitted for life-threatening emergencies to the pediatric emergency department. Deferred recovery of healthcare costs was triggered by the issuance of a “green voucher, an internal reimbursement voucher issued by the doctor for expenses incurred upon patient admission in a life-threatening emergency and reimbursable within 72 hours after initial emergent management was received. Of the 786 patients admitted to the pediatric emergency department, 502 (63.8%) patients presented with a life-threatening emergency at a median age of 1 year [IQR: 0-5]. According to the indigence criteria, 40.4% of the patients were indigent and nearly 40% of the families’ patients declared having a monthly income

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  • Calixte Ida Penda & Charlotte Eposse Ekoube & Ritha Mbono Betoko & Cedric Nlend & Bertrand Eyoum Bilé & Francis Ateba Ndongo & Loic Boupda & Daniele Christiane Kedy Koum & Carole Eboumbou Moukoko & An, 2025. "Deferred recovery of health expenditures for pediatric life-threatening emergencies in a resource-limited setting: Alternative before achieving universal health coverage in Cameroon in Central Africa," PLOS ONE, Public Library of Science, vol. 20(6), pages 1-13, June.
    • Handle: RePEc:plo:pone00:0322615
    DOI: 10.1371/journal.pone.0322615
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    References listed on IDEAS

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    1. Mideksa Adugna Koricho & Girmaye Deye Dinsa & Nelisiwe Khuzwayo, 2024. "Cost-effectiveness of implementing performance-based financing for improving maternal and child health in Ethiopia," PLOS ONE, Public Library of Science, vol. 19(7), pages 1-12, July.
    2. Jimenez, Emmanuel, 1995. "Human and physical infrastructure: Public investment and pricing policies in developing countries," Handbook of Development Economics, in: Hollis Chenery & T.N. Srinivasan (ed.), Handbook of Development Economics, edition 1, volume 3, chapter 43, pages 2773-2843, Elsevier.
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