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Associated health care cost in parents of children with Myelomeningocele in Sweden: A repeated cross-sectional analysis of region Skåne’s health care utilisation data base.

Ajomale, Abimbola Opeyemi LU (2021) MPHN40 20211
Social Medicine and Global Health
Abstract
Background: Studies have put spinal bifida which Myelomeningocoel (MMC) is a form at 6.1 per 10,000 births in Sweden. Other evaluations have pointed that disabilities could pose a burden on families despite the social net available within the Swedish society. It has been reported that depression, musculoskeletal disorders, and frequent health care visits are often likely to be reported in parents of children with developmental disability which might
constitute a major public health problem.
Aim: The aim of this study is to explore the health care cost in parents of children with MMC compared to parents of typically developing children across the region Skåne, Sweden.
Methods: A repeated cross-sectional study design was adopted in the... (More)
Background: Studies have put spinal bifida which Myelomeningocoel (MMC) is a form at 6.1 per 10,000 births in Sweden. Other evaluations have pointed that disabilities could pose a burden on families despite the social net available within the Swedish society. It has been reported that depression, musculoskeletal disorders, and frequent health care visits are often likely to be reported in parents of children with developmental disability which might
constitute a major public health problem.
Aim: The aim of this study is to explore the health care cost in parents of children with MMC compared to parents of typically developing children across the region Skåne, Sweden.
Methods: A repeated cross-sectional study design was adopted in the course of this work. The data were collected yearly from all persons with MMC born between the year 2001 and 2015 and their parents. Health care data from region Skåne was used. Health care cost was analysed adopting independent t test to compare the mean cost and its significant levels while adopting a linear regression model to evaluate pattern of cost by controlling for confounders in region Skåne. Parents of children with Myelomeningocoel health care cost was evaluated using descriptive statistics.
Results: Parents of children with MMC have significantly higher healthcare cost at one year before birth (SEK 6,054), at birth (SEK 7,644), and two years after birth (SEK 6,356) in region Skåne with female parents utilising public health care about seven times higher than their male counterparts.
Conclusion: Findings from the study showed significant higher health care cost in parents of children with Myelomeningocoel. Female parents were the only ones who utilise care for depression and musculoskeletal disorder. The study has an important implication in public health in looking at other factors that can cause disparity of care cost in gender within this study population. (Less)
Popular Abstract
Children with backbone deformities (myelomeningocele) and their parents often face
difficulties in accessing healthcare which are often expensive. However, in Sweden the government has put facilities in place for them. The robust data from the National board of health and Welfare in Sweden has helped this study to see a pattern in how parents of these wonderful children utilise health care cost on their health own health while taking care of their children. These spending patterns were looked into over about 11 years to be able to see how our policy makers can make the healthcare system better. The more we look, the clearer we should see.
This study revealed that parents of these children with MMC spend more than their
counterparts. The... (More)
Children with backbone deformities (myelomeningocele) and their parents often face
difficulties in accessing healthcare which are often expensive. However, in Sweden the government has put facilities in place for them. The robust data from the National board of health and Welfare in Sweden has helped this study to see a pattern in how parents of these wonderful children utilise health care cost on their health own health while taking care of their children. These spending patterns were looked into over about 11 years to be able to see how our policy makers can make the healthcare system better. The more we look, the clearer we should see.
This study revealed that parents of these children with MMC spend more than their
counterparts. The health care cost difference were SEK 6,055, SEK 7,645, and SEK
6,357 higher in parents of children with MMC at one year before, at birth and two years after birth respectively. Some of these parents also have some levels of depressive episodes with body and bone problems while caring for their challenged children though not significantly different from the control group. Interestingly, the study found that female parent spends averagely 8 times more than their male peers when they have a child with MMC on their health. It is essential that this pattern seen in parents of children with back bone deformities from birth be well taken care of within the context of healthcare planning.
Finally, to create value for the money that drives healthcare, understanding of the pattern of health care cost must be known. Also, careful implementation of scientifically sound evidence will help our policy makers to create value for tax payer’s money. (Less)
Please use this url to cite or link to this publication:
author
Ajomale, Abimbola Opeyemi LU
supervisor
organization
course
MPHN40 20211
year
type
H2 - Master's Degree (Two Years)
subject
keywords
Health Care Cost, Repeated cross-sectional analysis, Myelomeningocele, Health Care Utilisation
language
English
id
9090045
date added to LUP
2022-06-22 17:05:55
date last changed
2022-06-22 17:05:55
@misc{9090045,
  abstract     = {{Background: Studies have put spinal bifida which Myelomeningocoel (MMC) is a form at 6.1 per 10,000 births in Sweden. Other evaluations have pointed that disabilities could pose a burden on families despite the social net available within the Swedish society. It has been reported that depression, musculoskeletal disorders, and frequent health care visits are often likely to be reported in parents of children with developmental disability which might
constitute a major public health problem.
Aim: The aim of this study is to explore the health care cost in parents of children with MMC compared to parents of typically developing children across the region Skåne, Sweden.
Methods: A repeated cross-sectional study design was adopted in the course of this work. The data were collected yearly from all persons with MMC born between the year 2001 and 2015 and their parents. Health care data from region Skåne was used. Health care cost was analysed adopting independent t test to compare the mean cost and its significant levels while adopting a linear regression model to evaluate pattern of cost by controlling for confounders in region Skåne. Parents of children with Myelomeningocoel health care cost was evaluated using descriptive statistics.
Results: Parents of children with MMC have significantly higher healthcare cost at one year before birth (SEK 6,054), at birth (SEK 7,644), and two years after birth (SEK 6,356) in region Skåne with female parents utilising public health care about seven times higher than their male counterparts.
Conclusion: Findings from the study showed significant higher health care cost in parents of children with Myelomeningocoel. Female parents were the only ones who utilise care for depression and musculoskeletal disorder. The study has an important implication in public health in looking at other factors that can cause disparity of care cost in gender within this study population.}},
  author       = {{Ajomale, Abimbola Opeyemi}},
  language     = {{eng}},
  note         = {{Student Paper}},
  title        = {{Associated health care cost in parents of children with Myelomeningocele in Sweden: A repeated cross-sectional analysis of region Skåne’s health care utilisation data base.}},
  year         = {{2021}},
}