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Impact of the cost of the care of health of menages in Kinshasa

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par Jérémy MESKIA MAVANGA
Université de Kinshasa RDC - Licence 2010
  

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A. Direct costs

It is generally impossible to calculate the sum of the real costs of case of disease; this is why we will use the explicit cost by patient i.e. the cost which refers to the expenditure indeed related to the payment of an episode of disease. This cost is also variable according to case's, and includes/understands: costs of consultation, drug, the hospitalization, transport, etc.

- Cost of treatment: this cost includes the expenditure devoted to the purchase of drug prescribes by the doctor after the confirmation of a diagnosis;

- Cost of consultation: they are the expenditure carried out by the patient before being received by a doctor;

- Cost of laboratory: by cost of laboratory, it is necessary to consider the expenditure engaged by the test of laboratory in order to male nurse or to confirm the diagnosis posed;

- Cost of transport: they are expenses paid by the patient to go to the hospital;

- Cost of hospitalization:they are the expenses engaged by the

patient when it is interned at the hospital for a permanent follow-up;
- Cost of treatment:this cost includes the expenditure devoted to the

purchase of drug prescribes by the doctor after the confirmation of a

diagnosis;

B Indirect costs

The indirect cost is the sum expressed in monetary unit of work. That is composed of ancillary costs. This cost can be regarded as implicit and fixed in the case of the patients dealt with by the company, and these costs relate to the categories of population having a productive function for the company, because a sick patient will be always constrained to suspend his occupation for one period, which is prejudicial for the employer and indirectly for the company.

For the economists, these costs are regarded as true social cost by the potential losses of production. In other words, the disease has a cost which takes into account not only the medical expenses but also potentially lost work.

Within this framework, these costs can also enter in account what the Anglo-Saxon authors call the intangible effects. It is a question here of evaluating the effects of paludism on the quality of the life (the morals of patient or his entourage, the anguish, the losses effective, sufferings, etc....).The effects related to the loss of wellbeing are real but difficult to evaluate in monetarists term, this is why they are often forgotten in different the studies on the cost from a disease in a company and consequently to guide the medical doctors of the policy.

C Total Cost

It represents the sum of the direct costs or Cost fixed or implicit and the cost indirect of an episode of paludism. It is possible to calculate by patient or disease in a unity of place like the area or a country. To know the cost of each disease makes it possible to carry out comparisons between pathologies, or for pathology, between countries.

1.1.3. Spare

A household is consisted of the people belonging to certain categories of supplemented population with share, in particular the soldiers placed in barracks, the boarders, who have their residence nobody in this housing.

In addition, a household is defined as being a connected unit or not which only recognizes the authority of one and even nobody live in housing and often take their joint meal and take part in the recurring expenses.

Moreover, a household or cell of consumption is the whole of the people living of the same incomes and sharing the same meals (it is the unit of analysis).

I.1.3.1. Left households

One distinguishes two types of households below:

Spare nuclear; where all the members resulting from a family, i.e. are composed of couple and their children;

Spare nuclear widened; where we find the members who are around a family core (couple with child) and the members of the relationships at least remote.

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