Observations of out-of-pocket travel costs in seeking free cardiac care in India: would point-of-care ultrasound help?

ABSTRACT:

Background

In consideration of patient out-of-pocket costs in low- and middle-income countries, this observational cohort study sought to quantify the travel expenses associated with receiving free cardiac services in India and create a point-of-care ultrasound (POCUS) referral model.

Methods

In a tertiary hospital that offers free services in Bangalore, India, we interviewed outpatients awaiting cardiac evaluation regarding their out-of-pocket expenses. A subgroup underwent POCUS for signs of left atrial enlargement, inferior vena cava plethora, and extravascular lung water, and subsequent chart review for significant findings on echocardiography or need for immediate care. A model was tested in which a normal POCUS would negate the requirement for referral.

Results

SUBMITTER: Kimura CJ 

PROVIDER: S-EPMC11529250 | biostudies-literature | 2024 Nov

REPOSITORIES: biostudies-literature