{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T02:11:19Z","timestamp":1782958279374,"version":"3.54.5"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Bangladesh's health system is largely financed through out-of-pocket (OOP) payments. We aimed to quantify the direct OOP expenditure incurred by hospitalised patients with dengue during the 2023 epidemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted among 428 hospitalised adult patients with dengue at a major public hospital during the 2023 epidemic, collecting detailed OOP expenditure data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median total OOP expenditure was US$51 per patient, with medical costs comprising 56% and non-medical costs 44%. Laboratory investigations and travel expenses were the largest contributors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hospitalisation with dengue imposes a substantial financial burden on patients in public facilities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/trstmh\/traf087","type":"journal-article","created":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T11:55:44Z","timestamp":1754049344000},"page":"1405-1407","source":"Crossref","is-referenced-by-count":2,"title":["Out-of-pocket expenditure of patients admitted with dengue in a public hospital in Bangladesh"],"prefix":"10.1093","volume":"119","author":[{"given":"Md Abur","family":"Rafi","sequence":"first","affiliation":[{"name":"Tropical Disease and Health Research Center Department of Public Health, , Dhaka-1100 ,","place":["Bangladesh"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmuda","family":"Yesmin","sequence":"additional","affiliation":[{"name":"Universal Medical College and Hospital Department of General Medicine, , Dhaka-1215 ,","place":["Bangladesh"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Safayet","family":"Jamil","sequence":"additional","affiliation":[{"name":"Daffodil International University Department of Public Health, , Dhaka-1216 ,","place":["Bangladesh"]},{"name":"Faculty of Medicine and Health Sciences, Frontier University Garowe (FUG) Department of Public and Community Health, , Puntland ,","place":["Somalia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avijit Sarker","family":"Jyoti","sequence":"additional","affiliation":[{"name":"Mugda Medical College Department of Medicine, , Dhaka-1214 ,","place":["Bangladesh"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shouvik Roy","family":"Subha","sequence":"additional","affiliation":[{"name":"Projahnmo Research Foundation Department of Public Health, , Dhaka-1213 ,","place":["Bangladesh"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Plaban Chandra","family":"Sarker","sequence":"additional","affiliation":[{"name":"Rajshahi Medical College Hospital Department of Cardiology, , Rajshahi-6000 ,","place":["Bangladesh"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prachurjo","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Sir Salimullah Medical College , Dhaka-1100 ,","place":["Bangladesh"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dewan Tasnia","family":"Azad","sequence":"additional","affiliation":[{"name":"Project Research Physician, International Centre for Diarrhoeal Disease Research , Dhaka-1213 ,","place":["Bangladesh"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mir Susmita","family":"Zaman","sequence":"additional","affiliation":[{"name":"Pi Research and Development Center Department of Public Health, , Dhaka-1100 ,","place":["Bangladesh"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9212-1739","authenticated-orcid":false,"given":"Mohammad Jahid","family":"Hasan","sequence":"additional","affiliation":[{"name":"Tropical Disease and Health Research Center Department of Public Health, , Dhaka-1100 ,","place":["Bangladesh"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"issue":"6","key":"2025120505221242100_bib1","doi-asserted-by":"crossref","first-page":"2106","DOI":"10.1002\/hpm.3275","article-title":"Households\u2019 out-of-pocket expenditure for healthcare in Bangladesh: a health financing incidence analysis","volume":"36","author":"Sarker","year":"2021","journal-title":"Int J Health Plann Manage"},{"issue":"4","key":"2025120505221242100_bib2","first-page":"97","article-title":"Trend of healthcare expenditures in Bangladesh over last decades","volume":"1","author":"Mahumud","year":"2015","journal-title":"Am J Econ Finance Manag"},{"issue":"6","key":"2025120505221242100_bib3","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.4269\/ajtmh.23-0806","article-title":"The 2023 dengue outbreak in Bangladesh: exploring the epidemiology in hospitalized patients","volume":"110","author":"Anika","year":"2024","journal-title":"Am J Trop Med Hyg"},{"issue":"12","key":"2025120505221242100_bib4","doi-asserted-by":"crossref","first-page":"e0011820","DOI":"10.1371\/journal.pntd.0011820","article-title":"Economic burden of dengue in urban Bangladesh: a societal perspective","volume":"17","author":"Sarker","year":"2023","journal-title":"PLoS Negl Trop Dis"},{"issue":"5","key":"2025120505221242100_bib5","first-page":"494","article-title":"Health system financing in Bangladesh: a situation analysis","volume":"1","author":"Islam","year":"2015","journal-title":"Am J Econ Finance Manag"}],"container-title":["Transactions of The Royal Society of Tropical Medicine and Hygiene"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/trstmh\/article-pdf\/119\/12\/1405\/64099103\/traf087.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/trstmh\/article-pdf\/119\/12\/1405\/64099103\/traf087.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,5]],"date-time":"2025-12-05T10:22:18Z","timestamp":1764930138000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/trstmh\/article\/119\/12\/1405\/8238959"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,21]]},"references-count":5,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,8,21]]},"published-print":{"date-parts":[[2025,12,5]]}},"URL":"https:\/\/doi.org\/10.1093\/trstmh\/traf087","relation":{},"ISSN":["0035-9203","1878-3503"],"issn-type":[{"value":"0035-9203","type":"print"},{"value":"1878-3503","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,12]]},"published":{"date-parts":[[2025,8,21]]}}}