Public Health Page

Addressing the Challenge of Reducing Emergency and Inpatient Admission Costs in the Ethiopian Healthcare System: A Focus on Preventive Care and Regular Follow-up

Meseret H. Birhanu, September  8, 2023


Introduction

The Ethiopian healthcare system faces a unique set of challenges when it comes to reducing the cost of emergency and inpatient admissions. Compared to many other countries, Ethiopia's healthcare infrastructure and resources are limited, making it imperative to adopt innovative strategies for cost reduction.

According to Johns Hopkins Medicine and Agency for Healthcare Research Quality, it is reported that over 66% of emergency room visits in the United States could have been avoided or addressed through primary care or routine check-ups and nearly $33.7 Billion would be saved annually from potentially preventable adult inpatient stays.

This article is the author’s personal view and will explore the importance of preventive care and regular follow-up in reducing healthcare costs, particularly in the context of Ethiopia.

The Challenge of High Healthcare Costs

Ethiopia, like many other low- and middle-income countries, struggles with high healthcare costs, particularly in emergency and inpatient settings. Several factors contribute to this challenge:

1. Limited Resources: Ethiopia faces resource constraints in terms of healthcare infrastructure, medical equipment, and trained healthcare professionals. This limitation often leads to a high demand for emergency and inpatient services.

2. Late Presentation of Diseases: Patients often seek medical attention at advanced stages of diseases, leading to more complex and costly treatments.

3. Lack of Preventive Care: Preventive care is often overlooked, resulting in a higher burden of preventable diseases.

4. Insufficient Follow-up: Patients often do not receive proper post-treatment follow-up, leading to recurring health issues and rehospitalization.

The Role of Preventive Care

Preventive care plays a crucial role in reducing healthcare costs in any healthcare system, but it is especially vital in resource-constrained settings like Ethiopia. Here are some key components of preventive care:

1. Health Education: Promoting awareness and education about healthy lifestyles and disease prevention can empower individuals to take control of their health and reduce the risk of diseases.

2. Vaccination Programs: Vaccination campaigns can prevent many infectious diseases, reducing the incidence of severe illnesses that require emergency or inpatient care.

3. Early Detection and Screening: Regular screenings and early detection programs can identify health issues before they become critical, allowing for less invasive and less expensive treatments.

4. Chronic Disease Management: Effective management of chronic diseases can prevent complications that often result in emergency admissions.

5. Maternal and Child Health: Focusing on maternal and child health through prenatal care, immunizations, and nutrition programs can significantly reduce the need for costly neonatal and pediatric emergency care.

The Importance of Regular Follow-up

In addition to preventive care, regular follow-up is essential to maintain and improve patients' health while also reducing the likelihood of costly admissions. Here are some key reasons why regular follow-up matters:

1. Treatment Monitoring: Regular check-ups allow healthcare providers to monitor the progress of patients, adjust treatments as needed, and detect potential complications early.

2. Medication Adherence: Patients who follow prescribed medication regimens are less likely to experience exacerbations of their conditions that could lead to emergency admissions.

3. Rehabilitation: Post-surgery or injury rehabilitation is essential for a successful recovery, reducing the need for further medical intervention.

4. Patient Engagement: Engaging patients in their healthcare journey encourages them to take responsibility for their health, which can lead to better outcomes and fewer hospitalizations.

5. Cost Savings: Preventing complications and managing chronic conditions through regular follow-up can significantly reduce healthcare costs over the long term.

Conclusion

Reducing the cost of emergency and inpatient admissions in the Ethiopian healthcare system is undoubtedly a challenging task. However, by prioritizing preventive care and regular follow-up, Ethiopia can make significant strides in mitigating the financial burden on its healthcare system.

Efforts should be made to invest in health education, vaccination programs, early detection, and chronic disease management. Additionally, healthcare providers must promote the importance of regular follow-up appointments to ensure patients receive the necessary care and support to maintain their health.

By focusing on prevention and continuity of care, Ethiopia can move towards a more cost-effective and sustainable healthcare system, improving the well-being of its population and alleviating the strain on limited healthcare resources.






Telehealth (Virtual Visit) way to expand healthcare delivery and address the Unemployment rate of Healthcare providers in Ethiopia

Meseret Birhanu Jan 6, 2022


As technology has continually developed, a medical virtual visit is becoming popular in the healthcare delivery system, especially since the COVID-19 pandemic. The implementation of virtual visits has been shown to reduce costs, increase access to care, and improve chronic disease management. In remote healthcare services that include video visits, eliminate historical barriers to healthcare such as geography, transportation, or time constraints.

 Studies shows that receiving consistent primary care leads to better health by enhanced access to healthcare. One of these studies was conducted in Philadelphia, USA. Based on the data collected from 650 patients who used a virtual platform called JeffConnect shows telemedicine visits generate cost savings mainly by diverting patients away from more costly care settings like emergency rooms.

 As the number of patients with chronic disease is getting higher, telemedicine plays a great role in addressing them by increasing access to specialized care, monitoring patient lifestyle changes, triaging new symptoms early, and reducing hospital readmission.

In Ethiopia, there are only 196 hospitals, which is estimated to be 1 bed per 3734 people with the surge of unemployed physicians. The healthcare demand is increasing with low hospital infrastructure availability and almost null telehealth (virtual visits) programs. Implementing and expanding Telehealth in such healthcare systems will improve the quality of rural and Semi-urban healthcare. It can also minimize challenges and burdens patients encounter, such as transportation issues related to travel for specialty care even the cost of the visit.

 In conclusion, a collaboration of Ethio-telecom and the Ministry of Health needs to consider strengthening this in-demand market for visits that do not rely heavily on detailed physical exams or in-office diagnostic testing and address the unemployment rate of Physicians in the country.