Tackling Uganda's Medical Expenditures Abroad, a Choice Dilemma of Going Public, Private or Public-Private Partnership.

Introduction: This study explored the tackling of Uganda's medical expenditures abroad, a choice dilemma of going public, private or public-private partnership. The study described the commonest conditions and reasons for referrals abroad, estimated Uganda's medical expenditures on referrals abroad...

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Publicado en:International Journal of Travel Medicine & Global Health Vol. 13; no. 3; pp. 173 - 184
Autores principales: Walimbwa, Aliyi, Otieno, Emmanuel, Basaza, Robert
Formato: research tables/charts Journal Article
Publicado: Tarbiat Modares University Press Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
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        10.30491/ijtmgh.2025.491661.1444
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        atl: Tackling Uganda's Medical Expenditures Abroad, a Choice Dilemma of Going Public, Private or Public-Private Partnership.
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        au:
          Walimbwa, Aliyi
          Otieno, Emmanuel
          Basaza, Robert
        affil: Texila American University, Guyana, USA
      sug:
        subj:
          Health Expenditures Economics
          Referral and Consultation Economics
          Public Sector
          Private Sector
          Collaboration
          Medical Tourism Economics
          Health Policy
          Human
          Exploratory Research
          Cross Sectional Studies
          Uganda
          Multimethod Studies
          Stratified Random Sample
          Snowball Sample
          Audiorecording
          Semi-Structured Interview
          Thematic Analysis
          Financing, Government
          Content Analysis
          Heart Defects, Congenital Economics
          Kidney Transplantation Economics
          Oncologic Care Economics
          Bone Marrow Transplantation Economics
          Orthopedics Economics
          Liver Transplantation Economics
          Government Regulations
          Descriptive Statistics
          Data Analysis Software
          Investments
          Public Health Infrastructure
          Quality Improvement
      ab: Introduction: This study explored the tackling of Uganda's medical expenditures abroad, a choice dilemma of going public, private or public-private partnership. The study described the commonest conditions and reasons for referrals abroad, estimated Uganda's medical expenditures on referrals abroad from the FY 2017/18 to 2023/24. The paper examines the reasons why Government is the most preferred approach in reducing medical expenditures abroad. Methods: An exploratory, cross-sectional mixed study design was conducted in Uganda. It was carried out from 1 September 2023 to 29 August 2024. Stratified sampling and snowball sampling techniques were used to select 34 participants. Key informant interview media analysis and desk review of data were done. Quantitative data was analysed using SPSS version 16.0 and thematic analysis for qualitative data. Ethical considerations were done. Results: The cost estimated for medical referral by government to other countries in the financial years 2021/2022 to 2023/2024 was Ug Shs. 26,596,082,700 (USD. 7.29 million) covering 399 patients. The highest proportion of patients referred were 41.6% in the FY 2022/2023, and the commonest conditions referred were congenital heart abnormalities and other cardiac conditions at 73.1% followed by the kidney transplant at 9%. Conclusion: High expenditures on medical referrals abroad lead to a significant flight of forex and referrals abroad largely due to lack of adequate health care services. Government led interventions is the most preferred policy option to reduce Uganda's high medical expenditures incurred abroad especially on government officials.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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