家庭为类风湿关节炎的灾难性医疗支出:来自南印度的单一中心研究
Bhavani Shankara Bagepally1, S Sajith Kumar2, Akhil Sasidharan2
1National Institute of Epidemiology (ICMR), Health Technology Assessment Resource Centre ICMR-NIE, R-127, Tamil Nadu Housing Board, Phase I and II, Ayapakkam, Chennai, 600077, India. bagepally.bs@gov.in.
Scientific reports
|September 16, 2023
概括
由于类风湿性关节炎 (RA) 的灾难性医疗支出影响着印度泰米尔纳德州一半以上的家庭. 有限的医疗保险和高的自费费用为RA患者造成了这种财务负担.
科学领域:
- 卫生经济学 卫生经济学
- 类风湿病学 类风湿病学
- 公共卫生政策 公共卫生政策
背景情况:
- 类风湿性关节炎 (RA) 对患者及其家属造成了重大的身体,情感和经济负担.
- 灾难性卫生支出 (CHE) 是一个主要问题,特别是在低收入和中等收入国家,社会保障网络有限.
研究的目的:
- 估计印度泰米尔纳德州风湿性关节炎 (RA) 影响的家庭中灾难性医疗支出 (CHE) 的流行率和决定因素.
- 分析家庭收入的不平等及其与RA患者中CHE的关系.
主要方法:
- 一个横截面的,描述性的,基于医院的研究是在泰米尔纳德邦的一家第三级护理私人多专业医院进行的.
- 从2022年4月至10月期间参加门诊的320名RA患者收集了数据.
- 用多变量逻辑回归分析来确定CHE的决定因素,同时检查家庭收入和CHE的不平等.
主要成果:
- 超过一半 (51.4%) 的家庭有RA患者经历了CHE.
- 对于RA治疗的平均年度医疗支出为44,700卢比,自费支出平均为40,698.8卢比.
- 只有8.1%的参与者拥有医疗保险,这凸显了金融风险保护方面的重大差距.
结论:
- 由于高昂的自付医疗费用和不充分的医疗保险覆盖,近一半的RA患者家庭面临财务灾难.
- 加强公共卫生政策,加强金融风险保护和确保优质护理对于减轻印度RA的经济影响至关重要.
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