尽管在布基纳法索免费医疗保健,但额外支付费用
Seydou Traoré1,2, Winsowmé Aguiratou Linda Some3, Cheick Ahmed Ouattara2
1Institut de recherche interdisciplinaire sur les enjeux sociétaux (IRIS) – Aubervilliers – France
概括
尽管布基纳法索儿童获得免费医疗服务,但额外的费用仍然是最贫困家庭的重大障碍. 重组医疗保健融资是确保所有儿童平等获得医疗保健的必要条件.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 撒哈拉以南非洲地区的医疗保健
背景情况:
- 布基纳法索在2016年为五岁以下的儿童引入了免费医疗保健,以消除财务障碍.
- 持续的额外医疗费用可能会阻碍最贫困人口获得护理.
研究的目的:
- 对家长额外的医疗保健费用进行医疗经济评估.
- 评估这些成本对幼儿获得医疗保健的影响.
主要方法:
- 一项描述性研究,分析额外的医疗费用.
- 通过支付收据和家长声明收集的数据.
主要成果:
- 额外的直接成本占总直接成本的36.09%.
- 43.97%的家长面临支付这些额外成本的困难,80%的家长耗尽了储蓄.
- 许多家长没有为这些费用做好准备,这影响了对医疗保健系统的满意度.
结论:
- 尽管有免费医疗政策,但仍然存在大量的额外医疗费用.
- 这些成本不成比例地影响最贫困的患者,损害了获得基本护理的机会.
- 免费医疗保健系统的重组是必要的,以有效地解决财务障碍.
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