巴基斯坦与双重疾病负担相关的自费支出:一个量子回归分析
Lubna Naz1, Shyamkumar Sriram2
1Department of Economics, School of Economics and Social Sciences, Institute of Business Administration, 75270, Karachi, Pakistan.
BMC public health
|March 15, 2024
概括
巴基斯坦面临着双重疾病负担,增加了贫困风险. 这项研究揭示,虽然更多的疾病与较低百分比的更高的自费支出相关,但老年家庭成员在更高的百分比中增加了成本.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 巴基斯坦面临着传染性疾病和非传染性疾病的双重负担.
- 家庭成员患有两种疾病类型的家庭面临着严重的贫困风险,因为高的自付 (OOP) 支付.
- 在这种情况下,了解OOP支出的决定因素对于金融风险保护至关重要.
研究的目的:
- 检查影响自付支出的决定因素的百分比分布.
- 分析与巴基斯坦双重疾病负担相关的社会经济因素和OOP支出之间的关联.
主要方法:
- 利用了来自2018-19年家庭综合经济调查的6775个家庭的传染性和非传染性疾病的数据.
- 使用定量回归来分析社会经济因素与OOP支出之间的关联.
- 数据集是横截面的,具有全国代表性.
主要成果:
- 28.5%的家庭在2018-19年报告了双重疾病负担.
- 不受过教育的家庭主管,男性主管,门诊护理,公共部门服务利用,农村居住和老年人等因素与双重疾病负担有关.
- 传染性和非传染性疾病的增加与较低百分比的月度OOP支出增加有关,而老年成员在较高百分比中增加了OOP支出.
结论:
- 传染性疾病和非传染性疾病的同时发生导致了巴基斯坦的大量私人医疗保健成本.
- 需要解决与管理双重疾病负担相关的不同财务负担.
- 政策干预应考虑社会经济因素在不同支出层面对开放式开放支出的不同影响.
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