住院是否会使印度的家庭陷入贫困:来自国家数据的证据
Shyamkumar Sriram1, Muayad Albadrani2
1Department of Social and Public Health, Ohio University, Athens, Ohio, 45701, USA.
F1000Research
|April 12, 2024
概括
高昂的自付医疗保健费用增加了印度的贫困. 城市居民,住院时间较长的人以及私人设施的使用者面临更高的贫困风险. 投资于农村公共医疗保健至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 健康的社会经济决定因素
背景情况:
- 高额的自付医疗保健支出是印度贫困的一个重要驱动因素,影响了人口的很大一部分.
- 诸如增加患者成本共享和昂贵的药物等因素导致了大量的OOP成本,加剧了现有的贫困.
- 了解医疗保健支付与贫困之间的联系对于制定有效的减贫战略至关重要.
研究的目的:
- 分析OOP医疗保健支出对印度贫困水平的影响.
- 确定与OOP诱导的贫困相关的特定的人口和医疗保健利用因素.
- 为政策建议提供信息,以减轻弱势群体对医疗保健的财务负担.
主要方法:
- 利用了国家样本调查组织 (印度家庭社会消费:健康) 调查 (2017年7月 - 2018年6月) 第75轮数据.
- 包括对过去365天内住院的66237人进行分析,重点关注人口统计,社会经济,发病率和支出数据.
- 使用后勤回归建模来评估OOP支出与贫困之间的关系.
主要成果:
- 拥有5岁及以下儿童的家庭由于OOP支出而导致贫困的几率降低了0.2868.
- 与农村家庭相比,城市家庭面临0.601个更高的贫困率.
- 增加住院时间和使用私人医疗保健设施显著增加了由于OOP支出导致贫困的几率 (私人设施使用的几率高于1.9013).
结论:
- 政策干预应侧重于提高公共医院的效率,并鼓励从私人到公共医疗保健利用的转变.
- 农村医疗保健基础设施的大量投资是必不可少的,因为农村人口,特别是最贫穷的人群,更容易受到OOP引起的贫困.
- 解决OOP医疗支出对于减少贫困和改善印度的健康公平至关重要.
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