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在斯里兰卡对儿科手术的金融风险保护指标的分析

Assia Comella¹, Naveen Wijekoon², Mailk Samarasinghe²

¹Department of Paediatric Surgery, Monash Children's Hospital, Melbourne, Victoria, Australia.

World journal of surgery

|December 11, 2024

概括

斯里兰卡的儿科手术有可能使家庭贫困,其中25.9%面临灾难性开支或贫困. 对这些弱势儿童及其家庭而言,财政援助至关重要.

科学领域:

儿科手术儿科手术
卫生经济学卫生经济学
公共卫生公共卫生

背景情况:

手术护理的准入对于儿科健康结果至关重要.
医疗保健的自付费用可能会导致经济困难.
了解儿科手术的经济影响对于政策制定至关重要.

研究的目的:

确定斯里兰卡需要手术服务的儿童贫困和灾难性支出的发生率.
评估斯里兰卡家庭儿科手术干预的经济负担.

主要方法:

对儿科手术干预的直接医疗和非医疗费用进行前性数据收集.
灾难性支出定义为>10%的家庭收入,贫困程度低于国家贫困线.
使用购买力平价 (PPP) 门 (I$3.65,I$2.15) 和国家贫困线 (NPL) 进行分析.

主要成果:

分析了200名具有完整数据的儿科患者;96人需要紧急手术.
每名患者的平均总直接费用为116.6美元,间接费用为94.9美元.
53.2%的人经历了灾难性支出,85%的人生活在国家贫困线以下;高达87.1%的人面临着贫困风险.

结论:

斯里兰卡的儿科手术对25.9%的人口构成严重的贫困和灾难性开支风险.
迫切需要为接受儿科手术护理的家庭提供财政援助和支持系统.
调查结果强调了与获得基本儿科外科服务相关的社会经济脆弱性.

关键词:

小微创新型国家和地区 (LMIC)灾难性支出是灾难性的支出.灾难性的贫困是灾难性的贫困.全球外科手术全球手术兰塞特的财务指标低收入和中等收入国家.儿科外科手术儿科外科手术

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