在印度的机构交付上自付费用
R Lusome1, Ambady Sivan2, M Arun Kumar2
1Department of Economics, Pondicherry University, Puducherry, India. lusome.raman@gmail.com.
印度机构分娩的高自费支出 (OOPE) 和灾难性卫生支出 (CHE) 显示出地区差异很大. 解决这些财务负担对于改善孕产妇健康和实现医疗保健公平至关重要.
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
- 产妇健康服务 产妇健康服务
背景情况:
- 出口支出 (OOPE) 和灾难性卫生支出 (CHE) 为印度的机构分娩带来了重大财务挑战.
- 这些财政负担不成比例地影响弱势群体和地区,尽管现有政策干预措施.
研究的目的:
- 评估OOPE和CHE与印度各州机构交付相关的程度.
- 用国家家庭健康调查-5 (2019-21) 的数据分析OOPE和CHE的区域差异.
主要方法:
- 分析国家家庭健康调查-5 (NFHS-5) 数据 (2019-21).
- 对机构分娩的自费支出和灾难性医疗支出发生率的评估.
- 检查州际和地区差异.
主要成果:
- 在平均OOPE和CHE发病率方面,观察到实质性的州际和区域差异.
- 社会经济因素显著影响OOPE和CHE的结果.
- 医疗保健系统因素也在这些财务结果中发挥着重要作用.
结论:
- 减少分娩的OOPE和CHE对于改善母亲和儿童健康结果至关重要.
- 有针对性的干预措施可以帮助减轻与分娩相关的财务负担.
- 解决这些支出是实现印度医疗保健公平的关键.
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