了解印度的口袋支出:系统审查
Sagarika Kamath1, Jeffin Maliyekkal2, S Elstin Anbu Raj3
1Department of International Health, Care and Public Health Research Institute-CAPHRI, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands.
Frontiers in public health
|June 24, 2025
概括
印度高昂的自付支出 (OOPE) 负担家庭,尽管最近的支出有所下降. 本系统性审查确定了影响OOPE的关键因素,强调了医疗保健融资改革的必要性.
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
- 系统审查方法论 系统审查方法论
背景情况:
- 出口支出 (OOPE) 仍然是印度卫生总支出的重要组成部分.
- 尽管OOPE的数量在下降,但却导致了灾难性的医疗费用和家庭贫困.
研究的目的:
- 系统地审查和分析印度的自费支出 (OOPE) 的决定因素.
- 确定影响印度家庭医疗保健财务负担的因素.
主要方法:
- 对702个获取引用的系统审查,在严格选后包括36项研究.
- 叙事综合和主题分析以确定OOPE的决定因素.
- 数据以表格和描述格式组织,以解决异质性问题.
主要成果:
- 11个关键主题出现,包括护理来源,居住地,经济地位和医疗保险.
- 年龄,性别和教育程度等因素也会影响OOPE.
- 分析了OOPE的应对策略和组件.
结论:
- 印度对OOPE的依赖表明医疗保健融资缺口很大.
- 公共投资,保险和初级保健方面的改革对于公平和金融保护至关重要.
- 解决公平的医疗保健融资问题至关重要,以减少对应急融资的依赖.
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