评估伊拉克家庭的灾难性医疗支出:一项跨部门研究
Zainab Abodi1, Ghobad Moradi2,3, Yousef Moradi2
1Department of Health Care Management, SR.C., Islamic Azad University, Tehran, Iran.
Iranian journal of public health
|July 14, 2025
概括
灾难性的卫生支出不成比例地影响了伊拉克.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 健康的社会经济决定因素
背景情况:
- 灾难性卫生支出 (CHE) 对家庭造成了巨大的财务负担,加剧了贫困,并限制了获得基本医疗保健服务的机会.
- 了解CHE的患病率和促成因素对于开发有效的公共卫生干预措施至关重要.
研究的目的:
- 调查伊拉克六个省份家庭中灾难性医疗支出的流行率和决定因素.
- 确定特定的家庭特征和社会经济因素,与增加CHE风险相关.
主要方法:
- 一项涉及2023年6个伊拉克省份 (巴格达,瓦西特,卡尔巴拉,安纳贾夫,巴比尔,梅桑) 2,400个家庭的横截面研究.
- 使用世卫组织世界卫生调查问卷收集的数据,将CHE定义为超过家庭支付能力的40%的自付医疗费用.
- 统计分析包括后勤回归来确定与CHE相关的因素的调整几率比率 (AOR).
主要成果:
- 12.6%的家庭经历了灾难性的医疗支出.
- 4-6个成员的家庭的CHE几率是CHE的1.52倍 (AOR=1.52).
- 最贫穷的家庭表现出明显更高的风险,患有CHE的AOR为95.28 (CI:13.12至691.49).
结论:
- 调查结果强调了伊拉克家庭,特别是最贫困家庭的医疗支出所造成的巨大财务压力.
- 需要紧急的政策干预,以减轻CHE的影响,改善医疗保健准入,并促进公平的医疗保险.
- 解决这些金融障碍对于提高伊拉克弱势群体的整体健康和福祉至关重要.
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