印度心力衰竭患者的财务负担,自费医疗支出和家庭经济福祉:多中心跨部门调查
Panniyammakal Jeemon1, Reethu Salim1,2, K Safvan1,2
1Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Global heart
|March 16, 2026
概括
印度的心力衰竭患者面临着巨大的财务负担,自费支出占总医疗支出的90%以上. 解决这种财务压力对于改善患者福祉和健康公平至关重要.
科学领域:
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 心力衰竭 (HF) 管理是资源密集型的,具有重大经济影响,特别是在低收入和中等收入国家 (LMICs).
- 患者的财务负担 (FB) 越来越被认为是影响印度高压管理的关键非临床因素.
研究的目的:
- 探索与印度心力衰竭 (HF) 患者的财务负担 (FB) 相关的因素.
- 在印度背景下,评估高压对患者和家庭的经济影响.
主要方法:
- 从印度各地的21个不同医院招募了1859名HF患者.
- 采用经过验证的调查问卷收集临床和经济数据,记录印度卢比 (INR) 和国际美元 (INT$) 的支出.
主要成果:
- 平均年度自费支出为1,06,566印度卢比 (INT$ 4,709.10),占卫生总支出的92.6%.
- 灾难性医疗支出 (CHS) 影响了37.7%,紧急融资 (DF) 影响了17.7%的家庭.
- 与没有医疗保险的患者相比,在有医疗保险的患者中,CHS和DF较低.
结论:
- 印度70%以上的HF患者缺乏财务健康保护,高OOP支出导致经济困境.
- 财务负担,包括CHS和DF,显著影响HF患者的福祉,需要有针对性的干预措施.
- 解决财务负担对于改善临床结果和实现印度HF患者的健康平等至关重要.
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