• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文OA文献 >Catastrophic healthcare expenditure and poverty related to out-of-pocket payments for healthcare in Bangladesh-an estimation of financial risk protection of universal health coverage.
【2h】

Catastrophic healthcare expenditure and poverty related to out-of-pocket payments for healthcare in Bangladesh-an estimation of financial risk protection of universal health coverage.

机译：孟加拉国发生的灾难性医疗保健支出和贫困与自付费用有关，这是对全民医保的财务风险保护的估计。

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务，本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文，但由于OA文献来源多样且变更频繁，仍可能出现获取不到、文献不完整或与标题不符等情况，如果获取不到我们将提供退款服务。请知悉。
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

The Sustainable Development Goals target to achieve Universal Health Coverage (UHC), including financial risk protection (FRP) among other dimensions. There are four indicators of FRP, namely incidence of catastrophic health expenditure (CHE), mean positive catastrophic overshoot, incidence of impoverishment and increase in the depth of poverty occur for high out-of-pocket (OOP) healthcare spending. OOP spending is the major payment strategy for healthcare in most low-and-middle-income countries, such as Bangladesh. Large and unpredictable health payments can expose households to substantial financial risk and, at their most extreme, can result in poverty. The aim of this study was to estimate the impact of OOP spending on CHE and poverty, i.e. status of FRP for UHC in Bangladesh. A nationally representative Household Income and Expenditure Survey 2010 was used to determine household consumption expenditure and health-related spending in the last 30 days. Mean CHE headcount and its concentration indices (CI) were calculated. The propensity of facing CHE for households was predicted by demographic and socioeconomic characteristics. The poverty headcount was estimated using 'total household consumption expenditure' and such expenditure without OOP payments for health in comparison with the poverty-line measured by cost of basic need. In absolute values, a pro-rich distribution of OOP payment for healthcare was found in urban and rural Bangladesh. At the 10%-threshold level, in total 14.2% of households faced CHE with 1.9% overshoot. 16.5% of the poorest and 9.2% of the richest households faced CHE. An overall pro-poor distribution was found for CHE (CI = -0.064) in both urban and rural households, while the former had higher CHE incidences. The poverty headcount increased by 3.5% (5.1 million individuals) due to OOP payments. Reliance on OOP payments for healthcare in Bangladesh should be reduced for poverty alleviation in urban and rural Bangladesh in order to secure FRP for UHC.
机译：可持续发展目标的目标是实现全民健康覆盖（UHC），包括财务风险保护（FRP）等。 FRP有四个指标，即自付费（OOP）高额医疗保健支出会导致灾难性医疗支出（CHE），平均正灾难性超调，贫困发生率和贫困深度增加。 OOP支出是孟加拉国等大多数中低收入国家/地区医疗保健的主要付款策略。巨额且不可预测的医疗费用可能使家庭面临巨大的财务风险，并在最极端的情况下可能导致贫困。这项研究的目的是估计OOP支出对CHE和贫困的影响，即孟加拉国UHC的FRP状况。一项具有全国代表性的2010年家庭收支调查用于确定过去30天的家庭消费支出和与健康相关的支出。计算了平均CHE人数及其浓度指数（CI）。通过人口和社会经济特征预测了家庭面对CHE的倾向。贫困人数是根据“家庭总消费支出”估算的，而此类支出中没有用OOP支付卫生保健费用，而贫困线是根据基本需求成本衡量的。以绝对值计算，在孟加拉国的城市和农村地区发现了面向医疗保健的OOP支付的丰富分布。在阈值10％的水平上，总共有14.2％的家庭面临CHE，其过冲率为1.9％。最贫困家庭的16.5％和最富有家庭的9.2％面临CHE。在城市和农村家庭中，CHE总体呈偏穷分布（CI = -0.064），而前者的CHE发生率更高。由于支付了OOP，贫困人数增加了3.5％（510万个人）。为了确保UHC的FRP，应当减少对孟加拉国医疗保健的OOP支付，以减轻孟加拉国城市和农村的贫困。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
代理获取

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号