关键词: Accident CHE OOPE economics road-traffic

来  源:   DOI:10.4103/ijcm.ijcm_457_23   PDF(Pubmed)

Abstract:
UNASSIGNED: Accidents and injuries constitute a sizable share of mortality and morbidity in low- and middle-income countries. This affects the most productive age group and increases disability-adjusted life years (DALYs). It results in a substantial financial burden on the households. To explore the economic burden of accidents and Injuries on Indian households and to find how the catastrophic health expenditure (CHE) from accidents and injuries affects the population. Another objective is to explore Catastrophic out-of-pocket expenditures (OOPE) patterns and distressed financing of households in India.
UNASSIGNED: The study used data from the 75th round of nationally representative surveys, that is, the National Sample Survey (NSS). Authors have analyzed the data using descriptive binary logistic regression analysis to estimate the rate and average days of hospitalization, average OOPE, and share of the population experiencing the catastrophic impact from the health expenditure separately from the public and private healthcare institutions.
UNASSIGNED: The study observed that hospitalization in the private sector imposes 72% of households incur CHE at more than 10% cut-off and 41% at more than 25% cut-off. In comparison, it is less in the public sector, with 22% of households incurring CHE at more than 10% of annual per capita household income and 9% at more than 25%.
UNASSIGNED: The increasing incidence of road traffic accidents (RTA) is a concern for the overstretched health system. The government should provide better healthcare facilities and universal health insurance coverage to ensure patients\' speedy recovery and financial security.
摘要:
事故和伤害在低收入和中等收入国家的死亡率和发病率中所占比例相当大。这会影响生产力最高的年龄组,并增加残疾调整寿命年(DALY)。这给家庭带来了巨大的经济负担。探讨事故和伤害对印度家庭的经济负担,并找出事故和伤害造成的灾难性健康支出(CHE)如何影响人口。另一个目标是探索印度家庭的灾难性自付支出(OOPE)模式和不良融资。
该研究使用了第75轮全国代表性调查的数据,也就是说,全国抽样调查(NSS)。作者使用描述性二元logistic回归分析对数据进行了分析,以估计住院率和平均住院天数,平均OOPE,以及与公共和私人医疗机构分开的医疗支出遭受灾难性影响的人口比例。
该研究观察到,私营部门的住院治疗使72%的家庭在超过10%的截止率下产生CHE,而41%的家庭在超过25%的截止率下产生CHE。相比之下,公共部门的情况较少,22%的家庭发生CHE超过家庭年人均收入的10%,9%超过25%。
道路交通事故(RTA)的发生率不断增加,这是医疗系统过度紧张的问题。政府应提供更好的医疗设施和全民健康保险,以确保患者的早日康复和财务安全。
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