Analyzing Out of Pocket Health Expenses - An Assessment based on Cross Section Study in Assam (India)

  • Nirmala Devi
Keywords: Out of pocket expenses, inpatient care, public health care, logistic regression, chronic morbidity, catastrophic health expenses

Abstract

Objectives:

To analyze the impact of inpatient care in escalating OOP expenses and to identify the factors associated with catastrophic health expenditure in Assam (India).

Data Sources:

The study is based on the household survey conducted during 2014-15 in Nagaon and Nalbari districts of Assam.

Study design: The factors associated with catastrophic health expenditure are estimated using binary logistic regression model.

Data collection/extraction method: Based on the ranking of districts, Nagaon and Nalbari districts were selected. Later on, village 1 and Village 2 from Nagaon and Nalbari districts were selected randomly for the study.

Principle findings:

The households are afflicted with a larger burden of healthcare expenditure mainly in case of inpatient care. Due to severe shortage of medical personnel and equipments, residents are compelled to visit private health facilities for treatment. Huge costs are borne by the households due to outsourcing of services from government to the private sector. Households with longer duration of illnesses, higher proportion of chronically ill members and lower monthly income bear higher impact of catastrophic health expenditure.

Conclusions:

Provision of protection from financial risk for health hazards and improvement of quality of health care in government hospitals is imperative to improve the existing situation.

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Published
2019-06-30
How to Cite
1.
Devi N. Analyzing Out of Pocket Health Expenses - An Assessment based on Cross Section Study in Assam (India). Indian J Community Health [Internet]. 30Jun.2019 [cited 22Aug.2019];31(2). Available from: http://www.iapsmupuk.org/journal/index.php/IJCH/article/view/978
Section
Original Article