Measuring catastrophe in paying for healthcare: A comparative methodological approach by using National Sample Survey, India.
Grossmans
India
catastrophic health expenditure
healthcare
methodological approaches
Journal
The International journal of health planning and management
ISSN: 1099-1751
Titre abrégé: Int J Health Plann Manage
Pays: England
ID NLM: 8605825
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
revised:
19
06
2021
received:
26
09
2020
accepted:
20
06
2021
pubmed:
2
7
2021
medline:
30
9
2021
entrez:
1
7
2021
Statut:
ppublish
Résumé
Healthcare expenditure significantly varies among various segments of the population. The appropriate measures of catastrophic health expenditure (CHE) will help to unravel the real burden of spending among households. Present study provides a link between the theoretical insights from Grossman's model and various methodological approaches for the estimation of CHE by using data from the three rounds of nationally representative Consumer Expenditure Surveys, India. Statistical analysis has been carried out by using multivariate logistic regression to identify the major determinants of CHE. Findings indicate that the occurrence of CHE has increased during 1993-2012. Rural residents and households with varying age composition such as with higher numbers of children and elderly were at higher risk. Economic status is significantly associated with CHE and increased demand for healthcare. The measurements differ as per the methodological approaches of CHE and definition of household's capacity to pay. Approach-based variations in the results can be of key importance in determining trends and magnitude in CHE. Despite these variations in measurements, study finds a limited incidence of CHE among the disadvantaged segment of the population though a greater share was devoted to health expenditure in recent years. Better risk pooling mechanism is required to address the healthcare needs of the disadvantaged segment such as elderly, children, poor and rural population in India.
Types de publication
Journal Article
Langues
eng
Pagination
1887-1915Informations de copyright
© 2021 John Wiley & Sons Ltd.
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