Cost of injury care in India: cross-sectional analysis of National Sample Survey 2014

Tripathy, Jaya Prasad; Jagnoor, J.; Prasad, Banuru Muralidhara; Ivers, Rebecca

doi:10.1136/injuryprev-2017-042318

Cited by 9 publications

(2 citation statements)

References 28 publications

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“…34 However, it contradicts the findings in other studies in the region where more than half use public sector, more so by the poorest group despite having a tax-based financing system to cover public services like Nepal. 27 35 The recent unregulated boom in the private healthcare industry in Nepal with minimal government spending on public sector might explain this observation. This could also be due to the specific industrial setting and the local context.…”

Section: Discussionmentioning

confidence: 99%

Catastrophic health expenditure among industrial workers in a large-scale industry in Nepal, 2017: a cross-sectional study

Pyakurel

Tripathy

Oo³

et al. 2018

BMJ Open

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ObjectivesThe study aimed at estimating out-of-pocket (OOP) expenditure, catastrophic health expenditure (CHE) and distress financing due to hospitalisation and outpatient care among industrial workers in Eastern Nepal.MethodsWe conducted a cross-sectional study involving industrial workers employed in a large-scale industry in Eastern Nepal. Those who were hospitalised in the last 1 year or availed outpatient care within the last 30 days were administered a structured questionnaire to estimate the cost of illness. CHE was defined as expenditure more than 20% of annual household income. Distress financing was defined as borrowing money/loan or selling assets to cope with OOP expenditure on health.ResultsOf 1824 workers eligible for the study, 1405 (77%) were screened, of which 85 (6%) were hospitalised last year; 223 (16%) attended outpatient department last month. The median (IQR) OOP expenditure from hospitalisation and outpatient care was US$124 (71–282) and US$36 (19–61), respectively. Among those hospitalised, the prevalence of CHE and distress financing was found to be 13% and 42%, respectively, and due to outpatient care was 0.4% and 42%, respectively. Drugs and diagnostics account for a large share of direct costs in both public and private sectors. More than 80% sought hospitalisation and outpatient care in a private sector.ConclusionIndustrial workers face significant financial risks due to ill health compared with the general population. Poor utilisation and higher cost of care in public health facilities warrant strengthening of public sector through increased government spending. The labour act 2014 of Nepal should be strictly adhered.

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Section: Discussionmentioning

confidence: 99%

Catastrophic health expenditure among industrial workers in a large-scale industry in Nepal, 2017: a cross-sectional study

Pyakurel

Tripathy

Oo³

et al. 2018

BMJ Open

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“…All the participants described how trauma posed a major economic burden in their lives. The out-ofpocket costs, both direct and indirect, especially in LMICs like India, have been well established in literature (62)(63)(64)(65). Being able to return to some form of work was one of the critical outcomes within the economic challenges stated by most participants.…”

Section: Discussionmentioning

confidence: 99%

Patient-reported outcomes relevant to post-discharge trauma patients in urban India

David,

Gerdin Wärnberg

2024

Preprint

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Trauma is a major global health burden with long-term consequences to patients. Patient-reported outcomes (PROs) are increasingly being recognized and utilized to improve trauma care. It is imperative to identify the PROs that are most relevant, applicable, and suitable to a context. However, there is limited research on PROs in trauma care in low- and middle-income countries, like India, that bear disproportionate burden of global trauma. This paper aims to examine PROs considered to be most relevant for trauma patients after discharge in the context of urban India. We conducted semi-structured qualitative interviews of 11 adult post discharge trauma patients, across demographic and injury groups, and two persons working with trauma patients from five tertiary-care public hospitals in the Indian cities of Mumbai and Kolkata. We performed thematic analysis to identify themes within the participants responses on PROs important to them based on their experiences. Four themes emerged in the analysis of the participant interviews. The need for full physical functioning, the need to address psychological consequences, the need to alleviate economic cost of trauma, and the need for social interactions. Outcomes related to these themes were most relevant to the participants. The findings of this paper can help researchers and clinicians select appropriate PROs, based on the four themes, for trauma research and to improve trauma care in urban India. Future research should focus on PROs relevant to specific demographic and injury groups in India and other LMICs.

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Financial burden of injury care in India: evidence from a nationally representative sample survey

Nanda

Sharma

2023

J Public Health (Berl.)

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Cost of injury care in India: cross-sectional analysis of National Sample Survey 2014

Cited by 9 publications

References 28 publications

Catastrophic health expenditure among industrial workers in a large-scale industry in Nepal, 2017: a cross-sectional study

Catastrophic health expenditure among industrial workers in a large-scale industry in Nepal, 2017: a cross-sectional study

Patient-reported outcomes relevant to post-discharge trauma patients in urban India

Financial burden of injury care in India: evidence from a nationally representative sample survey

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