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

Nanda, Mehak; Sharma, Rajesh

doi:10.1007/s10389-023-01981-7

Cited by 2 publications

(2 citation statements)

References 43 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found that utilization of health care services from private health facilities puts an exorbitant burden on households in concordance with previous studies. 31,33,34,53,54,75 We also found deleterious effect of utilizing private health facilities across all states/UTs. However, the burden was more pronounced in poorer states such as Chhattisgarh, Uttar Pradesh, Madhya Pradesh, Manipur, Odisha, and Bihar, where more than 50 percent of households faced CHE incidence and over 20 percent of households were pushed below the poverty line due to seeking care from private health care facilities in the case of both inpatient and outpatient care.…”

Section: Discussionmentioning

confidence: 78%

“…We used the inflation-adjusted 49 state-specific poverty line for rural and urban areas separately as defined by the Tendulkar Committee, 50 as a proxy of subsistence expenditure, and later multiplied by the household size to obtain the household-level subsistence expenditure. [51][52][53][54] A household was dichotomized as incurring CHE (1 = yes and 0 = no) if their OOPE exceeded 40 percent of capacity to pay 55 as per the following formula:…”

Section: Outcome Variablesmentioning

confidence: 99%

See 1 more Smart Citation

An Examination of Inter-State Variation in Utilization of Healthcare Services, Associated Financial Burden and Inequality: Evidence from Nationally Representative Survey in India

Aashima,

Sharma

2024

International Journal of Social Determinants of Health and Heal

Self Cite

View full text Add to dashboard Cite

This study examines the health care utilization pattern, associated financial catastrophes, and inequality across Indian states to understand the subnational variations and aid the policy makers in this regard. Data from recent National Sample Survey (2017–2018), titled, “Household Social Consumption: Health,” covering 113,823 households, was employed in the study. Descriptive statistics, Erreygers concentration index (CI), and recentered influence function decomposition were applied in the study. We found that, in India, 7 percent of households experienced catastrophic health expenditure (CHE) and 1.9 percent of households were pushed below poverty line due to out-of-pocket expenditure on hospitalization. Notably, outpatient care was more burdensome (CHE: 12.1%; impoverishment: 4%). Substantial interstate variations were observed, with high financial burden in poorer states. Utilization of health care services from private health care providers was pro-rich (hospitalization CI 0.31; outpatient CI 0.10), while the occurrence of CHE incidence was pro-poor (hospitalization CI −0.10; outpatient CI −0.14). Education level, economic status, health insurance, and area of residence contributed significantly to inequalities in utilization of health care services from private providers and financial burden. The high financial burden of seeking health care necessitates the need to increase public health spending and strengthen public health infrastructure. Also, concerted efforts directed towards increasing awareness about health insurance and introducing comprehensive health insurance products (covering both inpatient and outpatient services) are imperative to augment financial risk protection in India.

show abstract