Out-of-pocket expenditure and catastrophic health expenditure for hospitalization due to injuries in public sector hospitals in North India

English version

Autoři: Shankar Prinja ^aff001; Jagnoor Jagnoor ^aff002; Deepshikha Sharma ^aff001; Sameer Aggarwal ^aff001; Swati Katoch ^aff001; P. V. M. Lakshmi ^aff001; Rebecca Ivers ^aff003
Působiště autorů: Post Graduate Institute of Medical Education and Research, Chandigarh, India ^aff001; The George Institute for Global Health, New Delhi, India ^aff002; The George Institute for Global Health, University of Sydney, Sydney, Australia ^aff003
Vyšlo v časopise: PLoS ONE 14(11)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0224721

Souhrn

Background

Injuries are a major public health problem, resulting in high health care demand and economic burden. They result in loss of disability adjusted life years (DALYs) and high out-of-pocket expenditure. However, there is little evidence on the economic burden of injuries in India. We undertook this study to report out-of-pocket expenditure and the prevalence of catastrophic health expenditure for injuries related hospitalizations in public sector hospitals in North India. Further, we also evaluate the determinants of catastrophic health expenditure.

Methods and analysis

A prospective observational study was conducted. Participants were recruited from three hospitals for all injury cases. Data were collected via face-to-face baseline interviews and follow-up interviews over the phone at 1, 2, 4 and 12 months post-injury. Prevalence of catastrophic health expenditure (more than 30% of consumption expenditure) and impoverishment (International dollar 1.90) were estimated.

Results

Road traffic injuries (57%) were the leading cause of injury. Direct out-of-pocket expenditure for hospitalizations was INR 16,768 (USD 263) while indirect productivity loss was INR 8,164 (USD 128). The prevalence of catastrophic expenditure was 22.2% with 12.2% slipping below poverty line. Prevalence of catastrophic health expenditure and impoverishment was higher and significantly associated with poorest quintile, tertiary care hospital and increased duration of hospitalization (p< 0.001).

Conclusion

The economic impact of injuries is notably high both in terms of out-of-pocket expenditure and productivity loss. A high proportion of households experienced catastrophic expenditure and impoverishment following an injury, highlighting need for programs to prevent injuries.

Klíčová slova:

Burns – Economics – Health economics – Health insurance – Hospitalizations – India – Socioeconomic aspects of health – Indirect costs

Zdroje

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Out-of-pocket expenditure and catastrophic health expenditure for hospitalization due to injuries in public sector hospitals in North India

Souhrn

Background

Methods and analysis

Results

Conclusion

Klíčová slova:

Zdroje

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