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Cost of sospitalization for non-communicable diseases in India: are we pro-poor? | Journal Article / Research | MSF Science Portal
Journal Article
|Research

Cost of sospitalization for non-communicable diseases in India: are we pro-poor?

Tripathy JP, Prasad BM, Shewade HD, Kumar AMV, Zachariah R, Chadha SS, Tonsing J, Harries AD
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Abstract
OBJECTIVES
To estimate out-of-pocket (OOP) expenditure due to hospitalization from NCDs and its impact on households in India.

METHODS
The study analysed nationwide representative data collected by the National Sample Survey Organisation in 2014 that reported health service utilisation and healthcare-related OOP expenditure by income quintiles and by type of health facility (public or private). The recall period for inpatient hospitalisation expenditure was 365 days. Consumption expenditure was collected for a recall period of 1 month. OOP expenditure amounting to >10% of annual consumption expenditure was termed as catastrophic. Weighted analysis was performed.

RESULTS
The median expenditure per episode of hospitalisation due to NCDs was USD 149 - this was ~3 times higher among the richest quintile compared to poorest quintile. There was a significantly higher prevalence of catastrophic expenditure among the poorest quintile, more so for cancers (85%), psychiatric and neurological disorders (63%) and injuries (63%). Mean private-sector OOP hospitalisation expenditure was nearly five times higher than that in the public sector. Medicines accounted for 40% and 27% of public- and private-sector OOP hospitalisation expenditure, respectively.

CONCLUSION
Strengthening of public health facilities is required at community level for the prevention, control and management of NCDs. Promotion of generic medicines, better availability of essential drugs and possible subsidisation for the poorest quintile will be measures to consider to reduce OOP expenditure in public-sector facilities.

Countries

India

Subject Area

non-communicable disease

Languages

English
DOI
10.1111/tmi.12732
Published Date
02 Jun 2016
PubMed ID
27253634
Journal
Tropical Medicine and International Health
Volume | Issue | Pages
Volume 21, Issue 8, Pages 1019-1028
Issue Date
2016-06-22
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