- Distribution and Determinants of Out-of-pocket Healthcare Expenditures in Bangladesh
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Rashidul Alam Mahumud, Abdur Razzaque Sarker, Marufa Sultana, Ziaul Islam, Jahangir Khan, Alec Morton
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J Prev Med Public Health. 2017;50(2):91-99. Published online February 7, 2017
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DOI: https://doi.org/10.3961/jpmph.16.089
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Abstract
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- Objectives
As in many low-income and middle-income countries, out-of-pocket (OOP) payments by patients or their families are a key healthcare financing mechanism in Bangladesh that leads to economic burdens for households. The objective of this study was to identify whether and to what extent socioeconomic, demographic, and behavioral factors of the population had an impact on OOP expenditures in Bangladesh.
Methods A total of 12 400 patients who had paid to receive any type of healthcare services within the previous 30 days were analyzed from the Bangladesh Household Income and Expenditure Survey data, 2010. We employed regression analysis for identify factors influencing OOP health expenditures using the ordinary least square method.
Results The mean total OOP healthcare expenditures was US dollar (USD) 27.66; while, the cost of medicines (USD 16.98) was the highest cost driver (61% of total OOP healthcare expenditure). In addition, this study identified age, sex, marital status, place of residence, and family wealth as significant factors associated with higher OOP healthcare expenditures. In contrary, unemployment and not receiving financial social benefits were inversely associated with OOP expenditures.
Conclusions The findings of this study can help decision-makers by clarifying the determinants of OOP, discussing the mechanisms driving these determinants, and there by underscoring the need to develop policy options for building stronger financial protection mechanisms. The government should consider devoting more resources to providing free or subsidized care. In parallel with government action, the development of other prudential and sustainable risk-pooling mechanisms may help attract enthusiastic subscribers to community-based health insurance schemes.
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Summary
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Citations
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Yerik Bukatov, Galiya Gimranova Cogent Economics & Finance.2023;[Epub] CrossRef - Determinants of catastrophic household health expenditure in Nigeria
Olaide Sekinat Opeloyeru, Akanni Olayinka Lawanson International Journal of Social Economics.2023; 50(6): 876. CrossRef - Socioeconomic Determinants of Out-Of-Pocket Health Care Expenditures in Turkey
Mustafa ÖZER Fiscaoeconomia.2023; 7(2): 1196. CrossRef - Magnitude and trends in inequalities in healthcare‐seeking behavior for pneumonia and mortality rate among under‐five children in Bangladesh: Evidence from nationwide cross‐sectional survey 2007 to 2017
Satyajit Kundu, Md Wahidur Rahman Nizum, Fahmida Fayeza, Syed Sharaf Ahmed Chowdhury, Jhantu Bakchi, Azaz Bin Sharif Health Science Reports.2023;[Epub] CrossRef - Determinants of Health Expenditure Among the Informal Workers of India: Is It Always Catastrophic?
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Raúl Gómez Román, Nadia Tornieporth, Neil George Cherian, Amy C Shurtleff, Maïna L’Azou Jackson, Debra Yeskey, Adam Hacker, Eric Mungai, Tung Thanh Le The Lancet Infectious Diseases.2022; 22(1): e13. CrossRef - Inequalities in Undiagnosed Hypertension Among Adult Population in Bangladesh: Evidence from a Nationally Representative Survey
Mohammad Rifat Haider, Rajat Das Gupta High Blood Pressure & Cardiovascular Prevention.2022; 29(1): 57. CrossRef - Magnitude and determinants of inpatient health expenditure among the elderly in India
Chandrima Chatterjee, Narayan Chandra Nayak, Jitendra Mahakud The International Journal of Health Planning and Management.2022; 37(3): 1402. CrossRef - Health Care Utilization and Out-of-Pocket Payments among Elderly with Cognitive Frailty in Malaysia
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Edson Serván-Mori, Md Deen Islam, Warren A. Kaplan, Rachel Thrasher, Veronika J. Wirtz, Mohammad Bellal Hossain PLOS ONE.2022; 17(9): e0274671. CrossRef - Financial hardship and mental health conditions in people with underlying health conditions during the COVID-19 pandemic in Bangladesh
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Mohammed Khaled Al-Hanawi, Purity Njagi International Journal for Equity in Health.2022;[Epub] CrossRef - Hefty fee for a healthy life: finding predictors by econometric comparison
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