Do poor people in the poorer states pay more for healthcare in India?

BMC Public Health
Anjali Dash, Sanjay K Mohanty

Abstract

Rising health spending is associated with high out-of-pocket expenditure (OOPE), catastrophic health spending (CHS), increasing poverty, and impoverishment. Though studies have examined poverty and impoverishment effect of health spending in India, there is limited research on the regional patterns of health spending by type of health centers. This paper tests the hypothesis that the poor people from the poorer states of India pay significantly more for hospitalization in public health centers than those in the richer states of India. Data from the Social Consumption of Health Survey (71st round, 2014), carried out by the National Sample Survey (NSS) is used in the analyses. Descriptive statistics, log-linear regression model and tobit model were used to examine the determinants and variations in health spending. Inter-state variations in the utilization of public health services and the OOPE on hospitalization are high in India. States with high levels of poverty make higher use of the public health centers and yet incur high OOPE. In 2014, the mean OOPE per episode of hospitalization in public health centers in India was ₹5688 and ₹4264 for the economically poor households. It was lowest in the economically developed state of...Continue Reading

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Citations

Mar 9, 2021·Journal of Family Medicine and Primary Care·Ravi Ranjan JhaDewesh Kumar
Mar 22, 2021·International Journal for Equity in Health·Sanjay K Mohanty, Laxmi Kant Dwivedi
Apr 23, 2021·BMC Public Health·Radhe Shyam MishraS V Subramanian
Jul 2, 2021·The International Journal of Health Planning and Management·Rinshu DwivediRamesh Athe

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