Out of Pocket Expenditure for Hospitalization among Below Poverty Line Households in District Solan, Himachal Pradesh, India, 2013

PloS One
Anadi GuptB N Murthy

Abstract

Health insurance schemes, like Rashtriya Swasthya Bima Yojana (RSBY), should provide financial protection against catastrophic health costs by reducing out of pocket expenditure (OOPE) for hospitalizations. We estimated and compared the proportion and extent of OOPE among below poverty line (BPL) families beneficiaries and not beneficiaries by RSBY during hospitalizations in district Solan, H.P., India, 2013. We conducted a cross sectional survey among hospitalized BPL families in the beneficiaries and non-beneficiaries groups. We compared proportion incurring OOPE and its extent during hospitalization, pre/post-hospitalization periods in different domains. Overall, proportion of non-beneficiaries who incurred OOPE was higher than the beneficiaries but it was not statistically significant (87.2% vs. 80.9%). The median overall OOPE was $39 (Rs 2567) in the non-beneficiaries group as compared to $11 (Rs 713) in the beneficiaries group (p<0.01). Median expenditure on in house and out house drugs and consumables was $23 (Rs 1500) in the non beneficiaries group as compared to nil in the beneficiaries group (p<0.01). Non-beneficiary status was significantly associated [OR: 2.4 (1.3-4.3)] with OOPE above median independently and also ...Continue Reading

References

Dec 16, 2006·Journal of Health Organization and Management·K V Ramani, Dileep Mavalankar
Mar 17, 2007·BMC Health Services Research·Narayanan DevadasanPatrick Van der Stuyft
Sep 17, 2009·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Omar GalárragaSergio Sesma-Vázquez
Jul 7, 2012·International Journal of Health Care Finance and Economics·Victoria Y FanAjay Mahal

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