Recognizing the importance of chronic disease in driving healthcare expenditure in Tanzania: analysis of panel data from 1991 to 2010

Health Policy and Planning
Christopher J Counts, Jolene Skordis-Worrall

Abstract

Despite the growing chronic disease burden in low- and middle-income countries, there are significant gaps in our understanding of the financial impact of these illnesses on households. As countries make progress towards universal health coverage, specific information is needed about how chronic disease care drives health expenditure over time, and how this spending differs from spending on acute disease care. A 19-year panel dataset was constructed using data from the Kagera Health and Development Surveys. Health expenditure was modelled using multilevel regression for three different sub-populations of households: (1) all households that spent on healthcare, (2) households affected by chronic disease and (3) households affected by acute disease. Explanatory variables were identified from a review of the health expenditure literature, and all variables were analysed descriptively. Households affected by chronic disease spent 22% more on healthcare than unaffected households. Catastrophic expenditure and zero expenditure are both common in chronic disease-affected households. Expenditure predictors were different between households affected by chronic disease and those unaffected. Expenditure over time is highly heterogeneous a...Continue Reading

References

Dec 1, 1973·Journal of Health and Social Behavior·J G Anderson, D E Bartkus
May 7, 1997·Health Policy·S W Parker, R Wong
Jul 18, 2003·Lancet·Ke XuChristopher J L Murray
May 4, 2004·Journal of Health Economics·Melinda Beeuwkes Buntin, Alan M Zaslavsky
Jun 7, 2005·Lancet·Richard Harding, Irene J Higginson
Feb 22, 2007·Health Economics·Eddy van DoorslaerYuxin Zhao
Mar 31, 2007·American Journal of Public Health·Jennifer Prah Ruger, Hak-Ju Kim
Apr 21, 2007·Tropical Medicine & International Health : TM & IH·Jane ChumaCatherine Molyneux
Mar 11, 2008·Social Science & Medicine·Dele Olawale Abegunde, Anderson E Stanciole
Nov 26, 2008·Bulletin of the World Health Organization·Diane McIntyreJane Goudge
Jan 21, 2009·Globalization and Health·Moira B Smith, Louise Signal
Jan 25, 2012·Bulletin of the World Health Organization·Bayard RobertsMartin McKee
Mar 14, 2012·The International Journal of Tuberculosis and Lung Disease : the Official Journal of the International Union Against Tuberculosis and Lung Disease·K N UkwajaI Alobu
Aug 11, 2012·Journal of the Royal Statistical Society. Series A, (Statistics in Society)·M J Sweeting, S G Thompson
Sep 6, 2012·Tropical Medicine & International Health : TM & IH·Erika BinnendijkDavid M Dror
Nov 23, 2012·BMC Health Services Research·Jane Chuma, Thomas Maina
Aug 14, 2013·BMC Public Health·Kuangnan FangShuangge Ma
Aug 21, 2013·Health Research Policy and Systems·Hyacinthe Tchewonpi KankeuDavid B Evans
Sep 23, 2014·PLoS Medicine·Gemini MteiHonorati Masanja

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