赞比亚的消费者财务保护与灾难性医疗支出

MccPowell Fombang, R. Wanzala
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摘要

医疗保健的自付费用(OOP)被视为灾难性支出,尤其是当自付费用占到贫困家庭有效收入的很大一部分时。本研究探讨了灾难性医疗保健支出(CHE)的频率和严重程度,以评估赞比亚现行医疗保健体系提供的货币保障水平。这项研究依赖于在 10 个不同省份开展的 2014 年赞比亚家庭医疗保健支出和使用情况调查。被调查人口被分为五等分,将家庭单位分为五组,每组占人口的 20%。数据分析采用了描述性统计、方差分析和五分位数之间的配对比较。在 5%的显著性水平下,对非食品支出中的非处方药医疗支出平均值进行配对分析,发现五分位数的平均值在统计上存在差异。如果以 10%为限,集中指数为-0.41,而五分位数为-0.67。在 10%的限制下,调整后的人数()为 0.37,调整后的超调()为 0.15%。然而,与富裕人群相比,不幸人群更容易受到 CHE 的影响。因此,政策改革应强调保护穷人和弱势群体,以实现全民医疗保健(UHC)的目标。最后,建议开展研究,将公平和质量纳入医疗保健服务的使用中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Consumer Financial Protection Versus Catastrophic Healthcare Expenditure in Zambia
Out‐of‐pocket (OOP) expenses for healthcare are regarded as catastrophic, especially if they account for a substantial amount of a poor household's effective income. This study looks at the frequency and severity of catastrophic healthcare expenditures (CHE) to evaluate the level of monetary safeguarding provided by the present healthcare system in Zambia.The study relied on the 2014 Zambia Household Health Expenditure and Utilization Survey, which was carried out in 10 different provinces. The investigated population is divided into quintiles, which divide family units into five groups, each of which represents 20% of the population. The data were analyzed using descriptive statistics, analysis of variance, and pairwise comparisons among the quintiles.At 5% level of significance, pairwise analyses of the average of OOP healthcare expenditures as a proportion of non‐food spending reveal that the quintiles have statistically different means. If 10% limit is employed, the concentration index was −0.41, whereas was −0.67. At a 10% limit, the adjusted headcount () is 0.37, and the adjusted overshoot () is 0.15%.The frequency and severity of CHE were negligible during the study period. However, the less fortunate are more susceptible compared to the wealthy to be subjected to the occurrence and severity of CHE. Therefore, policy changes ought to emphasize the protection of the poor and vulnerable to accomplish the goal of universal healthcare (UHC). Finally, research is suggested to include equity and quality in the use of healthcare services.
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