Out of Pocket Expenditure on Health Care among the Households of Urban Area in Dakshina Kannada

Authors

  • Preeti Tiwari Sharada Medical College, Greater Noida
  • Arijit Datta Government Medical College, Haldwani

Keywords:

Out of pocket expenditure, OOP urban area, health expenditure

Abstract

Background: Household out-of-pocket expenditure on health comprise self-medication and other expenditure paid directly by private households, irrespective of whether the contact with the health care system was established on referral or on the patient’s own initiative. The study was conducted to estimate the out of pocket expenditure on health among the households in the urban field practice area; and also to study the various factor associated with out of pocket expenditure

Materials and Methods: A cross sectional study was conducted among 196 households in urban area of the Dakshina Kannada district of Karnataka , from July to September 2015, The data was collected using a semi-structured questionnaire and analysed with SPSS v.22.0

Results: The mean out of pocket health expenditure was found to be INR 948.36. Most of the participant’s utilized public facility (46.5%) followed by private facility (40.9%) and only 11.6% of par- ticipants utilized both public and private facility together. There was statistically significant association between out of pocket ex- penditure and number of visits to hospital for acute and chronic disease.

Conclusions: The study showed that out of pocket expenditure on health care is very high in urban area.

References

Out-Of-Pocket Expenditure By Households On Health; 2003. Available from: https://stats.oecd.org/glossary/ detail.asp?ID=1967. [Last accessed on 24-01-2018]

World Health Organization (WHO). Health financing for universal coverage; 2015. Available from: http://www. who.int/health_financing/topics/financial-protection/out- of-pocket-payments/en/. [Last accesed on 2-02-2018]

Ministry of health and family welfare. National Health Accounts Cell, 2013. Available from: https://mohfw.gov.in

/sites/default/files/89498311221471416058.pdf. [Last accesed on 2-02-2018]

Vivek V. Indians Sixth Biggest Private Spenders on Health among Low-Middle Income Nations . Indiaspend 2017. Available from: Indians Sixth Biggest Private Spenders on Health Among Low-Middle Income Nations. [Last accessed on 2-02-2018]

Gupta I. Out-of-pocket expenditures and poverty NSS 61st round. Available from: http://www.planningcommission. nic.in/reports/genrep/indrani.pdf. [Last accessed on 2- 0202018]

Lavado RF, Brooks BPC, Hanlon M .Estimating health expenditure shares from household surveys. Bull World Health Organ 2013; 91:519–524

Ray TK, Pandav CS, Anand K, Kapoor SK. Out-of-pocket expenditure on healthcare in a north Indian village. The National Medical Journal Of India 2002;15(5).

Marcano-Reik A.J. (2013) Acute Disease. In: Gellman M.D., Turner J.R. (eds) Encyclopedia of Behavioral Medicine. Springer, New York, NY. https://link.springer.com/ refer- enceworkentry/10.1007%2F978-1-4419-1005-9_1202

Chronic disease outview. Centers of disease control and

prevention. Last assessed at 21.july.2018. Available at https:

//www.cdc.gov/chronicdisease/overview/index.htm

Hospitalization.MediLexicon. Last assessed at 21.july.2018. Available at https://www.medilexicon.com/dictionary/ 41616

Singh T, Sharma S, Nagesh S. Socio-economic status scales updated for 2017. Int J Res Med Sci 2017;5:3264-7.

Ray TK, Pandav CS, Anand K, Kapoor SK, Dwivedi SN. Out-of-pocket expenditure on healthcare in a north Indian village. Natl Med J India. 2002 Sep-Oct;15(5):257-60.

Shwetha TM, Ashok J, Rajesh SS, Rajanna MS. Health Ser- vice Utilisation and Out of Pocket Expenditure Pattern in a Defined Rural Population of Tumkur, India. Natl J Commu- nity Med 2018; 9(4): 266-269

Barik D, Arokiasamy P. Rising Health Expenditure Due to Non-Communicable Diseases in India: An Outlook. Fron- tiers in Public Health. 2016;4:268.

Archana R, Kar SS, Premarajan K C, Lakshminarayanan S. Out of pocket expenditure among the households of a rural area in Puducherry, South India. J Nat Sc Biol Med 2014; 5:135-38.

Downloads

Published

2018-07-31

How to Cite

1.
Tiwari P, Datta A. Out of Pocket Expenditure on Health Care among the Households of Urban Area in Dakshina Kannada. Natl J Community Med [Internet]. 2018 Jul. 31 [cited 2024 Dec. 22];9(07):529-33. Available from: https://njcmindia.com/index.php/file/article/view/758

Issue

Section

Original Research Articles