Catastrophic household expenditure for health care in a low-income society: a study from Nouna District, Burkina Faso
Catastrophic household expenditure for health care in a low-income society: a study from Nouna District, Burkina Faso
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DOI：
10.2471/blt.05.023739
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发表时间：
2006-01-01
期刊：
影响因子：
--
通讯作者：
Flessa, Steffen
中科院分区：
文献类型：
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作者：
Su, Tin Tin;Kouyaté, Bocar;Flessa, Steffen
目的量化布基纳法索Nouna区灾难性家庭卫生保健支出的程度，并确定造成这种情况的因素。方法利用2000- 2001年诺纳卫生区住户调查收集800户家庭资料进行分析。采用多变量logistic回归方法确定家庭灾难性支出的决定因素。即使在医疗保健利用水平非常低和卫生支出数额不大的情况下，Nouna区总家庭中仍有6-15%发生了灾难性的卫生支出。灾难性卫生支出的关键决定因素是经济状况、家庭卫生保健的利用（特别是现代医疗保健）、成年家庭成员的疾病发作以及患有慢性疾病的成员。我们得出的结论是，社区中最贫穷的成员承担了灾难性的医疗费用。仅设置一个阈值/临界值来确定灾难性医疗费用可能导致不准确的估计，从而导致对重要因素的误解。我们的研究结果具有重要的政策意义，可用于确保低收入群体更好地获得卫生服务和更高程度的经济保护，免受疾病的经济影响。
Objective To quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina Faso.Methods We used the Nouna Health District Household Survey to collect data on 800 households during 2000-01 for our analysis. The determinants of household catastrophic expenditure were identified by multivariate logistic regression method.Findings Even at very low levels of health care utilization and modest amount of health expenditure, 6-15% of total households in Nouna District incurred catastrophic health expenditure. The key determinants of catastrophic health expenditure were economic status, household health care utilization especially for modern medical care, illness episodes in an adult household member and presence of a member with chronic illness.Conclusion We conclude that the poorest members of the community incurred catastrophic health expenses. Setting only one threshold/cut-off value to determine catastrophic health expenses may result in inaccurate estimation leading to misinterpretation of important factors. Our findings have important policy implications and can be used to ensure better access to health services and a higher degree of financial protection for low-income groups against the economic impact of illness.