Economics of healthcare access in low-income and middle-income countries: a protocol for a scoping review of the economic impacts of seeking healthcare on slum-dwellers compared with other city residents.

Economics of healthcare access in low-income and middle-income countries: a protocol for a scoping review of the economic impacts of seeking healthcare on slum-dwellers compared with other city residents.
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DOI:
10.1136/bmjopen-2020-045441
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发表时间:
2021-07-09
期刊:
影响因子:
2.9
通讯作者:
Elsey H
Elsey H
中科院分区:
医学3区
文献类型:
--
作者:
Teixeira de Siqueira-Filha N;Li J;Kibuchi E;Quayyum Z;Phillips-Howard P;Awal A;Mithu MIH;Manzoor F;Karuga R;Saidu S;Smith J;Sai V;Garimella S;Chumo I;Mberu B;Tolhurst R;Mazumdar S;Rao V;Farnaz N;Alam W;Elsey H

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生活在贫民窟的人们在获得医疗保健方面面临着若干挑战。公共卫生设施稀缺和质量低下是这些社区的共同问题。在发展中国家贫民窟进行的研究也报告说,灾难性卫生支出的成本和普遍性很高,患有慢性病的人和最贫穷的家庭似乎更容易陷入经济困境。由于COVID-19疫情的长期影响,该疾病可能会加剧对居住在贫民窟的极端弱势群体的经济影响。本次审查的目的是报告贫民窟居民寻求医疗保健在费用和卫生保健费用方面的经济影响。我们将比较贫民窟居民和其他城市居民的经济影响。本次范围界定审查采用了Arksey和O 'Malley建议的框架。该审查是贫民窟居民问责和应对能力研究联合会的一部分,该联合会旨在加强问责,以改善印度、孟加拉国、塞拉利昂和肯尼亚贫民窟边缘化人口的健康和福祉。获得医疗保健的成本将使用国际货币基金组织报告的通货膨胀率更新为2020年价格。成本将使用购买力平价以国际美元表示。还将报告CHE的患病率。范围审查不需要伦理批准。我们将在ARISE联盟和国际会议组织的活动中传播我们的结果。最后的手稿将提交给一个开放获取的国际期刊。研究注册处的注册号:reviewregistry 947。
People living in slums face several challenges to access healthcare. Scarce and low-quality public health facilities are common problems in these communities. Costs and prevalence of catastrophic health expenditures (CHE) have also been reported as high in studies conducted in slums in developing countries and those suffering from chronic conditions and the poorest households seem to be more vulnerable to financial hardship. The COVID-19 pandemic may be aggravating the economic impact on the extremely vulnerable population living in slums due to the long-term consequences of the disease. The objective of this review is to report the economic impact of seeking healthcare on slum-dwellers in terms of costs and CHE. We will compare the economic impact on slum-dwellers with other city residents. This scoping review adopts the framework suggested by Arksey and O’Malley. The review is part of the accountability and responsiveness of slum-dwellers (ARISE) research consortium, which aims to enhance accountability to improve the health and well-being of marginalised populations living in slums in India, Bangladesh, Sierra Leone and Kenya. Costs of accessing healthcare will be updated to 2020 prices using the inflation rates reported by the International Monetary Fund. Costs will be presented in International Dollars by using purchase power parity. The prevalence of CHE will also be reported. Ethical approval is not required for scoping reviews. We will disseminate our results alongside the events organised by the ARISE consortium and international conferences. The final manuscript will be submitted to an open-access international journal. Registration number at the Research Registry: reviewregistry947.
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期刊: PloS one
影响因子: 3.7
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期刊: Implementation science : IS
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