Burden of direct and indirect costs of illness: Empirical findings from slum settlements in Chennai, South India

Burden of direct and indirect costs of illness: Empirical findings from slum settlements in Chennai, South India
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DOI:
10.1177/1464993412466506
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发表时间:
2013-04-01
影响因子:
1.3
通讯作者:
Ergler, Christina
Ergler, Christina
中科院分区:
法学3区
文献类型:
--
作者:
Sakdapolrak, Patrick;Seyler, Thomas;Ergler, Christina

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根据世卫组织最近的一份报告,每年约有1亿人因与疾病相关的费用而陷入贫困。随着有关疾病经济负担的文献越来越多,这篇文章考察了在家庭一级发生的疾病的间接和直接成本,描述了它们对寻求治疗行为的影响,并评估了它们对家庭福利的影响。提出的结果是基于在印度南部金奈特大城市的贫民窟中进行的一项实证研究。我们表明,尽管存在免费的公共卫生服务,但贫民窟居民中的较贫穷部分却不成比例地遭受着灾难性疾病费用的痛苦。需要实施政策,提高贫困家庭对疾病费用的复原力。
According to a recent WHO report, around 100 million people are reduced to poverty every year due to costs associated with illness. Contributing to the growing literature on the economic burden of illness, this article examines the indirect and direct costs of illness that occur at the household level, describes their influence on treatment-seeking behaviour and assesses their impact on household welfare. The results presented are based on an empirical study carried out in slum settlements in the megacity of Chennai in South India. We show that the poorer section of slum dwellers suffer disproportionally from catastrophic illness costs despite the existence of free public health services. Policies need to be implemented that enhances the resilience of poor households against illness costs.