Hidden burden of non-medical spending associated with inpatient care among the poor in Afghanistan.
Hidden burden of non-medical spending associated with inpatient care among the poor in Afghanistan.
复制标题
阿富汗穷人与住院护理相关的非医疗支出的隐性负担。
DOI：
10.1007/s00038-016-0833-9
复制
发表时间：
2016
影响因子：
4.6
通讯作者：
Kizuki M.
中科院分区：
文献类型：
--
作者：
Mashal MO;Nakamura K;Kizuki M.
ObjectivesTo阐明住院医疗保健的医疗和非医疗支出所需的家庭支付，并根据家庭经济状况和居住区的偏远程度检查家庭支付模式。他们的医疗（诊断和医学）和非医学结果与最富裕组相比，最贫困组的诊断和药品费用较低（AOR = 0.37，P < 0.001; AOR = 0.78，P = 0.009），住宿费支出相似（AOR = 1.19，P = 0.164），交通费支出更多（AOR = 2.09，P < 0.001）。城市居民的住宿和交通费用低于农村居民（AOR = 0.73，P < 0.001; AOR = 0.58，P < 0.001）。应考虑穷人住院治疗的非医疗支出，以使他们能够负担得起和获得保健服务。
ObjectivesTo elucidate the household payments required for medical and non-medical spending for inpatient health care and examine the pattern of household payments according to household economic status and the degree of remoteness of the area of residence.MethodsThe subjects were 5940 individuals included in a nationally representative survey in 2010. Their medical (diagnosis and medicine) and non-medical (accommodation and transportation) expenses for their most recent hospitalization were analyzed.ResultsCompared with the richest group, the poorest group paid less for diagnosis and medicine (AOR = 0.37,P< 0.001; AOR = 0.78,P= 0.009, respectively), paid similar amounts for accommodation (AOR = 1.19,P= 0.164), and more for transportation (AOR = 2.09,P< 0.001). Residents in urban areas paid less than residents in rural areas for accommodation and transportation (AOR = 0.73,P< 0.001; AOR = 0.58,P< 0.001, respectively).ConclusionsPoor households paid less for diagnosis and medicine, but more for transportation related to inpatient care. Non-medical spending for inpatient care among the poor should be considered for affordable and accessible health-care utilization.