Distribution of out of pocket health expenditures in a sub-Saharan Africa country: evidence from the national survey of household standard of living, Cote d'Ivoire
Distribution of out of pocket health expenditures in a sub-Saharan Africa country: evidence from the national survey of household standard of living, Cote d'Ivoire
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DOI：
10.1186/s13104-019-4048-z
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发表时间：
2019-01-15
影响因子：
1.8
通讯作者：
Kouadio, Kouakou Luc
中科院分区：
文献类型：
--
作者：
Attia-Konan, Akissi Regine;Oga, Agbaya Stephane Serge;Kouadio, Kouakou Luc
目的：我们研究的目的和目标是确定科特迪瓦人口自付（OOP）卫生支出的决定因素以及三个不同地区的比例;阿比让，农村和城市地区。我们使用的数据来自2015年由国家统计研究所进行的标准家庭生活调查。结果：约6315（13.3%）的参与者经历了OOP的医疗费用。三个地区的自我报告OOP有显著性差异（p < 0.001）。所有参与者的OOP支出总平均数为16，034.33 XOF（29美元）。阿比让人的平均花费分别是农村和城市地区的1.6倍和1.5倍（p < 0.001）。住院是最高的支出项目，而药品则是最常见的支出项目，无论居住地如何。女性、高社会经济地位和大家庭规模在所有居住地区都显著增加了OOP医疗支出，而保险则减少了OOP医疗支出，为了减少直接支付的影响，在制定医疗政策时，除了经济因素外，还需要考虑社会人口因素。
Objective: The purpose and objective of our research is to identify the determinants of the out of pocket (OOP) health expenditures in the population of Ivory Coast and the ratios across three different area; Abidjan, the rural and urban area. We used data from the 2015 standard households living survey conducted by the National Institute of Statistic.Results: About 6315 (13.3%) of the participants had experienced OOP health expenditure. There was significant differences in the self-reported OOP between these three areas (p < 0.001). The overall mean of OOP expenditure among all participants was 16,034.33 XOF (29 USD). People in Abidjan spent an average of 1.6 and 1.5 times more than those in the rural and urban areas respectively (p < 0.001). Hospitalization is the highest expenditure item in terms of money spent, while drugs are the most common item of expenditure in terms of frequency, regardless of the place of residence. Female gender, high social economic status and large household size increase OOP health expenditure significantly in all areas of residence when insurance reduce it. To reduce the impact of the direct payments there is a need to take into account social demographic factors in addition to economic factor in health policy development.