Impact of mutual health organizations: evidence from West Africa.
Impact of mutual health organizations: evidence from West Africa.
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DOI：
10.1093/heapol/czn011
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发表时间：
2008-07
影响因子：
3.2
通讯作者：
Diop F
中科院分区：
文献类型：
--
作者：
Chankova S;Sulzbach S;Diop F
互助健康组织（MHO）是自愿会员制组织，向其成员提供健康保险服务。MHO旨在通过减少家庭面临的自付费用来增加获得医疗保健的机会。我们使用了来自加纳，马里和塞内加尔的家庭调查数据的多元回归分析，以调查在MHO注册的决定因素，以及MHO会员对使用医疗保健服务和门诊和住院的自付医疗保健支出的影响。我们发现强有力的证据表明，女户主家庭比男户主家庭更有可能参加MHO。户主的教育程度与MHO入学率呈正相关。关于家庭经济状况与MHO入学率之间关系的证据表明，来自最富有的五分之一的个人比其他任何人都更有可能入学。我们没有发现证据表明，来自最贫穷的五分之一的个人往往被排除在MHO之外。 MHO成员更有可能在加纳和马里寻求正规医疗保健，尽管这一结果在塞内加尔没有得到证实。虽然我们的证据是否MHO会员与更高的住院概率是不确定的，我们发现，MHO会员提供保护，对潜在的灾难性支出有关的住院。然而，MHO会员资格似乎并没有显着的影响，自付费用的治疗门诊护理。
Mutual health organizations (MHOs) are voluntary membership organizations providing health insurance services to their members. MHOs aim to increase access to health care by reducing out-of-pocket payments faced by households. We used multiple regression analysis of household survey data from Ghana, Mali and Senegal to investigate the determinants of enrolment in MHOs, and the impact of MHO membership on use of health care services and on out-of-pocket health care expenditures for outpatient care and hospitalization. We found strong evidence that households headed by women are more likely to enrol in MHOs than households headed by men. Education of the household head is positively associated with MHO enrolment. The evidence on the association between household economic status and MHO enrolment indicates that individuals from the richest quintiles are more likely to be enrolled than anyone else. We did not find evidence that individuals from the poorest quintiles tend to be excluded from MHOs. MHO members are more likely to seek formal health care in Ghana and Mali, although this result was not confirmed in Senegal. While our evidence on whether MHO membership is associated with higher probability of hospitalization is inconclusive, we find that MHO membership offers protection against the potentially catastrophic expenditures related to hospitalization. However, MHO membership does not appear to have a significant effect on out-of-pocket expenditures for curative outpatient care.
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影响因子：
6.9
作者：
Jütting, JP
通讯作者：
Jütting, JP
影响因子：
5.4
作者：
Atim, C
通讯作者：
Atim, C
影响因子：
5.4
作者：
Jowett, M;Contoyannis, P;Vinh, ND
通讯作者：
Vinh, ND
影响因子：
3.2
作者：
Bennett, S
通讯作者：
Bennett, S
影响因子：
2.8
作者：
Devadasan, Narayanan;Criel, Bart;Van der Stuyft, Patrick
通讯作者：
Van der Stuyft, Patrick