Abstract
Like many low and middle income countries, out-of-pocket payments by patients or their families are a key healthcare financing mechanism in Bangladesh that leads to economic burden of household. The objective of the study was to focus whether and to what extent socio-economic, demographic and behavioral factors of the population have impact on OOP expenditure in Bangladesh.
Method:
A total of 12,400 patients who spent for receiving any type of healthcare services were analyzed from Bangladesh Household Income and Expenditure Survey data, 2010. We employed a regression analysis for find out the factors influencing OOP health expenditure using ordinary least square method.
Results:
The mean total out-of-pocket healthcare expenditure was US$ 27.66; while cost of medicines (US$ 16.98) was the highest cost driver. In addition, the study identifies some significant factors influencing higher out-of-pocket health expenditure, namely, age, sex, marital status, place of residence, rich families. In contrary, unemployed and with no social financial safety were inversely associated.
Conclusions:
Findings of the study can help the decision makers by stating the determinants of OOP, discussing the mechanisms driving them and thus underscoring the need to develop policy options for the building stronger financial protection mechanisms. The government should consider devoting more resources to providing free or subsidized care. Parallel to government action, the development of other prudential and sustainable risk pooling mechanism and so may be most enthusiastic subscribers to community-based health insurance schemes.
| Language | English |
|---|---|
| Pages | 91-99 |
| Journal | Journal of Preventive Medicine and Public Health |
| Volume | 50 |
| Issue number | 2 |
| Early online date | 7 Feb 2017 |
| DOIs | |
| Publication status | Published - Mar 2017 |
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Keywords
- Bangladesh
- household income
- household expenditure
- healthcare expenditure
- out-of-pocket
- socio-economic
- demographic
- behavioural factors
- risk pooling mechanism
- social financial safety
- GDP per capita
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Distribution and determinants of out-of-pocket healthcare expenditures in Bangladesh. / Mahumud, Rashidul Alam; Sarker, Abdur Razzaque; Sultana, Marufa; Islam, Ziaul; Khan, Jahangir; Morton, Alec.
In: Journal of Preventive Medicine and Public Health, Vol. 50, No. 2, 03.2017, p. 91-99.Research output: Contribution to journal › Article
TY - JOUR
T1 - Distribution and determinants of out-of-pocket healthcare expenditures in Bangladesh
AU - Mahumud, Rashidul Alam
AU - Sarker, Abdur Razzaque
AU - Sultana, Marufa
AU - Islam, Ziaul
AU - Khan, Jahangir
AU - Morton, Alec
PY - 2017/3
Y1 - 2017/3
N2 - Objectives:Like many low and middle income countries, out-of-pocket payments by patients or their families are a key healthcare financing mechanism in Bangladesh that leads to economic burden of household. The objective of the study was to focus whether and to what extent socio-economic, demographic and behavioral factors of the population have impact on OOP expenditure in Bangladesh.Method:A total of 12,400 patients who spent for receiving any type of healthcare services were analyzed from Bangladesh Household Income and Expenditure Survey data, 2010. We employed a regression analysis for find out the factors influencing OOP health expenditure using ordinary least square method.Results:The mean total out-of-pocket healthcare expenditure was US$ 27.66; while cost of medicines (US$ 16.98) was the highest cost driver. In addition, the study identifies some significant factors influencing higher out-of-pocket health expenditure, namely, age, sex, marital status, place of residence, rich families. In contrary, unemployed and with no social financial safety were inversely associated.Conclusions:Findings of the study can help the decision makers by stating the determinants of OOP, discussing the mechanisms driving them and thus underscoring the need to develop policy options for the building stronger financial protection mechanisms. The government should consider devoting more resources to providing free or subsidized care. Parallel to government action, the development of other prudential and sustainable risk pooling mechanism and so may be most enthusiastic subscribers to community-based health insurance schemes.
AB - Objectives:Like many low and middle income countries, out-of-pocket payments by patients or their families are a key healthcare financing mechanism in Bangladesh that leads to economic burden of household. The objective of the study was to focus whether and to what extent socio-economic, demographic and behavioral factors of the population have impact on OOP expenditure in Bangladesh.Method:A total of 12,400 patients who spent for receiving any type of healthcare services were analyzed from Bangladesh Household Income and Expenditure Survey data, 2010. We employed a regression analysis for find out the factors influencing OOP health expenditure using ordinary least square method.Results:The mean total out-of-pocket healthcare expenditure was US$ 27.66; while cost of medicines (US$ 16.98) was the highest cost driver. In addition, the study identifies some significant factors influencing higher out-of-pocket health expenditure, namely, age, sex, marital status, place of residence, rich families. In contrary, unemployed and with no social financial safety were inversely associated.Conclusions:Findings of the study can help the decision makers by stating the determinants of OOP, discussing the mechanisms driving them and thus underscoring the need to develop policy options for the building stronger financial protection mechanisms. The government should consider devoting more resources to providing free or subsidized care. Parallel to government action, the development of other prudential and sustainable risk pooling mechanism and so may be most enthusiastic subscribers to community-based health insurance schemes.
KW - Bangladesh
KW - household income
KW - household expenditure
KW - healthcare expenditure
KW - out-of-pocket
KW - socio-economic
KW - demographic
KW - behavioural factors
KW - risk pooling mechanism
KW - social financial safety
KW - GDP per capita
U2 - 10.3961/jpmph.16.089
DO - 10.3961/jpmph.16.089
M3 - Article
VL - 50
SP - 91
EP - 99
JO - Journal of Preventive Medicine and Public Health
T2 - Journal of Preventive Medicine and Public Health
JF - Journal of Preventive Medicine and Public Health
SN - 1975-8375
IS - 2
ER -