High out-of-pocket expenditure: making healthcare out-of-reach for lower income countries
DOI:
https://doi.org/10.61841/rx1kz995Keywords:
health expenditure,, out-of-pocket expenditure, poverty, low income countries,, universal health coverage,, integrated health careAbstract
Health care costs are rising worldwide. As per the WHO fact file, every year about 25 million households are pushed into poverty due to direct, out-of-pocket health payments. Key financing issue for low- and middle- income countries is how to provide increased financial protection for households. Reduction of economic and social inequality also has instrumental relevance for good health. Gross inequalities harm the health of the underdogs of society, both by undermining their lifestyles and by making them prone to harmful behavior patterns, such as smoking and excessive drinking. Lower income countries are prone to non-communicable diseases (NCDs) and growing aging population. Non-communicable diseases may be a result of globalization and urbanization which exposes them to risk-factors likeobesity, unhealthy lifestyle, consumption of alcohol or tobacco use. Public expenditure oh health is low in lower income countries and out-of-pocket expenditure is very high in these countries.Thus, people are pushed into poverty due to high health care costs in lower income countries.
Models like integrated public healthcare or universal social health insurance system is the need of the hour. Well-designed policies and strategies are required to reduce OOP and its negative impacts. A healthy population can in turn help the economy to grow through increased efficiency and better pay. It is therefore a matter of urgency.
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References
1. WHO: Health financing. See https://www.who.int/health_financing/topics/financial-protection/en/. (accessed 1st December2019)
2. WHO: Global health expenditure database. See http://apps.who.int/nha/database/ViewData/Indicators/en. (accessed 1st December2019)
3. World Health Organization. Designing health financing systems to reduce catastrophic health expenditure. Geneva: World Health Organization; 2005.
4. National health profile 2018. See https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&cad=rja&uact=8&ved=2ahUKEw
ivksrvxYzmAhUSIKwKHeIZC7EQFjAAegQIBRAC&url=http%3A%2F%2Fwww.cbhidghs.nic.in%2FEboo k%2FNational%2520Health%2520Profile-2018%2520(e- Book)%2Ffiles%2Fassets%2Fcommon%2Fdownloads%2Ffiles%2FNHP%25202018.pdf&usg=AOvVaw1hx 3wCFrR5JdEvQuMsMI7-. (accessed 1st December2019).
5. Dela Cruz AM, Nuevo CE, Haw NJ, Tang VA. Stories from Around the Globe: Financing Catastrophic Health Expenditures in Selected Countries. PIDS Discussion Paper Series; 2014.
6. Mills A. Health care systems in low-and middle-income countries. New England Journal of Medicine. 2014 Feb 6;370(6):552-7.
7. Campion EW, Morrissey S. A different model—medical care in Cuba. New England journal of medicine. 2013 Jan 24;368(4):297-9.
8. See https://www.who.int/servicedeliverysafety/areas/people-centred-care/en/. (accessed 1st December2019).
9. Murray CJ. Understanding Household Catastrophic Health Expenditures: a Multi-country Analysis. Health Systems Performance Assessment.:565.
10. See http://www.who.int/health_financing/topics/financial-protection/out-of-pocket-payments/en/. (accessed 1st December2019).
11. World Health Organization. People-centred and integrated health services: an overview of the evidence: interim report. World Health Organization; 2015.
12. World Health Organization. WHO global strategy on people-centred and integrated health services: interim report. World Health Organization; 2015.
13. World Health Organization. Integrated care models: an overview. Health Service Delivery Program, Division of Health System and Public Health. 2016.
14. World Health Organization. Tracking universal health coverage: 2017 global monitoring report.
15. National Sample Survey Organisation. Social consumption: health—NSS 71st round (2014) New Delhi: Ministry of Statistics and Programme Implementation, Government of India; 2016 [cited 2018 April 4]. Available from: http://mospi.nic.in/sites/default/files/publication_reports/nss_71st_ki_health_30june15.pdf. (accessed 1st December2019).
16. See WHO framework on integrated people-centred health-services. https://www.who.int/servicedeliverysafety/areas/people-centred-care/en/. (accessed 1st December 2019).
17. Universal health coverage: supporting country needs: See https://www.who.int/contracting/UHC_Country_Support.pdf (accessed 1st December2019).
18. Tsunami wreaks mental health havoc: See https://www.who.int/bulletin/volumes/83/6/infocus0605/en/Tsunami (accessed 1st December2019).
19. Escap UN. Overview of natural disasters and their impacts in Asia and the Pacific, 1970–2014. ESACP Technical paper information paper and communications technology and disaster risk reduction division. 2015 Mar 7:1-8.
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