What are the Economic Consequences for Households of Illness and of Paying for Health care in Low and middle Income Country Contexts ?  

Oleh:

McIntyre, Diane ; Thiede, Michael ; Dahlgren, Goran ; Whitehead, Margaret

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 4 (Feb. 2006), page 858-865.
Topik: health care; health care costs; illness costs; coping strategies; poverty; household impacts

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.2 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This paper presents the findings of a critical review of studies carried out in low and middle income countries (LMICs) focusing on the economic consequences for households of illness and health care use. These include household level impacts of direct costs (medical treatnent and related financial costs), indirect costs (productive time losses resulting from illness) and subsequent household responses. It highlights that health care financing strategies that lace considerable emphasis on out of pocket payments can impoverish households. There is growing evidence of households being pushed into poverty or forced into deeper poverty when faced with substantial medical expenses, particularly when combined with a loss of households income due to ill health. Health sector reforms in LMICs since the late 1980s have particularly focused on promoting user fees for public sector health services and increasing the role of the private individuals experiencing poor health. This trend seems to continue even though some countries and international financing strategies and related mechanisms for coping with the direct and indirext xosts of illness is urgently required to inform the development of appropriate social policies to improve access to essential health services and break the vicious cycle between illness and poverty.

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