Out-of-pocket spending on hypertension and diabetes among patients reporting in a health -care teaching institute of the Western Rajasthan

Background: Across the globe, morbidity and mortality due to non-communicable diseases (NCDs) are major public health issues. The resulting concern is not just epidemiological but also about the economic consequences at the household level. Objective: To assess the various facets of out-of-pocket sp...

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Main Authors: Rishabh Mehta, Neha Mantri, Akhil D Goel, Manoj K Gupta, Nitin K Joshi, Pankaj Bhardwaj
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Family Medicine and Primary Care
Subjects:
Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=3;spage=1083;epage=1088;aulast=Mehta
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author Rishabh Mehta
Neha Mantri
Akhil D Goel
Manoj K Gupta
Nitin K Joshi
Pankaj Bhardwaj
author_facet Rishabh Mehta
Neha Mantri
Akhil D Goel
Manoj K Gupta
Nitin K Joshi
Pankaj Bhardwaj
author_sort Rishabh Mehta
collection DOAJ
description Background: Across the globe, morbidity and mortality due to non-communicable diseases (NCDs) are major public health issues. The resulting concern is not just epidemiological but also about the economic consequences at the household level. Objective: To assess the various facets of out-of-pocket spending (OOPs) incurring on NCDs, namely hypertension and diabetes on patients attending a healthcare teaching institute in Rajasthan. Methodology: This cross-sectional study involves patients older than 18 years attending either out-patient clinics or who were admitted in the wards in a healthcare teaching institute for seeking care for diabetes or hypertension. Four hundred patients were chosen purposively and a pretested questionnaire was used to elicit information on incurring OOPs for NCDs. Descriptive statistics (like percentage, mean, median, and standard deviation) were calculated. Results: The study shows a significant expenditure other than out-patient, in-patient admissions, in the form of personal expenditure and loss of employment, amounting to 31.86 and 34.07%, respectively, of the mean total expenditure. In a quarter (3 months), the mean total expenditure is ₹9014.37 ± 6452.37. On average, the OOP expenditure per visit for an out-patient visit was ₹370.54 ± 237, while for the patients admitted to the hospital, the average OOPs was ₹1564.72 ± 1310.5. Conclusions: Health expenditures can contribute toward the impoverishment of many segments of the community. Undoubtedly, numerous people may tend to neglect the needed care for NCDs due to financial hurdles. Thus, there is a need to develop NCD care management centers with health insurance packages and make them accessible for all.
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spelling doaj.art-02414f2592cf490c8502cf82e05b0cab2022-12-22T02:33:24ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632022-01-011131083108810.4103/jfmpc.jfmpc_998_21Out-of-pocket spending on hypertension and diabetes among patients reporting in a health -care teaching institute of the Western RajasthanRishabh MehtaNeha MantriAkhil D GoelManoj K GuptaNitin K JoshiPankaj BhardwajBackground: Across the globe, morbidity and mortality due to non-communicable diseases (NCDs) are major public health issues. The resulting concern is not just epidemiological but also about the economic consequences at the household level. Objective: To assess the various facets of out-of-pocket spending (OOPs) incurring on NCDs, namely hypertension and diabetes on patients attending a healthcare teaching institute in Rajasthan. Methodology: This cross-sectional study involves patients older than 18 years attending either out-patient clinics or who were admitted in the wards in a healthcare teaching institute for seeking care for diabetes or hypertension. Four hundred patients were chosen purposively and a pretested questionnaire was used to elicit information on incurring OOPs for NCDs. Descriptive statistics (like percentage, mean, median, and standard deviation) were calculated. Results: The study shows a significant expenditure other than out-patient, in-patient admissions, in the form of personal expenditure and loss of employment, amounting to 31.86 and 34.07%, respectively, of the mean total expenditure. In a quarter (3 months), the mean total expenditure is ₹9014.37 ± 6452.37. On average, the OOP expenditure per visit for an out-patient visit was ₹370.54 ± 237, while for the patients admitted to the hospital, the average OOPs was ₹1564.72 ± 1310.5. Conclusions: Health expenditures can contribute toward the impoverishment of many segments of the community. Undoubtedly, numerous people may tend to neglect the needed care for NCDs due to financial hurdles. Thus, there is a need to develop NCD care management centers with health insurance packages and make them accessible for all.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=3;spage=1083;epage=1088;aulast=Mehtadiabeteshealth expenditureshypertensionnon-communicable diseasesout-of-pocketoutpatientspublic health
spellingShingle Rishabh Mehta
Neha Mantri
Akhil D Goel
Manoj K Gupta
Nitin K Joshi
Pankaj Bhardwaj
Out-of-pocket spending on hypertension and diabetes among patients reporting in a health -care teaching institute of the Western Rajasthan
Journal of Family Medicine and Primary Care
diabetes
health expenditures
hypertension
non-communicable diseases
out-of-pocket
outpatients
public health
title Out-of-pocket spending on hypertension and diabetes among patients reporting in a health -care teaching institute of the Western Rajasthan
title_full Out-of-pocket spending on hypertension and diabetes among patients reporting in a health -care teaching institute of the Western Rajasthan
title_fullStr Out-of-pocket spending on hypertension and diabetes among patients reporting in a health -care teaching institute of the Western Rajasthan
title_full_unstemmed Out-of-pocket spending on hypertension and diabetes among patients reporting in a health -care teaching institute of the Western Rajasthan
title_short Out-of-pocket spending on hypertension and diabetes among patients reporting in a health -care teaching institute of the Western Rajasthan
title_sort out of pocket spending on hypertension and diabetes among patients reporting in a health care teaching institute of the western rajasthan
topic diabetes
health expenditures
hypertension
non-communicable diseases
out-of-pocket
outpatients
public health
url http://www.jfmpc.com/article.asp?issn=2249-4863;year=2022;volume=11;issue=3;spage=1083;epage=1088;aulast=Mehta
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