| Summary: | Objectives: To explore the client perspectives of “individualfinancing” at private hospital and government hospital undercommunity cost-sharing scheme.Materials and Methods: A cross sectional study was done in agovernment hospital, namely Yangon General Hospital andBosi private hospital in Yangon, Myanmar. All the new patientsundergoing surgical operations/ procedures were approachedfor their potential participation in the study. A consent wastaken from those willing to participate in this study. A total of83 surgical cases, (35 from private and 48 from governmenthospital) were interviewed using a structured Data collectionform. Quantitative analyses were done for the structuredquestions and qualitative analysis was made for the openended questions. Chi square test was applied to see thestatistical differences in socio demographic characteristics ofYangon General Hospital and Bosi Hospital. P value of 0.05 wasset at 95% confident level.Results: findings of the current study demonstrated that thepatients with High family income (P=>0.001) were more likelyto use the private hospital compare to low family incomegroup. The main reasons behind choosing the private hospitalwere better accommodation, shorter waiting time, andminimum restriction of visiting hours and perceived lackof free services at government hospital. However, thoseattending the public hospital have justified it by statingthat they are familiar with the government hospital andthe services in private hospitals are expensive. For thepatient from the low income group the hospitalexpenditure were managed with family’s monthlyincome, support from non-family members and somesecured the payment with borrowed money or by sellingthe personal assets.Conclusion: It is seen that the socioeconomic status ofthe patients was the main factors responsible for theselection of the hospitals. Those with low income statusprefer public hospitals because of low cost on the medicalservices.
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