Economic burden of accidents and injuries in India: What does 75th round of national sample survey imply?

Background: Accidents and injuries constitute a sizable share of mortality and morbidity in low- and middle-income countries. This affects the most productive age group and increases disability-adjusted life years (DALYs). It results in a substantial financial burden on the households. To explore th...

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Main Authors: M Benson Thomas, Anuj K Pandey, Diksha Gautam, Sandeep Gopinathan, Sajna Panolan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Indian Journal of Community Medicine
Subjects:
Online Access:http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2024;volume=49;issue=1;spage=181;epage=188;aulast=Thomas
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author M Benson Thomas
Anuj K Pandey
Diksha Gautam
Sandeep Gopinathan
Sajna Panolan
author_facet M Benson Thomas
Anuj K Pandey
Diksha Gautam
Sandeep Gopinathan
Sajna Panolan
author_sort M Benson Thomas
collection DOAJ
description Background: Accidents and injuries constitute a sizable share of mortality and morbidity in low- and middle-income countries. This affects the most productive age group and increases disability-adjusted life years (DALYs). It results in a substantial financial burden on the households. To explore the economic burden of accidents and Injuries on Indian households and to find how the catastrophic health expenditure (CHE) from accidents and injuries affects the population. Another objective is to explore Catastrophic out-of-pocket expenditures (OOPE) patterns and distressed financing of households in India. Materials and Methods: The study used data from the 75th round of nationally representative surveys, that is, the National Sample Survey (NSS). Authors have analyzed the data using descriptive binary logistic regression analysis to estimate the rate and average days of hospitalization, average OOPE, and share of the population experiencing the catastrophic impact from the health expenditure separately from the public and private healthcare institutions. Results: The study observed that hospitalization in the private sector imposes 72% of households incur CHE at more than 10% cut-off and 41% at more than 25% cut-off. In comparison, it is less in the public sector, with 22% of households incurring CHE at more than 10% of annual per capita household income and 9% at more than 25%. Conclusion: The increasing incidence of road traffic accidents (RTA) is a concern for the overstretched health system. The government should provide better healthcare facilities and universal health insurance coverage to ensure patients' speedy recovery and financial security.
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spelling doaj.art-aa61d96ffac84f27a13f826cb9f50bfc2024-02-22T14:49:22ZengWolters Kluwer Medknow PublicationsIndian Journal of Community Medicine0970-02181998-35812024-01-0149118118810.4103/ijcm.ijcm_457_23Economic burden of accidents and injuries in India: What does 75th round of national sample survey imply?M Benson ThomasAnuj K PandeyDiksha GautamSandeep GopinathanSajna PanolanBackground: Accidents and injuries constitute a sizable share of mortality and morbidity in low- and middle-income countries. This affects the most productive age group and increases disability-adjusted life years (DALYs). It results in a substantial financial burden on the households. To explore the economic burden of accidents and Injuries on Indian households and to find how the catastrophic health expenditure (CHE) from accidents and injuries affects the population. Another objective is to explore Catastrophic out-of-pocket expenditures (OOPE) patterns and distressed financing of households in India. Materials and Methods: The study used data from the 75th round of nationally representative surveys, that is, the National Sample Survey (NSS). Authors have analyzed the data using descriptive binary logistic regression analysis to estimate the rate and average days of hospitalization, average OOPE, and share of the population experiencing the catastrophic impact from the health expenditure separately from the public and private healthcare institutions. Results: The study observed that hospitalization in the private sector imposes 72% of households incur CHE at more than 10% cut-off and 41% at more than 25% cut-off. In comparison, it is less in the public sector, with 22% of households incurring CHE at more than 10% of annual per capita household income and 9% at more than 25%. Conclusion: The increasing incidence of road traffic accidents (RTA) is a concern for the overstretched health system. The government should provide better healthcare facilities and universal health insurance coverage to ensure patients' speedy recovery and financial security.http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2024;volume=49;issue=1;spage=181;epage=188;aulast=Thomasaccidentcheeconomicsooperoad-traffic
spellingShingle M Benson Thomas
Anuj K Pandey
Diksha Gautam
Sandeep Gopinathan
Sajna Panolan
Economic burden of accidents and injuries in India: What does 75th round of national sample survey imply?
Indian Journal of Community Medicine
accident
che
economics
oope
road-traffic
title Economic burden of accidents and injuries in India: What does 75th round of national sample survey imply?
title_full Economic burden of accidents and injuries in India: What does 75th round of national sample survey imply?
title_fullStr Economic burden of accidents and injuries in India: What does 75th round of national sample survey imply?
title_full_unstemmed Economic burden of accidents and injuries in India: What does 75th round of national sample survey imply?
title_short Economic burden of accidents and injuries in India: What does 75th round of national sample survey imply?
title_sort economic burden of accidents and injuries in india what does 75th round of national sample survey imply
topic accident
che
economics
oope
road-traffic
url http://www.ijcm.org.in/article.asp?issn=0970-0218;year=2024;volume=49;issue=1;spage=181;epage=188;aulast=Thomas
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