An analysis of financial protection and financing incidence of out-of-pocket health expenditures in Kazakhstan from 2018 to 2021
Abstract Universal health coverage relies on providing essential medical services and shielding individuals from financial risks. Our study assesses the progressivity of out-of-pocket (OOP) payments, identifies factors contributing to healthcare expenditure inequality, and examines catastrophic heal...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2024-04-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-024-59742-9 |
| _version_ | 1797199419917991936 |
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| author | Askhat Shaltynov Yulia Semenova Madina Abenova Assel Baibussinova Ulzhan Jamedinova Ayan Myssayev |
| author_facet | Askhat Shaltynov Yulia Semenova Madina Abenova Assel Baibussinova Ulzhan Jamedinova Ayan Myssayev |
| author_sort | Askhat Shaltynov |
| collection | DOAJ |
| description | Abstract Universal health coverage relies on providing essential medical services and shielding individuals from financial risks. Our study assesses the progressivity of out-of-pocket (OOP) payments, identifies factors contributing to healthcare expenditure inequality, and examines catastrophic health expenditures (CHE) prevalence in Kazakhstan from 2018 to 2021. Using retrospective analysis of National Statistics Bureau data, we employed STATA 13 version for calculations CHE incidence, progressivity, Lorenz and concentration curves. In 2020–2021, OOP expenditures in Kazakhstan decreased, reflecting a nearly twofold reduction in the CHE incidence to 1.32% and 1.24%, respectively. However, during these years, we observe a transition towards a positive trend in the Kakwani index to 0.003 and 0.005, respectively, which may be explained by household size and education level factors. Increased state financing and quarantine measures contributed to reduced OOP payments. Despite a low healthcare expenditure share in gross domestic product, Kazakhstan exhibits a relatively high private healthcare spending proportion. The low CHE incidence and proportional expenditure system suggest private payments do not significantly impact financial resilience, prompting considerations about the role of government funding and social health insurance in the financing structure. |
| first_indexed | 2024-04-24T07:15:28Z |
| format | Article |
| id | doaj.art-b735743155f64dcebe748feacacf29fa |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-24T07:15:28Z |
| publishDate | 2024-04-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-b735743155f64dcebe748feacacf29fa2024-04-21T11:19:01ZengNature PortfolioScientific Reports2045-23222024-04-0114111110.1038/s41598-024-59742-9An analysis of financial protection and financing incidence of out-of-pocket health expenditures in Kazakhstan from 2018 to 2021Askhat Shaltynov0Yulia Semenova1Madina Abenova2Assel Baibussinova3Ulzhan Jamedinova4Ayan Myssayev5Epidemiology and Biostatistics Department, Semey Medical UniversitySchool of Medicine, Nazarbayev UniversityEpidemiology and Biostatistics Department, Semey Medical UniversityEpidemiology and Biostatistics Department, Semey Medical UniversityEpidemiology and Biostatistics Department, Semey Medical UniversityDepartment of the Science and Human Resources, Ministry of Healthcare of the Republic of KazakhstanAbstract Universal health coverage relies on providing essential medical services and shielding individuals from financial risks. Our study assesses the progressivity of out-of-pocket (OOP) payments, identifies factors contributing to healthcare expenditure inequality, and examines catastrophic health expenditures (CHE) prevalence in Kazakhstan from 2018 to 2021. Using retrospective analysis of National Statistics Bureau data, we employed STATA 13 version for calculations CHE incidence, progressivity, Lorenz and concentration curves. In 2020–2021, OOP expenditures in Kazakhstan decreased, reflecting a nearly twofold reduction in the CHE incidence to 1.32% and 1.24%, respectively. However, during these years, we observe a transition towards a positive trend in the Kakwani index to 0.003 and 0.005, respectively, which may be explained by household size and education level factors. Increased state financing and quarantine measures contributed to reduced OOP payments. Despite a low healthcare expenditure share in gross domestic product, Kazakhstan exhibits a relatively high private healthcare spending proportion. The low CHE incidence and proportional expenditure system suggest private payments do not significantly impact financial resilience, prompting considerations about the role of government funding and social health insurance in the financing structure.https://doi.org/10.1038/s41598-024-59742-9 |
| spellingShingle | Askhat Shaltynov Yulia Semenova Madina Abenova Assel Baibussinova Ulzhan Jamedinova Ayan Myssayev An analysis of financial protection and financing incidence of out-of-pocket health expenditures in Kazakhstan from 2018 to 2021 Scientific Reports |
| title | An analysis of financial protection and financing incidence of out-of-pocket health expenditures in Kazakhstan from 2018 to 2021 |
| title_full | An analysis of financial protection and financing incidence of out-of-pocket health expenditures in Kazakhstan from 2018 to 2021 |
| title_fullStr | An analysis of financial protection and financing incidence of out-of-pocket health expenditures in Kazakhstan from 2018 to 2021 |
| title_full_unstemmed | An analysis of financial protection and financing incidence of out-of-pocket health expenditures in Kazakhstan from 2018 to 2021 |
| title_short | An analysis of financial protection and financing incidence of out-of-pocket health expenditures in Kazakhstan from 2018 to 2021 |
| title_sort | analysis of financial protection and financing incidence of out of pocket health expenditures in kazakhstan from 2018 to 2021 |
| url | https://doi.org/10.1038/s41598-024-59742-9 |
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