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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Glob+Health+Action
2017 ; 10
(1
): 1289735
Nephropedia Template TP
gab.com Text
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English Wikipedia
Assessing the catastrophic effects of out-of-pocket healthcare payments prior to
the uptake of a nationwide health insurance scheme in Ghana
#MMPMID28485675
Akazili J
; McIntyre D
; Kanmiki EW
; Gyapong J
; Oduro A
; Sankoh O
; Ataguba JE
Glob Health Action
2017[]; 10
(1
): 1289735
PMID28485675
show ga
BACKGROUND: Financial risk protection against the cost of unforeseen healthcare
has gained global attention in recent years. Although Ghana implemented a
nationwide health insurance scheme with a goal of reducing financial barriers to
accessing healthcare and addressing impoverishing effects of out-of-pocket (OOP)
healthcare payments, there is a paucity of knowledge on the extent of financial
catastrophe of such payments in Ghana. Thus, this paper assesses the catastrophic
effect of OOP healthcare payments in Ghana. METHODS: Ghana Living Standard Survey
(GLSS 5) data collected in 2005/2006 are used in this study. Catastrophic effect
of OOP healthcare payments is assessed using various thresholds of total
household expenditure and non-food expenditure. Furthermore, four indices, namely
the catastrophic payment headcount, catastrophic payment gap, weighted
catastrophic payment headcount and weighted catastrophic payment gap, are defined
and computed. RESULTS: As at 2005/2006, it was estimated that 11.0% of households
in Ghana spent over 5% of their total household expenditure on healthcare OOP.
However, after adjusting for the concentration of such spending, it decreased to
10.9%. Also 10.7% of households spent more than 10% of their non-food consumption
expenditure on OOP healthcare payments. Furthermore, about 2.6% of households are
observed to have spent in excess of 20% of their total household income on
healthcare OOP. With the exception of the 5% threshold of household expenditure,
because the concentration indices of these expenditures are negative, the burden
of such expenditures rests more on the poor. CONCLUSIONS: Significant levels of
financial catastrophe existed in Ghana prior to the uptake of the national health
insurance scheme. Poorer households were at a higher risk than the relatively
well-off households. The results of this study present baseline assessment of the
impact of Ghana's health insurance policy on catastrophic healthcare payments.
Thus, there is a need for continuous monitoring of financial catastrophe in the
system to ensure that households are adequately protected.
|Financing, Personal/*statistics & numerical data
[MESH]
|Ghana
[MESH]
|Health Policy
[MESH]
|Humans
[MESH]
|National Health Programs/*statistics & numerical data
[MESH]