论文标题
灾难性的健康支出和不平等 - 西孟加拉邦的地区一级研究
Catastrophic health expenditure and inequalities -- a district level study of West Bengal
论文作者
论文摘要
在这项研究中，我的目的是估计灾难性健康支出的发生率，并根据西孟加拉邦各个地区的性别，部门，宗教和社会群体的性别，部门，宗教和社会群体分析灾难性健康支出的发生率。我使用全国样本调查分析了西孟加拉邦的健康支出，第71轮汇总数据适当地表示，以估算到地区一级。当健康支出OOP OOP时，我们在不同的阈值中测量了CHE。 GINI系数及其分解技术用于评估OOP健康支出的不平等程度以及各个地区不同社会地理因素之间的不平等程度。灾难性支付的发生率在各个地区都有很大差异。 2014年，西孟加拉邦只有14.1％的人口在健康覆盖范围内被覆盖。已经观察到西孟加拉邦的OOP健康支出不平等，GINI系数为0.67。根据此分析的发现，需要更多关注西孟加拉邦人民的有效财务保护以促进公平性，特别关注不平等的地区。这项研究仅提供西孟加拉邦各个地区的CHE和不平等程度的程度，但在未来的研究范围内可以采取因果关系。
In this study, I aimed to estimate the incidence of catastrophic health expenditure and analyze the extent of inequalities in out-of-pocket health expenditure and its decomposition according to gender, sector, religion and social groups of the households across Districts of West Bengal. I analysed health spending in West Bengal, using National Sample Survey 71st round pooled data suitably represented to estimate up to district level. We measured CHE at different thresholds when OOP in health expenditure. Gini Coefficients and its decomposition techniques were applied to assess the degree of inequality in OOP health expenditures and between different socio geographic factors across districts. The incidence of catastrophic payments varies considerably across districts. Only 14.1 percent population of West Bengal was covered under health coverage in 2014. The inequality in OOP health expenditure for West Bengal has been observed with gini coefficient of 0.67. Based on the findings from this analysis, more attention is needed on effective financial protection for people of West Bengal to promote fairness, with special focus on the districts with higher inequality. This study only provides the extent of CHE and inequality across Districts of West Bengal but the causality may be taken in future scope of study.
