与儿童常见疾病门诊治疗相关的自付非医疗费用。
Out-of-pocket nonmedical expenses associated with out-patient treatment of common childhood illnesses.
作者信息
Daga Subhashchandra, Mhatre Sameer, Dsouza Eric
机构信息
MIMER Medical College, Talegaon, Dabhade 410507, India
MIMER Medical College, Talegaon, Dabhade 410507, India.
出版信息
J Trop Pediatr. 2015 Jun;61(3):226-8. doi: 10.1093/tropej/fmv014. Epub 2015 Mar 30.
BACKGROUND
Out-of-pocket expenses, medical and non-medical, have an impoverishing effect on the family.
OBJECTIVE
Determine non-medical out-of-pocket expenses incurred during out-patient attendance for primary care services.
METHODS
A descriptive survey was undertaken at a rural medical college using interviewer-administered questionnaire to parents of children <6 years over a period of 6 weeks. Seventy-six participants were interviewed for collecting demographic data and actual cost on travel and meals.
RESULTS
Median expenditure for travel was Indian rupees (INR) 20 with inter-quartile range (IQR) 14-48 and on food it was INR 110 with IQR 40-155. Median total expenditure on the visit was INR 122 with IQR 61-220. Among those who travelled >5 km, 36% attendance was for respiratory complaints, 27% with fever and as many as 86% for vaccination.
CONCLUSION
Families in rural India have substantial costs incurred in OPD attendance, most of which is for preventive health care such as immunization.
背景
自付费用，包括医疗和非医疗费用，会对家庭造成贫困影响。
目的
确定在基层医疗服务门诊就诊期间产生的非医疗自付费用。
方法
在一所农村医学院进行了一项描述性调查，使用访谈员管理的问卷，对6周内6岁以下儿童的家长进行调查。对76名参与者进行了访谈，以收集人口统计学数据以及旅行和餐饮的实际费用。
结果
旅行的中位数支出为20印度卢比（INR），四分位间距（IQR）为14 - 48；食品支出为110印度卢比，IQR为40 - 155。此次就诊的总支出中位数为122印度卢比，IQR为61 - 220。在那些行程超过5公里的人中，36%的就诊原因是呼吸道疾病，27%是发烧，多达86%是为了接种疫苗。
结论
印度农村家庭在门诊就诊时产生了大量费用，其中大部分用于预防保健，如免疫接种。
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