Dorjdagva Javkhlanbayar, Batbaatar Enkhjargal, Svensson Mikael, Dorjsuren Bayarsaikhan, Kauhanen Jussi
Department of Health Policy and Management, School of Public Health, Mongolian National University of Medical Sciences, Zorig Street, Ulaanbaatar, 14210, Mongolia.
Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.
Int J Equity Health. 2016 Jul 11;15(1):105. doi: 10.1186/s12939-016-0395-8.
The social health insurance coverage is relatively high in Mongolia; however, escalation of out-of-pocket payments for health care, which reached 41 % of the total health expenditure in 2011, is a policy concern. The aim of this study is to analyse the incidence of catastrophic health expenditures and to measure the rate of impoverishment from health care payments under the social health insurance scheme in Mongolia.
We used the data from the Household Socio-Economic Survey 2012, conducted by the National Statistical Office of Mongolia. Catastrophic health expenditures are defined an excess of out-of-pocket payments for health care at the various thresholds for household total expenditure (capacity to pay). For an estimate of the impoverishment effect, the national and The Wold Bank poverty lines are used.
About 5.5 % of total households suffered from catastrophic health expenditures, when the threshold is 10 % of the total household expenditure. At the threshold of 40 % of capacity to pay, 1.1 % of the total household incurred catastrophic health expenditures. About 20,000 people were forced into poverty due to paying for health care.
Despite the high coverage of social health insurance, a significant proportion of the population incurred catastrophic health expenditures and was forced into poverty due to out-of-pocket payments for health care.
蒙古国的社会医疗保险覆盖率相对较高；然而，医疗保健自付费用不断攀升，在2011年达到了卫生总支出的41%，这成为一项政策关注点。本研究的目的是分析灾难性卫生支出的发生率，并衡量蒙古国社会医疗保险计划下因医疗保健支付导致的贫困率。
我们使用了蒙古国国家统计局开展的2012年家庭社会经济调查数据。灾难性卫生支出被定义为家庭总支出（支付能力）不同阈值下医疗保健自付费用的超额部分。为了估计贫困影响，使用了国家和世界银行的贫困线。
当阈值为家庭总支出的10%时，约5.5%的家庭遭受了灾难性卫生支出。在支付能力阈值为40%时，1.1%的家庭发生了灾难性卫生支出。约2万人因支付医疗保健费用而陷入贫困。
尽管社会医疗保险覆盖率很高，但仍有相当一部分人口因医疗保健自付费用而产生了灾难性卫生支出并陷入贫困。
