استعرض مصدر Catastrophic health expenditure on acute coronary events in Asia: a prospective study


مقالة جميلة عن الإنفاق الصحي الكارثي Catastrophic health expenditure في أسيا على علاج مرضي قصور الشريان التاجي الحاد. تعريف الإنفاق الصحي الكارثي شئ يسبب الهلع. Catastrophic health expenditure was defined as out-of-pocket costs of initial hospitalization >30% of annual baseline household income, and it was assessed six weeks after discharge. حفظنا الله وحفظكم من أن نتسبب في الإنفاق الصحي الكارثي<ref>http://www.who.int/bulletin/volumes/94/3/15-158303.pdf</ref>.

==ملخص==
Objective To estimate out-of-pocket costs and the incidence of catastrophic health expenditure in people admitted to hospital with acute
coronary syndromes in Asia.

Methods Participants were enrolled between June 2011 and May 2012 into this observational study in China, India, Malaysia, Republic of
Korea, Singapore, Thailand and Viet Nam. Sites were required to enrol a minimum of 10 consecutive participants who had been hospitalized
for an acute coronary syndrome. Catastrophic health expenditure was defined as out-of-pocket costs of initial hospitalization >30% of
annual baseline household income, and it was assessed six weeks after discharge. We assessed associations between health expenditure
and age, sex, diagnosis of the index coronary event and health insurance status of the participant, using logistic regression models.
Findings Of 12 922 participants, 9370 (73%) had complete data on expenditure. The mean out-of-pocket cost was 3237 United States
dollars. Catastrophic health expenditure was reported by 66% (1984/3007) of those without insurance versus 52% (3296/6366) of those with
health insurance (P<0.05). The occurrence of catastrophic expenditure ranged from 80% (1055/1327) in uninsured and 56% (3212/5692)
of insured participants in China, to 0% (0/41) in Malaysia.

Conclusion Large variation exists across Asia in catastrophic health expenditure resulting from hospitalization for acute coronary syndromes.
While insurance offers some protection, substantial numbers of people with health insurance still incur financial catastrophe.

==رابط==
http://www.who.int/bulletin/volumes/94/3/15-158303.pdf

==مراجع==
{{مراجع}}

[[تصنيف:الإنفاق الصحي في مصر]]
[[تصنيف:طب المسنين]]
[[تصنيف:إشكاليات]]
[[تصنيف:رعاية المسنين]]
[[تصنيف:قطاع برامج وخدمات رعاية المسنين]]