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To what extent did the government investment in health reduce households’ catastrophic out-of-pocket health expenditure in the Millennium Development Goals era? A panel data analysis of 71 low- and middle-income countries
https://iuhw.repo.nii.ac.jp/records/1254
https://iuhw.repo.nii.ac.jp/records/125447821589-eb65-4854-a88f-933fe7c3cfc6
| 名前 / ファイル | ライセンス | アクション |
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本文(PDF) (472.7 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||||||
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| 公開日 | 2022-09-26 | |||||||||||||||||
| タイトル | ||||||||||||||||||
| タイトル | To what extent did the government investment in health reduce households’ catastrophic out-of-pocket health expenditure in the Millennium Development Goals era? A panel data analysis of 71 low- and middle-income countries | |||||||||||||||||
| 言語 | en | |||||||||||||||||
| 言語 | ||||||||||||||||||
| 言語 | eng | |||||||||||||||||
| 資源タイプ | ||||||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||||||
| 資源タイプ | journal article | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 言語 | en | |||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | catastrophic out-of-pocket health expenditure, | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 言語 | en | |||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | Sustainable Development Goals, universal health coverage | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 言語 | en | |||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | universal health coverage | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 言語 | en | |||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | health system strengthening | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 言語 | en | |||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | low- and middle-income countries | |||||||||||||||||
| キーワード | ||||||||||||||||||
| 言語 | en | |||||||||||||||||
| 主題Scheme | Other | |||||||||||||||||
| 主題 | panel data analysis | |||||||||||||||||
| 著者 |
田中,豪人
× 田中,豪人
× 和田,耕治
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| 内容記述タイプ | Other | |||||||||||||||||
| 内容記述 | Purpose: The purpose of this study is to analyze the association between the incidence of catastrophic out-of-pocket health expenditure (CHE) and general government health expenditure (GGHE) as a share of gross domestic product (GDP) and out-of-pocket spending (OOPS) as a share of total health expenditure (THE) in low- and middle-income countries (LMICs) during the Millennium Development Goals (MDGs) era. Methods: We searched the following databases in June 2016: CENTRAL, MEDLINE, EMBASE, and Web of Science for studies to estimate the incidence of CHE and extracted data from articles meeting our selection criteria. GGHE as a share of GDP and OOPS as a share of THE were extracted from the World Health Organizationʼs Global Health Expenditure Database. We fitted linear mixed effects models to estimate the effects on the incidence of CHE associated with the two exposure variables. Results: We collected 37 articles estimating 142 incidences of CHE in 71 countries. The median incidence of CHE was 4.3%. After adjustments, the decline in the incidence of CHE was significantly associated with an increase in GGHE as a share of GDP (coefficient: －0.207, p-value: 0.049, 95% confidence interval (CI): －0.413 to 0.000), but not with a reduction of OOPS as a share of THE. The adjusted effects were not significant for a subgroup analysis based on income levels. Conclusion: The decline in the incidence of CHE was associated with an incremental change in GGHE as a share of GDP after adjustment in the MDGs era. Further studies with a more balanced panel dataset of the incidence of CHE are needed in the Sustainable Development Goals era. |
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| 言語 | en | |||||||||||||||||
| 書誌情報 |
ja : 国際医療福祉大学学会誌 en : Journal of the International University of Health and Welfare 巻 27, 号 2, p. 43-54, 発行日 2022-08-31 |
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| 出版者 | ||||||||||||||||||
| 出版者 | 国際医療福祉大学学会 | |||||||||||||||||
| 言語 | ja | |||||||||||||||||
| ISSN | ||||||||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||||||||
| 収録物識別子 | 21863652 | |||||||||||||||||
| 書誌レコードID（NCID） | ||||||||||||||||||
| 収録物識別子タイプ | NCID | |||||||||||||||||
| 収録物識別子 | AA12537130 | |||||||||||||||||
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| 言語 | en | |||||||||||||||||
| 値 | publisher | |||||||||||||||||
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| 出版タイプ | VoR | |||||||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||||||
