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008 130604s2013 ii | s |||| 0|eng d
020 _a9788132212812
_9978-81-322-1281-2
024 7 _a10.1007/978-81-322-1281-2
_2doi
050 4 _aRA410-410.9
072 7 _aKCQ
_2bicssc
072 7 _aBUS069000
_2bisacsh
082 0 4 _a338.473621
_223
100 1 _aAlam, Moneer.
_eauthor.
245 1 0 _aPaying Out-of-Pocket for Drugs, Diagnostics and Medical Services
_h[electronic resource] :
_bA Study of Households in Three Indian States /
_cby Moneer Alam.
264 1 _aNew Delhi :
_bSpringer India :
_bImprint: Springer,
_c2013.
300 _aXLIX, 152 p.
_bonline resource.
336 _atext
_btxt
_2rdacontent
337 _acomputer
_bc
_2rdamedia
338 _aonline resource
_bcr
_2rdacarrier
347 _atext file
_bPDF
_2rda
490 1 _aIndia Studies in Business and Economics
505 0 _aChapter 1: Introduction -- Chapter 2: Population Size and Composition of Sample Households -- Chapter 3: Socio-economic Variations, Consumption Poverty and Health Generated Inequalities in Sample Population -- Chapter 4: Self-reported Ailments and Hospitalization: Differentials in Utilization of Health Care -- Chapter 5: Catastrophic Spending on Health by sample Households: Some Results -- Chapter 6: Decomposing Out-of-Pocket Health Spending: Share of Drugs, Medical Services and Other components -- Chapter 7: Utilization of Public Health Facilities: A Situational Assessment -- Chapter 8: Broad Conclusions and Policy Directions.
520 _aIn India there is a high incidence of morbidity and malnutrition coupled with low standards of public health and expensive medical care. Despite several policy initiatives and many attempts to promote a healthy society, health remains an issue of concern. Policy-makers recognise that the country suffers unacceptably high levels of disease and premature death. A 2005 report from the National Commission on Macroeconomics and Health (NCMH) claims that private out-of-pocket (OOP) health expenditure often has a catastrophic effect on the consumption of basic goods and services for low-income households, forcing many below the poverty line and often blocking private intergenerational flows, severely affecting family members including the co-residing elderly, especially women. As poverty, malnutrition and enormous disparities are widespread, particularly in rural areas and urban slums, reliance on private health providers is fraught with serious economic consequences. Disease prevalence among these groups is particularly high. The market plays an increasingly important role in delivering health and diagnostic services. Infrastructural bottlenecks faced by central, state and local government health services force public health service users to access private medical care and incur very high out-of-pocket (OOP) expenses. All these issues are in direct contradiction to India’s National Population Policy (2000) and National Health Policy (2002).   This book highlights some of these neglected issues, and focuses largely on private expenditure on drugs and medicines for the treatment of ailments both with and without hospitalisation. It examines private OOP health expenditures in rural and urban households after breaking them down into the various healthcare service components including drugs and medicines (which constitute about 75 to 80 percent of OOP health expenditure), and assesses the extent of capital sample households borrow to finance medical expenditure and the effect on their basic food and non-food consumption requirements.
650 0 _aPublic health.
650 0 _aMedical research.
650 0 _aHealth economics.
650 0 _aMedical economics.
650 0 _aDevelopment economics.
650 0 _aSocial structure.
650 0 _aSocial inequality.
650 0 _aQuality of life.
650 1 4 _aEconomics.
650 2 4 _aHealth Economics.
650 2 4 _aPublic Health.
650 2 4 _aSocial Structure, Social Inequality.
650 2 4 _aDevelopment Economics.
650 2 4 _aQuality of Life Research.
710 2 _aSpringerLink (Online service)
773 0 _tSpringer eBooks
776 0 8 _iPrinted edition:
_z9788132212805
830 0 _aIndia Studies in Business and Economics
856 4 0 _uhttp://dx.doi.org/10.1007/978-81-322-1281-2
912 _aZDB-2-SBE
942 _2Dewey Decimal Classification
_ceBooks
999 _c48128
_d48128