Catastrophic health expenditure and impoverishment in Mongolia

International Journal for Equity in Health

Research

Enkhjargal Batbaatar¹  Javkhlanbayar Dorjdagva²  Bayarsaikhan Dorjsuren³  Mikael Svensson⁴  Jussi Kauhanen⁵ 

[1] Department of Health Policy and Management, School of Public Health, Mongolian National University of Medical Sciences, Zorig Street, 14210, Ulaanbaatar, Mongolia;Department of Health Policy and Management, School of Public Health, Mongolian National University of Medical Sciences, Zorig Street, 14210, Ulaanbaatar, Mongolia;Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland;Department of Health Systems Governance and Financing, WHO, Geneva, Switzerland;Health Metrics Unit, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden;Institute of Public Health and Clinical Nutrition, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland;

关键词: Catastrophic health expenditure;    Impoverishment;    Financial protection;    Mongolia;   

DOI  :  10.1186/s12939-016-0395-8

 received in 2016-04-04, accepted in 2016-07-04,  发布年份 2016

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsWe 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.ResultsAbout 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.ConclusionsDespite 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.

【 授权许可】

CC BY   
© The Author(s). 2016

【 图 表 】

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