Inequity in catastrophic costs among tuberculosis-affected households in China

作     者：Cai-Hong Xu Kathiresan Jeyashree Hemant Deepak Shewade Yin-Yin Xia Li-Xia Wang Yan Liu Hui Zhang Li Wang 

作者机构：National Center for Tuberculosis Control and PreventionChinese Center for Disease Control and PreventionBeijing 100226China 不详 Department of Epidemiology and BiostatisticsInstitute of Basic Medical Sciences Chinese Academy of Medical SciencesSchool of Basic Medicine Peking Union Medical CollegeBeijing 100005China 

出 版 物：《Infectious Diseases of Poverty》 (贫困所致传染病（英文）)

年 卷 期：2019年第8卷第3期

页      面：104-104页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

基　　金：Department for International Development  DFID 

主　　题：Catastrophic health expenditure tuberculosis Patient cost Universal health coverage Social protection Equity 

摘      要：Background:There are limited nationally representative studies globally in the post-2015 END tuberculosis(TB)era regarding wealth related inequity in the distribution of catastrophic costs due to TB *** the Chinese national tuberculosis programme setting,we aimed to assess extent of equity in distribution of total TB care costs(pre-treatment,treatment and overall)and costs as a proportion of annual household income(AHI),and describe and compare equity in distribution of catastrophic costs(pre-treatment,treatment and overall)across population ***:Analytical cross-seaional study using data from national TB patient cost survey carried out in 22 counties from six provinces in China in ***-susceptible pulmonary TB registered under programme,who had received at least 2 weeks of intensive phase therapy were *** was depiaed using concentration curves and concentration indices were compared using dominance ***:Of 1147 patients,the median cost of pre-treatment,treatment and overall care,were USD 283.5,USD 413.1 and USD 965.5,*** quintiles incurred significantly higher pre-treatment and treatment costs compared to poorer *** distribution of costs as a proportion of AHI and catastrophic costs were significantly pro-poor overall as well as during pre-treatment and treatment *** the concentration curves for catastrophic costs(due to pre-treatment,treatment and overall care)stratified by region(east,middle and west),area of residence(urban,rural)and type of insurance new rural co-operative medical system[NCMS],non-NCMSalso exhibited a pro-poor pattern with statistically significant(P0.01)concentration *** pro-poor distribution of the catastrophic costs due to TB treatment was significantly more inequitable among rural,compared to urban patients,and NCMS compared to non-NCMS ***:There is inequity in the distribution of catastrophic costs due to TB *** health co