Equality in financial access to healthcare in Cambodia from 2004 to 2014
Bibliographic Data
| ID | 11490383 |
|---|---|
| Authors | Adélio Fernandes Antunes (0000-0003-3072-116X, Universität Greifswald, corresponding author), Bart Jacobs (0000-0003-0075-6732, Cambodian-German Social Health Protection Programme, Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH; Phnom Penh, Cambodia), Richard de Groot (0000-0002-1272-5952, Independent consultant, Maputo, Republic of Mozambique), Kouland Thin (0000-0003-1231-2266, The Swiss Development Cooperation, Bern, Switzerland), Piya Hanvoravongchai (0000-0003-4256-1271, Chulalongkorn University), Steffen Flessa (0000-0002-4068-1539, Universität Greifswald) |
| Year | 2018 |
| Volume | 33 |
| Issue | 8 |
| Pages | 906-919 |
| Publication date | 2018-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/czy073 |
| PMID | 30165473 |
| OpenAlex | W2888948874 |
| Language | EN |
| Citations received | 12 |
| References cited | 37 |
Since the end of its internal conflict in 1998, Cambodia has experienced tremendous developments in the social, economic and health sectors, with the government embarking on substantial reforms in health financing. Health equity funds that have improved access to public health services for poor people have gradually been extended to the entire country. Using the World Health Organization's methods for the analysis of healthcare expenditure and household survey data from the 2004, 2009 and 2014 Cambodian Socio-Economic Survey, we assessed trends in reported illness, utilization of healthcare services and associated financial burden on households. The impact of out-of-pocket expenditures for health on catastrophic health expenditures, poverty headcount and depth over the same 10-year period are presented, disaggregated by consumption quintile and place of residence (rural, urban and capital). At the aggregated national level, evolution of these indicators was very positive and correlates with a substantial increase in the capacity-to-pay of households, which reduced the average financial burden on households. However, over time inequalities grew between rural and urban areas. By 2014, the national incidence of catastrophic health expenditure was 4.9%, but four times more likely among rural households than their peers in the capital. For rural households with members seeking medical care, catastrophic health expenditure incidence was 12.3%. The impoverishment rate due to health spending among the lowest consumption quintile was 15.3%; the highest rate in this analysis. These findings suggest that economic and health sector developments have indeed benefited many Cambodian people. However, these gains mainly benefited urban residents; especially those in the capital city. We argue that more resources should be allocated to rural health services to address inequalities and healthcare-related financial hardship, which traps vulnerable people into poverty.
Business · Catastrophic illness · Consumption (sociology) · Demographic economics · Economic growth · Economics · Equity (law) · Health care · Health equity · Inequality · Political science · Poverty · Residence · Rural area · Socioeconomics · Global Health Care Issues · Global Maternal and Child Health · Healthcare Systems and Reforms · Medicine
The inequalities and determinants of Households’ Distress Financing on Out-off-Pocket Health expenditure in Malaysia
Catastrophic health expenditure and its inequality in rural China
Assessing progress towards universal health coverage in Cambodia
Hardship financing, productivity loss, and the economic cost of illness and injury in Cambodia
Revisiting a decade of inequality in healthcare financial burden in Cambodia, 2009–19
Sensitivity analysis and methodological choices on health-related impoverishment estimates in Cambodia, 2009–17
Comparative health systems analysis of differences in the catastrophic health expenditure associated with non-communicable vs communicable diseases among adults in six countries
Cross-border medical travels from Cambodia
Migration and investments in the health of children left behind
Exploring the determinants of distress health financing in Cambodia
Health equity funds as the pathway to universal coverage in Cambodia
Sick of debt
Cambodia Economic Update, April 2016
Household catastrophic health expenditure
Early appraisal of China's huge and complex health-care reforms
Comparing subjective and objective measures of health
Progress on impoverishing health spending in 122 countries
Moving towards universal health coverage
Progress on catastrophic health spending in 133 countries
Does reporting heterogeneity bias the measurement of health disparities?
Spatial inequity in access to healthcare facilities at a county level in a developing country
Catastrophic health expenditure and impoverishment in Mongolia
Financial access to health care for older people in Cambodia
The impact of economic growth on health care utilization
Prevalence and profiles of unmet healthcare need in Thailand
Remaining life expectancy among older people in a rural area of Vietnam
Dual practice by doctors working in South and East Asia
User fee removal in low-income countries
Financial protection from health spending in the Philippines
Economic transition should come with a health warning
Equity in health and health care
Financial burden of household out-of pocket health expenditure in Viet Nam
Who provides inconsistent reports of their health status? The importance of age, cognitive ability and socioeconomic status
Developing health insurance in transitional Asia
Impact of health financing policies in Cambodia
| Unique citing works | 12 |
|---|---|
| Citations per year | 1,71 |
| Citation span | 2019 - 2025 (7) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 12 |