Volume 4, Issue 1, March 2019, Page: 29-34
Magnitude and Factors Affecting Out-of-Pocket Medical Expenditure among Outpatients in ST.Paul Hospital Millennium College, Addis Ababa, Ethiopia
Amelewerk Alemu, Health Economics Department, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
Mesfin Aklilu, Human Resource for Health Management Department, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
Wogayehu Tadele, Health Economics Department, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
Received: Feb. 1, 2019;       Accepted: Mar. 18, 2019;       Published: Apr. 12, 2019
DOI: 10.11648/j.hep.20190401.14      View  230      Downloads  21
Abstract
The Objectives of the study is to assess the magnitude and factor that affect out-of pocket medical expenditure among outpatients department in St Paul’s hospital Millennium College, Addis Ababa, Ethiopia. An Institution-based cross-sectional study in quantitative method was conducted among outpatient services. The required sample size is determined by single population and double population proportion formula. The final sample size was 422. A descriptive statistical analysis, binary and multivariable logistic regression model was used to describe the findings. Gender, marital status, educational status, occupation, family size, total income was statistically associated with TOOPME at Sig< 0.2. Statistically associated with TOOPME In multivariate analysis were marital status (B=.197; CI 95%190.2-585; sig .000), Occupation status (B=-.174; CI 95%-180—39.6; sig .002), family size (B=.229; CI 95%58-150; sig .000), and total income (B=.305; CI 95%10Table: 1 9-227; sig .000). The financing system of health care should be based on the principle of cost sharing so that there will be resource pooling among the poor and the rich. The financing mechanism should also move into prepayment schemes or insurance to protect the poor from unanticipated health care costs.
Keywords
Out-of-Pocket Expenditure, Catastrophic Health Expenditures, Health Care Seekers
To cite this article
Amelewerk Alemu, Mesfin Aklilu, Wogayehu Tadele, Magnitude and Factors Affecting Out-of-Pocket Medical Expenditure among Outpatients in ST.Paul Hospital Millennium College, Addis Ababa, Ethiopia, International Journal of Health Economics and Policy. Vol. 4, No. 1, 2019, pp. 29-34. doi: 10.11648/j.hep.20190401.14
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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