There is an urgent need to improve global health care to reduce catastrophic health care (CHE) costs for patients with low-income tuberculosis in China, according to a study published in the open journal, Infectious Diseases of Poverty. The expansion of comprehensive medical care can reduce the number of people affected by CHE.
CHE is defined as OOP payments for keto fire diet medical care that exceed a certain percentage of household income, thus sacrificing basic needs such as housing, food and clothing. OOP payments for TB care include diagnosis and treatment, as well as non-medical expenses (eg, transportation).
The study, conducted by researchers from the National Center for Tuberculosis and Prevention, China CDC and Shandong University, China, which included 747 cases of tuberculosis, found that a large number of households suffer from high rates of arteriosclerosis at 66.8% in general. China has the second highest national burden of TB in the world after India. The incidence of CHE is highest among the poorest families, 95% of whom are CHE, compared to 43% of the richest households.
In this study, the CHE was measured on the basis of the two most commonly used thresholds: 10% of annual family income, 40% of non-food expenditure, and the real income that is left to the household once the requirement of feeding.
This study is the first to study the often disastrous economic effects of TB care for individuals and families, by considering the incidence, intensity and causes of CHE care for patients with tuberculosis. The incidence of CHE describes the number of households that have exceeded the cost of medical care: 66.8% for family income and 54.7% for non-food expenditure. The density of CHE is measured by the cost of medical care per household that exceeds these thresholds. On average, health care payments accounted for 41% of the annual income of households and 52% of non-food expenditure. As in the case of infection, the density of CHE in China was higher for low-income households.
The researchers identified several important reasons for CHE, including unemployment, age, and patient admission. The greatest likelihood of suffering for low-income families was observed for low-income families (less than four members) and those with minimal security to live, a form of government support to ensure a minimum standard of living.
The study used data from April to May 2013 in three Chinese cities during a key survey of the Chinese government’s program: the second phase of the tuberculosis control program at the Gates Foundation. TB patients were recruited using a cluster sampling method that divides populations into groups, in this case three areas of each city and three cities / streets of each region. From each group, a random sample of 30 cases of tuberculosis was selected, with a total of 747 cases.