IDEAS home Printed from https://ideas.repec.org/a/spr/pharmo/v2y2018i4d10.1007_s41669-018-0067-2.html
   My bibliography  Save this article

Out-of-Pocket Household Expenditures on Medical Injections in Cambodia

Author

Listed:
  • Sachiko Ozawa

    (University of North Carolina at Chapel Hill
    University of North Carolina at Chapel Hill)

  • Tatenda T. Yemeke

    (University of North Carolina at Chapel Hill)

  • Alie F. Tawah

    (Johns Hopkins Bloomberg School of Public Health
    Johns Hopkins Carey Business School)

  • Vivek Kulkarni

    (California Institute of Technology)

  • Manuela Villar Uribe

    (World Bank Group)

Abstract

Background Cambodia has one of the highest rates of overall medical injection usage worldwide. Therapeutic injections, which are often unnecessary, contribute to the spread of blood-borne diseases. Objective This study describes injection practices and associated household expenditures in rural northwest Cambodia. Methods We assessed care-seeking patterns of surveyed adult family members who sought healthcare in the previous 30 days, including location of care, medical injection use, and out-of-pocket household expenditures for treatment. A regression model was used to explore the impact of injection use on out-of-pocket household expenditures. Results Among 480 households sampled, 298 included members who had been sick within the previous 30 days; a total of 342 episodes of care had been sought. Private providers accounted for over 66% (n = 226) of all episodes of care, with public and informal providers accounting for 20% (n = 69) and 14% (n = 47), respectively. Injections were administered in over 120 (35%) episodes of care, with 81% of injections administered by private providers. Patients who received injections incurred total out-of-pocket household expenditures that were, on average, 126,590 Cambodian Riel (KHR) (US$31.65) higher than those who did not receive injections (p

Suggested Citation

  • Sachiko Ozawa & Tatenda T. Yemeke & Alie F. Tawah & Vivek Kulkarni & Manuela Villar Uribe, 2018. "Out-of-Pocket Household Expenditures on Medical Injections in Cambodia," PharmacoEconomics - Open, Springer, vol. 2(4), pages 415-421, December.
    • Handle: RePEc:spr:pharmo:v:2:y:2018:i:4:d:10.1007_s41669-018-0067-2
    DOI: 10.1007/s41669-018-0067-2
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s41669-018-0067-2
    File Function: Abstract
    Download Restriction: no
    File URL: https://libkey.io/10.1007/s41669-018-0067-2?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Sachiko Ozawa & Simrun Grewal & John F.P. Bridges, 2016. "Household Size and the Decision to Purchase Health Insurance in Cambodia: Results of a Discrete-Choice Experiment with Scale Adjustment," Applied Health Economics and Health Policy, Springer, vol. 14(2), pages 195-204, April.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nguyen, Trung Thanh & Do, Truong Lam & Halkos, George & Wilson, Clevo, 2020. "Health shocks and natural resource extraction: A Cambodian case study," Ecological Economics, Elsevier, vol. 169(C).
    2. Anna Nicolet & Clémence Perraudin & Joël Wagner & Ingrid Gilles & Nicolas Krucien & Isabelle Peytremann-Bridevaux & Joachim Marti, 2022. "Patient and Public Preferences for Coordinated Care in Switzerland: Development of a Discrete Choice Experiment," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 15(4), pages 485-496, July.
    3. Vikas Soekhai & Esther W. Bekker-Grob & Alan R. Ellis & Caroline M. Vass, 2019. "Discrete Choice Experiments in Health Economics: Past, Present and Future," PharmacoEconomics, Springer, vol. 37(2), pages 201-226, February.
    4. Thiptaiya Sydavong & Daisaku Goto & Keisuke Kawata & Shinji Kaneko & Masaru Ichihashi, 2019. "Potential demand for voluntary community-based health insurance improvement in rural Lao People’s Democratic Republic: A randomized conjoint experiment," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-21, January.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:pharmo:v:2:y:2018:i:4:d:10.1007_s41669-018-0067-2. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.