Health inequality and community-based health insurance: a case study of rural Rwanda with repeated cross-sectional data
文献类型：期刊
作者：Liu, Kai[1]
机构：[1]Renmin Univ China, Sch Labor & Human Resources, Dept Social Secur, Beijing, Peoples R China.;
[2]Harvard Med Sch, Dept Psychiat, Boston, MA USA.;
[3]Brigham & Womens Hosp, Div Global Hlth Equ, 75 Francis St, Boston, MA 02115 USA.,Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA 02115 USA.,Univ Witwatersrand, Ctr Excellence Human Dev, DST, NRF, Johannesburg, South Africa.;
通讯作者：Lu, CL (reprint author), Brigham & Womens Hosp, Div Global Hlth Equ, 75 Francis St, Boston, MA 02115 USA.; Lu, CL (reprint author), Harvard Med Sch, Dept Global Hlth & Social Med, Boston, MA 02115 USA.; Lu, CL (reprint author), Univ Witwatersrand, Ctr Excellence Human Dev, DST, NRF, Johannesburg, South Africa.
期刊名称：INTERNATIONAL JOURNAL OF PUBLIC HEALTH影响因子和分区
年：2019
卷：64
期：1,SI
页码：7-14
收录情况：SCI(E)(WOS:000457744700004)
ISSN：1661-8556
关键词：Health inequality; Absolute inequality; Relative inequality; Medical care utilization; Catastrophic health spending; Rwanda
所属部门：劳动人事学院
摘要：ObjectivesTo investigate the inequality in medical care utilization and household catastrophic health spending (HCHS) between the poverty and non-poverty residents in rural Rwanda and their links with community-based health insurance (Mutuelles).MethodsWe used the 2005 and 2010 nationally representative Integrated Living Conditions Surveys. We estimated multilevel logistic regression models to obtain the adjusted levels and trends of both absolute and relative inequalities and examined associati ...More
ObjectivesTo investigate the inequality in medical care utilization and household catastrophic health spending (HCHS) between the poverty and non-poverty residents in rural Rwanda and their links with community-based health insurance (Mutuelles).MethodsWe used the 2005 and 2010 nationally representative Integrated Living Conditions Surveys. We estimated multilevel logistic regression models to obtain the adjusted levels and trends of both absolute and relative inequalities and examined associations between Mutuelles status and these inequalities.ResultsSignificant inequality between the two income groups, in both absolute and relative measures of medical care utilization and HCHS remained unchanged in 2005 and 2010. Significant reduction in adjusted absolute inequality in percentage of HCHS between the two years was not associated with Mutuelles status.ConclusionsWhile Mutuelles promoted medical care utilization and reduced HCHS, it did not play a significant role in reducing their inequalities by poverty status between 2005 and 2010. Future studies should assess the impact of additional strategies (e.g., the exemption of Mutuelles premiums and copayments for households living in poverty), on reducing inequality by poverty status. ...Hide
DOI：10.1007/s00038-018-1115-5
百度学术：Health inequality and community-based health insurance: a case study of rural Rwanda with repeated cross-sectional data
语言：外文
被引频次：1
基金：Brigham & Women's Hospital [NA]
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