IDEAS home Printed from https://ideas.repec.org/a/spr/aphecp/v21y2023i5d10.1007_s40258-023-00822-8.html
   My bibliography  Save this article

The Economic Cost of Rising Non-communicable Diseases in India: A Systematic Literature Review of Methods and Estimates

Author

Listed:
  • Varsha Shukla

    (Birla Institute of Technology and Science, Pilani)

  • Rahul Arora

    (Birla Institute of Technology and Science, Pilani)

Abstract

Background and Objectives India has one of the world’s highest proportions of out-of-pocket expenditure (OOPE) payments. The low share of public health expenditure coupled with the double burden of disease (communicable and non-communicable) has a direct financial impact on individual OOPE and an indirect impact in the form of decreasing life expectancy, reduced productivity, and hence a negative impact on economic growth. This systematic review aims to compare and assess the estimated economic cost of non-communicable diseases (NCDs) in India and ascertain the methods used to derive these estimates. Methods This paper reviews the past 12-year (2010–22) literature on the economic impact of health shocks due to NCDs. Three databases were searched for the literature: PubMed, Scopus, and Google Scholar. Thematic analysis has been performed to analyse the findings of the study. Results The OOPE was very high for NCDs. The increasing cost was high and unaffordable, pushing many people into financial distress measured by catastrophic payments and rising impoverishment. Conclusion The results indicate both the direct and indirect impact of NCDs, but the indirect burden of loss of employment and productivity, despite its relevance, has been less studied in the literature. A robust economic analysis will allow an evidence-based policy decision perspective to reduce the rising burden of NCDs.

Suggested Citation

  • Varsha Shukla & Rahul Arora, 2023. "The Economic Cost of Rising Non-communicable Diseases in India: A Systematic Literature Review of Methods and Estimates," Applied Health Economics and Health Policy, Springer, vol. 21(5), pages 719-730, September.
    • Handle: RePEc:spr:aphecp:v:21:y:2023:i:5:d:10.1007_s40258-023-00822-8
    DOI: 10.1007/s40258-023-00822-8
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s40258-023-00822-8
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s40258-023-00822-8?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
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Anshul Kastor & Sanjay K Mohanty, 2018. "Disease-specific out-of-pocket and catastrophic health expenditure on hospitalization in India: Do Indian households face distress health financing?," PLOS ONE, Public Library of Science, vol. 13(5), pages 1-18, May.
    2. Indrani Gupta & Avantika Ranjan, 2019. "Public expenditure on Non-Communicable Diseases & Injuries in India: A budget-based analysis," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-12, September.
    3. Pushpendra Singh & Virendra Kumar, 2017. "The Rising Burden of Healthcare Expenditure in India: A Poverty Nexus," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 133(2), pages 741-762, September.
    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. Md Mahfuzur Rahman & Cherri Zhang & Khin Thet Swe & Md Shafiur Rahman & Md Rashedul Islam & Md Kamrujjaman & Papia Sultana & Md Zakiul Hassan & Md Shahinul Alam & Md Mizanur Rahman, 2020. "Disease-specific out-of-pocket healthcare expenditure in urban Bangladesh: A Bayesian analysis," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-11, January.
    2. Kane, Sumit & Joshi, Madhura & Desai, Sapna & Mahal, Ajay & McPake, Barbara, 2022. "People's care seeking journey for a chronic illness in rural India: Implications for policy and practice," Social Science & Medicine, Elsevier, vol. 312(C).
    3. Sasmita Behera & Jalandhar Pradhan, 2021. "Uneven economic burden of non-communicable diseases among Indian households: A comparative analysis," PLOS ONE, Public Library of Science, vol. 16(12), pages 1-17, December.
    4. Jalandhar Pradhan & Rinshu Dwivedi & Sanghamitra Pati & Sarit Kumar Rout, 2017. "Does spending matters? Re-looking into various covariates associated with Out of Pocket Expenditure (OOPE) and catastrophic spending on accidental injury from NSSO 71st round data," Health Economics Review, Springer, vol. 7(1), pages 1-16, December.
    5. Kumar, Kaushalendra & Singh, Abhishek & James, K.S. & McDougal, Lotus & Raj, Anita, 2020. "Gender bias in hospitalization financing from borrowings, selling of assets, contribution from relatives or friends in India," Social Science & Medicine, Elsevier, vol. 260(C).
    6. Kane, Sumit & Joshi, Madhura & Mahal, Ajay & McPake, Barbara, 2023. "How social norms and values shape household healthcare expenditures and resource allocation: Insights from India," Social Science & Medicine, Elsevier, vol. 336(C).
    7. Sanjay K. Mohanty & Suraj Maiti & Santosh Kumar Sharma & Laxmi Kant Dwivedi & Niranjan Saggurti, 2023. "Assessing the impact of measurement error in household consumption on estimates of catastrophic health expenditure in India," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-12, December.
    8. Shreya Banerjee & Indrani Roy Chowdhury, 2020. "Inequities in curative health-care utilization among the adult population (20–59 years) in India: A comparative analysis of NSS 71st (2014) and 75th (2017–18) rounds," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-23, November.
    9. Jeetendra Yadav & Geetha R. Menon & Denny John, 2021. "Disease-Specific Out-of-Pocket Payments, Catastrophic Health Expenditure and Impoverishment Effects in India: An Analysis of National Health Survey Data," Applied Health Economics and Health Policy, Springer, vol. 19(5), pages 769-782, September.
    10. Dasgupta, Souvik & Kundu, Amit, 2022. "Distress Healthcare Financing among Informal-sector Workers: A Study in Purulia District, West Bengal, India," MPRA Paper 114347, University Library of Munich, Germany, revised 19 May 2022.
    11. Anamika Pandey & G Anil Kumar & Rakhi Dandona & Lalit Dandona, 2018. "Variations in catastrophic health expenditure across the states of India: 2004 to 2014," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-15, October.
    12. Braulio A Marfil-Garza & Pablo F Belaunzarán-Zamudio & Alfonso Gulias-Herrero & Antonio Camiro Zuñiga & Yanink Caro-Vega & David Kershenobich-Stalnikowitz & José Sifuentes-Osornio, 2018. "Risk factors associated with prolonged hospital length-of-stay: 18-year retrospective study of hospitalizations in a tertiary healthcare center in Mexico," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-14, November.
    13. Bhattacharyya, Bhaskar & Mandal, Biswajit & Sengupta, Sarbajit, 2022. "Correlates of Distress Financing In Case of Institutional Delivery In India: Evidence From The National Family Health Survey," MPRA Paper 116652, University Library of Munich, Germany.
    14. Venkatanarayana Motkuri & Rudra Narayan Mishra, 2020. "Pharmaceutical Market and Drug Price Policy in India," Review of Development and Change, , vol. 25(1), pages 30-53, June.
    15. Mondal, Bidisha & Dubey, Jay Dev, 2020. "Gender discrimination in health-care expenditure: An analysis across the age-groups with special focus on the elderly," Social Science & Medicine, Elsevier, vol. 258(C).

    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:aphecp:v:21:y:2023:i:5:d:10.1007_s40258-023-00822-8. 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.