IDEAS home Printed from https://ideas.repec.org/a/spr/hecrev/v12y2022i1d10.1186_s13561-022-00372-0.html
   My bibliography  Save this article

How much do government and households spend on an episode of hospitalisation in India? A comparison for public and private hospitals in Chhattisgarh state

Author

Listed:
  • Samir Garg

    (State Health Resource Centre)

  • Narayan Tripathi

    (State Health Resource Centre)

  • Alok Ranjan

    (Indian Institute of Technology)

  • Kirtti Kumar Bebarta

    (State Health Resource Centre)

Abstract

Background Improvements in the financing of healthcare services are important for developing countries like India to make progress towards universal health coverage. Inpatient-care contributes to a big share of total health expenditure in India. India has a mixed health-system with a sizeable presence of private hospitals. Existing studies show that out-of-pocket expenditure (OOPE) incurred per hospitalisation in private hospitals was greater than public facilities. But, such comparisons have not taken into account the healthcare spending by government. Methods For a valid comparison between public and for-profit private providers, this study in Indian state of Chhattisgarh assessed the combined spending by government and households per episode of hospitalisation. The supply-side and demand-side spending from public and private sources was taken into account. The study used two datasets: a) household survey for data on hospital utilisation, OOPE, cash incentives received by patients and claims raised under publicly funded health insurance (PFHI) schemes (n = 903 hospitalisation episodes) b) survey of public facilities to find supply-side government spending per hospitalisation (n = 64 facilities). Results Taking into account all relevant demand and supply side expenditures, the average total spending per day of hospitalisation was INR 2833 for public hospitals and INR 6788 for private hospitals. Adjusted model for logarithmic transformation of OOPE while controlling for variables including case-mix showed that a hospitalisation in private hospitals was significantly more expensive than public hospitals (coefficient = 2.9, p

Suggested Citation

  • Samir Garg & Narayan Tripathi & Alok Ranjan & Kirtti Kumar Bebarta, 2022. "How much do government and households spend on an episode of hospitalisation in India? A comparison for public and private hospitals in Chhattisgarh state," Health Economics Review, Springer, vol. 12(1), pages 1-15, December.
    • Handle: RePEc:spr:hecrev:v:12:y:2022:i:1:d:10.1186_s13561-022-00372-0
    DOI: 10.1186/s13561-022-00372-0
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1186/s13561-022-00372-0
    File Function: Abstract
    Download Restriction: no
    File URL: https://libkey.io/10.1186/s13561-022-00372-0?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. Shailender Kumar Hooda, 2015. "Private Sector in Healthcare Delivery Market in India: Structure, Growth and Implications," Working Papers 185, Institute for Studies in Industrial Development (ISID).
    2. Planning Commission, 2011. "High Level Expert Group Report on Universal Health Coverage for India," Working Papers id:4646, eSocialSciences.
    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. Dayashankar Maurya, 2019. "Understanding public health insurance in India: A design perspective," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1633-1650, October.
    2. Sonu Goel & Federica Angeli & Neetu Singla & Dirk Ruwaard, 2016. "Development and Validation of the Motivations for Selection of Medical Study (MSMS) Questionnaire in India," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-13, December.
    3. Pradeep Kumar Choudhury, 2015. "Explaining the Role of Parental Education in the Regional Variations in Infant Mortality in India," Asia and the Pacific Policy Studies, Wiley Blackwell, vol. 2(3), pages 544-572, September.
    4. Pankaj Bahuguna & Indranil Mukhopadhyay & Akashdeep Singh Chauhan & Saroj Kumar Rana & Sakthivel Selvaraj & Shankar Prinja, 2018. "Sub-national health accounts: Experience from Punjab State in India," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-17, December.
    5. Indrani Gupta, 2015. "Financing for Health Coverage in India: Issues and Concerns," Working Papers id:7008, eSocialSciences.
    6. Roopali Goyanka & Charu C. Garg, 2023. "Out-of-pocket Expenditure on Medicines and Financial Risk Protection in India: Is the Sustainable Development Goal in Sight?," Indian Journal of Human Development, , vol. 17(1), pages 28-43, April.
    7. Bindra, Prerna Singh & Gajjar, Chirag & Ghosh, Arunabha & Kumar, Manoj & Lobo, Crispino & Mukherjee, Digangana & Nair, Pradeep & Olsson, Shannon & Pandit, Nitin & Patrao, Tina & Ramakrishnan, Uma & Ra, 2020. "The Post-COVID India: Making science and technology socially and environmentally relevant," Ecology, Economy and Society - the INSEE Journal, Indian Society of Ecological Economics (INSEE), vol. 3(02), July.
    8. Shankar Prinja & Pankaj Bahuguna & Ajay Duseja & Manmeet Kaur & Yogesh Kumar Chawla, 2018. "Cost of Intensive Care Treatment for Liver Disorders at Tertiary Care Level in India," PharmacoEconomics - Open, Springer, vol. 2(2), pages 179-190, June.
    9. Shankar Prinja & Pankaj Bahuguna & Rakesh Gupta & Atul Sharma & Saroj Kumar Rana & Rajesh Kumar, 2015. "Coverage and Financial Risk Protection for Institutional Delivery: How Universal Is Provision of Maternal Health Care in India?," PLOS ONE, Public Library of Science, vol. 10(9), pages 1-15, September.
    10. Shankar Prinja & Pankaj Bahuguna & Indrani Gupta & Samik Chowdhury & Mayur Trivedi, 2019. "Role of insurance in determining utilization of healthcare and financial risk protection in India," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-16, February.
    11. Runu Bhatka & A. Ganesh Kumar, 2014. "Does Parental Education Affect the Impact of Provision of Health Care on Health Status of Children? - Evidence from India," Working Papers id:6128, eSocialSciences.
    12. Saleema Razvi & Amir Ullah Khan, 2015. "Health Financing in South Asia—The Role of Public–Private Partnerships," South Asian Survey, , vol. 22(1), pages 15-36, March.
    13. Anil Gumber, 2021. "Equity in healthcare utilisation and cost of treatment in Western India," Journal of Social and Economic Development, Springer;Institute for Social and Economic Change, vol. 23(1), pages 131-152, June.
    14. Arindam Nandi & Ashvin Ashok & Ramanan Laxminarayan, 2013. "The Socioeconomic and Institutional Determinants of Participation in India’s Health Insurance Scheme for the Poor," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-13, June.
    15. Chandan Kumar & Rajesh Kumar Rai & Prashant Kumar Singh & Lucky Singh, 2013. "Socioeconomic Disparities in Maternity Care among Indian Adolescents, 1990–2006," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-10, July.
    16. Prashant Kumar Singh, 2013. "Trends in Child Immunization across Geographical Regions in India: Focus on Urban-Rural and Gender Differentials," PLOS ONE, Public Library of Science, vol. 8(9), pages 1-11, September.
    17. Muttur Ranganathan Narayana, 2016. "India’s Proposed Universal Health Coverage Policy: Evidence for Age Structure Transition Effect and Fiscal Sustainability," Applied Health Economics and Health Policy, Springer, vol. 14(6), pages 673-690, December.
    18. Shankar Prinja & Akashdeep Singh Chauhan & Anup Karan & Gunjeet Kaur & Rajesh Kumar, 2017. "Impact of Publicly Financed Health Insurance Schemes on Healthcare Utilization and Financial Risk Protection in India: A Systematic Review," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-19, February.
    19. Indrani Gupta & Samik Chowdhury & Shankar Prinja & Mayur Trivedi, 2016. "Out-of-Pocket Spending on Out-Patient Care in India: Assessment and Options Based on Results from a District Level Survey," PLOS ONE, Public Library of Science, vol. 11(11), pages 1-12, November.
    20. Prashant Raymus, 2013. "Mapping Budget Processes in the Public Health Sector in Maharashtra," Working Papers id:5383, eSocialSciences.

    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:hecrev:v:12:y:2022:i:1:d:10.1186_s13561-022-00372-0. 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/economics/journal/13561 .

    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.