Co-payments and equity in care: enhancing hospitalisation policy for Palestine refugees in Lebanon
| Autor: | Sara Valente de Almeida, Gloria Paolucci, Akihiro Seita, Hala Ghattas |
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| Rok vydání: | 2021 |
| Předmět: |
Refugees
Health Policy Research Global health Co-payments in healthcare 1110 Nursing Arabs 1117 Public Health and Health Services Hospitalization Policy Health Policy & Services Humans Public aspects of medicine RA1-1270 Lebanon health care economics and organizations 0807 Library and Information Studies |
| Zdroj: | BMC Health Services Research, Vol 22, Iss 1, Pp 1-19 (2022) BMC Health Services Research |
| Popis: | Background This paper measures the impact of introducing a 10% co-payment on secondary care hospitalization costs for Palestine refugees living in Lebanon (PRL) in all UNRWA contracted hospitals, except for the Red Crescent Society. This ex-post analysis provides a detailed insight on the direction and magnitude of the policy impact in terms of demand by hospital type, average length of stay and treatment costs. Methods With a complete population episode level dataset, we use multinomial logit, negative binomial, and linear models to estimate impacts on the different dependent variables, controlling for disease, patient and hospital characteristics. Results After the implementation patients were at least 4 pp (p Conclusion Before changing healthcare payment schemes in different types of hospitals, facilities offering free of charge treatment should be assessed and prepared for potential demand shifts to avoid overcapacity and the collapse of health care services for such a fragile population. In addition, exemptions from co-payments should be considered for patients with severe health conditions and financial constraints, who, according to our results, are the most likely to change their pattern of care due to an increase in treatment costs. |
| Databáze: | OpenAIRE |
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