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Incidence, socio-economic inequalities and determinants of catastrophic health expenditure and impoverishment for diabetes care in South Africa: a study at two public hospitals in Tshwane

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dc.date.accessioned 2019-08-19T12:18:58Z
dc.date.available 2019-08-19T12:18:58Z
dc.date.issued 2019-07-02 en
dc.identifier.uri http://hdl.handle.net/20.500.11910/14145
dc.description.abstract Direct out of pocket (OOP) payments for healthcare may cause financial hardship. For diabetic patients who require frequent visits to health centres, this is of concern as OOP payments may limit access to healthcare. This study assesses the incidence, socio-economic inequalities and determinants of catastrophic health expenditure and impoverishment amongst diabetic patients in South Africa. Data were taken from a cross-sectional survey conducted in 2017 at two public hospitals in Tshwane, South Africa (N = 396). Healthcare costs and transport costs related to diabetes care were classified as catastrophic if they exceeded the 10% threshold of household's capacity to pay (WHO standard method) or if they exceeded a variable threshold of total household expenditure (Ataguba method). Erreygers concentration indices (CIs) were used to assess socio-economic inequalities. This observation suggests that health financing interventions amongst diabetic patients should target the poor and poor women in particular. There is also a need for targeted interventions to improve access to healthcare facilities for diabetic patients and to reduce the financial impact of transport costs when seeking healthcare. This is particularly important for the achievement of universal health coverage in South Africa. en
dc.format.medium Print en
dc.subject DIABETES en
dc.subject PUBLIC HEALTH CARE SYSTEM en
dc.title Incidence, socio-economic inequalities and determinants of catastrophic health expenditure and impoverishment for diabetes care in South Africa: a study at two public hospitals in Tshwane en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 18 en
dc.BudgetYear 2019/20 en
dc.ResearchGroup Research Use and Impact Assessment en
dc.SourceTitle International Journal for Equity in Health en
dc.ArchiveNumber 10921 en
dc.PageNumber Online en
dc.outputnumber 9997 en
dc.bibliographictitle Mutyambizi, C., Pavlova, M., Hongoro, C., Booysen, F. & Groot, W. (2019) Incidence, socio-economic inequalities and determinants of catastrophic health expenditure and impoverishment for diabetes care in South Africa: a study at two public hospitals in Tshwane. <i>International Journal for Equity in Health</i>. 18:Online. en
dc.publicationyear 2019 en
dc.contributor.author1 Mutyambizi, C. en
dc.contributor.author2 Pavlova, M. en
dc.contributor.author3 Hongoro, C. en
dc.contributor.author4 Booysen, F. en
dc.contributor.author5 Groot, W. en


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