Measuring the economic burden for TB patients in the End TB Strategy and Universal Health Coverage frameworks
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Pedrazzoli, D.; Borghi, J.; Viney, Kerri; Houben, R. M.; Lönnroth, K.
Description
Tuberculosis (TB) is a disease of poverty. Ensuring access to health care without the risk of financial hardship due to out-of-pocket health care expenditures (Universal Health Coverage [UHC]) is essential for providing accessible care to underprivileged populations, but this is not enough. The End TB Strategy promotes both patient-centred TB services and social protection measures, which aim to mitigate the economic hardship faced by TB patients and their households due to direct medical and...[Show more]
dc.contributor.author | Pedrazzoli, D. | |
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dc.contributor.author | Borghi, J. | |
dc.contributor.author | Viney, Kerri | |
dc.contributor.author | Houben, R. M. | |
dc.contributor.author | Lönnroth, K. | |
dc.date.accessioned | 2019-11-19T01:22:51Z | |
dc.date.available | 2019-11-19T01:22:51Z | |
dc.identifier.issn | 1027-3719 | |
dc.identifier.uri | http://hdl.handle.net/1885/186357 | |
dc.description.abstract | Tuberculosis (TB) is a disease of poverty. Ensuring access to health care without the risk of financial hardship due to out-of-pocket health care expenditures (Universal Health Coverage [UHC]) is essential for providing accessible care to underprivileged populations, but this is not enough. The End TB Strategy promotes both patient-centred TB services and social protection measures, which aim to mitigate the economic hardship faced by TB patients and their households due to direct medical and non-medical expenditures, as well as to lost income. The strategy includes a target that no families should face catastrophic total costs due to TB. The indicator linked to this target aims to capture the total economic burden linked to TB care, and thus differs from the ‘catastrophic expenditure on health' indicator, a key component of the UHC monitoring framework aligned with the Sustainable Development Goals. Countries, and particularly high TB burden countries, are expected to conduct nationally representative TB patient cost surveys to establish baseline measurements for the catastrophic costs indicator. Findings from these surveys should also help identify entry points for developing policies to ensure better financial and social protection for TB patients. In this paper, we define the key measurable concepts for TB patient cost surveys, notably the types of costs that are captured, and related affordability measures. We discuss methods for measuring these notions in the UHC framework and contrast them with how they are measured in TB patient cost surveys. | |
dc.description.sponsorship | DP and RH are funded by the United States Agency for International Development (USAID) through TREAT-TB grant GHN-A-00-08-000400. KV is supported by a Sidney Sax Early Career Fellowship from the Australian National Health and Medical Research Council, Canberra ACT, Australia (GNT1121611). | |
dc.format.mimetype | application/pdf | |
dc.language.iso | en_AU | |
dc.publisher | International Union against Tuberculosis and Lung Disease | |
dc.rights | © 2019 The Union | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.source | International Journal of Tuberculosis and Lung Disease | |
dc.subject | TB | |
dc.subject | patient costs | |
dc.subject | financial protection | |
dc.subject | affordability | |
dc.title | Measuring the economic burden for TB patients in the End TB Strategy and Universal Health Coverage frameworks | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 23 | |
dcterms.dateAccepted | 2018-08-23 | |
dc.date.issued | 2019-01-01 | |
local.identifier.absfor | 111711 - Health Information Systems (incl. Surveillance) | |
local.identifier.absfor | 110309 - Infectious Diseases | |
local.identifier.absfor | 111706 - Epidemiology | |
local.identifier.ariespublication | u3102795xPUB663 | |
local.publisher.url | https://www.ingentaconnect.com | |
local.type.status | Published Version | |
local.contributor.affiliation | Pedrazzoli, D., London School of Hygiene & Tropical Medicine | |
local.contributor.affiliation | Borghi, J., London School of Hygiene & Tropical Medicine | |
local.contributor.affiliation | Viney, Kerri, College of Health and Medicine, ANU | |
local.contributor.affiliation | Houben, R. M., London School of Hygiene & Tropical Medicine | |
local.contributor.affiliation | Lönnroth, K., Karolinska Institutet | |
dc.relation | http://purl.org/au-research/grants/nhmrc/GNT1121611 | |
local.bibliographicCitation.issue | 1 | |
local.bibliographicCitation.startpage | 5 | |
local.bibliographicCitation.lastpage | 11 | |
local.identifier.doi | 10.5588/ijtld.18.0318 | |
local.identifier.absseo | 920207 - Health Policy Economic Outcomes | |
local.identifier.absseo | 920206 - Health Inequalities | |
local.identifier.absseo | 920109 - Infectious Diseases | |
dc.date.updated | 2019-05-12T08:17:55Z | |
local.identifier.scopusID | 2-s2.0-85060388112 | |
dcterms.accessRights | Open Access | |
dc.provenance | This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
dc.rights.license | Creative Commons Attribution License | |
Collections | ANU Research Publications |
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