Evidence map›Paper›PMID 30646940›Full record

ArticleBMC research notes2019

Distribution of out of pocket health expenditures in a sub-Saharan Africa country: evidence from the national survey of household standard of living, Côte d'Ivoire.

Akissi Régine Attia-Konan, Agbaya Stéphane Serge Oga, Amadou Touré, Kouakou Luc Kouadio

Abstract read
In one paragraph

Article in BMC research notes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  12. [Human resource density and inequality in health care spending in the Americas].Revista panamericana de salud publica = Pan American journal of public health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Akissi Régine Attia-KonanDepartment of Public Health, Hydrology and Toxicology, UFR Pharmaceutical and Biological Sciences, University of Félix Houphouet Boigny, BP V34, Abidjan, Côte d'Ivoire. yaoregci@yahoo.fr.
Agbaya Stéphane Serge OgaDepartment of Public Health, Hydrology and Toxicology, UFR Pharmaceutical and Biological Sciences, University of Félix Houphouet Boigny, BP V34, Abidjan, Côte d'Ivoire.
Amadou TouréNational Institute of Statistic of Côte D'Ivoire, Abidjan, Côte d'Ivoire.
Kouakou Luc KouadioDepartment of Public Health, Hydrology and Toxicology, UFR Pharmaceutical and Biological Sciences, University of Félix Houphouet Boigny, BP V34, Abidjan, Côte d'Ivoire.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose and objective of our research is to identify the determinants of the out of pocket (OOP) health expenditures in the population of Ivory Coast and the ratios across three different area; Abidjan, the rural and urban area. We used data from the 2015 standard households living survey conducted by the National Institute of Statistic.

resultsAbout 6315 (13.3%) of the participants had experienced OOP health expenditure. There was significant differences in the self-reported OOP between these three areas (p < 0.001). The overall mean of OOP expenditure among all participants was 16,034.33 XOF (29 USD). People in Abidjan spent an average of 1.6 and 1.5 times more than those in the rural and urban areas respectively (p < 0.001). Hospitalization is the highest expenditure item in terms of money spent, while drugs are the most common item of expenditure in terms of frequency, regardless of the place of residence. Female gender, high social economic status and large household size increase OOP health expenditure significantly in all areas of residence when insurance reduce it. To reduce the impact of the direct payments there is a need to take into account social demographic factors in addition to economic factor in health policy development.

Indexed as

Family CharacteristicsSocioeconomic FactorsAdolescentAdultAgedAged, 80 and overChildChild, PreschoolCote d'IvoireFemaleHealth ExpendituresHumansInfantInfant, NewbornMaleMiddle AgedCôte d’IvoireDirect paymentHealth expenditureOut of pocket expenditure

Identifiers

PMID30646940
PMCPMC6332523

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.