Evidence map›Paper›PMID 35073368›Full record

Trial reportPloS one2022

Out-of-pocket payment for healthcare among urban citizens in Dhaka, Bangladesh.

Abdur Razzaque Sarker, S M Zulfiqar Ali, Maruf Ahmed, S M Zahedul Islam Chowdhury, Nausad Ali

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% of its field
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  4. The financial burden of cancer: A longitudinal analysis of out-of-pocket healthcare costs in Australia (2009-2021).Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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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

5 authors at 1 institution in 1 country.

Abdur Razzaque SarkerBangladesh Institute of Development Studies, Agargaon, Dhaka, Bangladesh.ORCID 0000-0002-2022-7590
S M Zulfiqar AliBangladesh Institute of Development Studies, Agargaon, Dhaka, Bangladesh.
Maruf AhmedBangladesh Institute of Development Studies, Agargaon, Dhaka, Bangladesh.
S M Zahedul Islam ChowdhuryBangladesh Institute of Development Studies, Agargaon, Dhaka, Bangladesh.
Nausad AliBangladesh Institute of Development Studies, Agargaon, Dhaka, Bangladesh.
Bangladesh Institute of Development Studies · BD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOut-of-pocket (OOP) payment is the major payment strategy for healthcare in Bangladesh, and the share of OOP expenditure has increased alarmingly. Dhaka is recognised as one of the fastest-growing megacities in the world. The objective of this study is to capture the self-reported illnesses among urban citizens and to identify whether and to what extent socioeconomic, demographic and behavioural factors of the population influence OOP healthcare expenditures. SUBJECT AND

methodsThis study utilises cross-sectional survey data collected from May to August 2019 in urban Dhaka, Bangladesh. A total of 3,100 households were randomly selected. Simple descriptive statistics including frequencies, percentage, mean (95% CI), median and inter-quartile range were presented. Bivariate analysis and multivariate regression models were employed.

resultsWe observed that acute illnesses (e.g., fever, flu/cough) were dominant among participants. Among the chronic illnesses, approximately 9.6% of people had diabetes, while 5.3% had high/low blood pressure. The richest quintile only spent 5.2% of their household income on healthcare, while the poorest households spent approximately six times more than the richest households. We noted that various factors such as marital status, religion, source of care, access to safe water, income quintile and even the location of households had a significant relationship with OOP expenditure.

conclusionsOur findings can serve as important source of data in terms of disease- specific symptoms and out-of-pocket cost among urban citizens in Dhaka. The people belonging to wealthier households tended to choose better healthcare facilities and spend more. A pro-poor policy initiative and even an urban health protection scheme may be necessary to ensure that healthcare services are accessible and affordable, in line with the Bangladesh National Urban Health Strategy.

Indexed as

Costs and Cost AnalysisHealth ExpendituresAdolescentAdultBangladeshChildChild, PreschoolCross-Sectional StudiesFemaleHealth ServicesHumansMaleMiddle Aged

Identifiers

PMID35073368
PMCPMC8786169
OpenAlexW4206917099

What OpenQuestion holds

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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.