Skip to main content


Economic Burden of Healthcare in Salem District

Issue Abstract

Abstract
They experience a higher burden of certain communicable and non-communicable diseases than the national average and also have poor conditions of healthcare infrastructure. Against this backdrop, the present study aimed to examine the economic burden of healthcare in the Salem District. Specific objectives are firstly to study trends in the utilization of healthcare services in the Salem district and their determinants. Secondly, to analyze the public and private healthcare expenditure pattern in Salem district. Thirdly, to study the healthcare expenditure burden on Salem District households. According to the study's findings, the overall prevalence of the disease has reduced, though the proportion of infectious diseases has remained highest among the prevalent diseases over time. Though reduced over time, the bulk of infectious diseases is still higher in rural areas than urban areas. In contrast, most noncommunicable and other conditions are higher in metropolitan areas than in rural areas. Moreover, the rural-urban gap has reduced over time for infectious diseases and increased for non-communicable and other conditions. Utilizing healthcare services for these diseases has increased for both outpatient and inpatient care in rural and urban areas over time. This study provides some insight into the economic burden of healthcare in Salem District.
Key Words: Economic burden, Non-communicable diseases, Utilization, Healthcare
expenditure.


Author Information
I. Kokila
Issue No
6
Volume No
5
Issue Publish Date
05 Jun 2023
Issue Pages
1-6

Issue References

References 
1. Ager, A., & Pepper, K. (2005). Patterns of Health Service Utilization and Perceptions of Needs and Services in Rural Orissa. Health Policy and Planning, 20(3), 176–184.
2. Azhar, G., Amir, A., Khalique, N., & Khan, Z. (2011). A Study of Determinants of Use of Healthcare Services in India. International Journal of Medicine and Public Health, 1(3), 62–66.
3. Berman, P., Ahuja, R., Bhandari, L., & Berman; L Bhandari; P Ahuja R. (2010). The Impoverishing Effect of Healthcare Payments in India: New Methodology and Findings. Economic & Political Weekly, XLV(16), 65–71.
4. Bhabesh, S., & Himanshu, S. R. (2007). Determinants of Household Health Expenditure: Case of Urban Orissa.
5. Chakrabarti, A., & Shankar, A. (2015). Determinants of Health Insurance Penetration in India: An Empirical Analysis. Oxford Development Studies, 43(3), 379–401.
6. Chillimuntha, A. K., Thakor, K. R., & Mulpuri, J. S. (2013). Review Article Disadvantaged Rural Health – Issues and Challenges : a Review. National Journal of Medical Research, 3(1), 80–82.
7. Das, T., & Guha, P. (2017). Direction of Uneven Health-Care Expenditure: Evidence from Northeast India. Indian J Public Health, 61, 81–85.

8. Dikid, T., Jain, S. K., Sharma, a., Kumar, a., & Narain, J. P. (2013). Emerging & re-emerging infections in India: An overview. Indian Journal of Medical Research, 138(JUL 2013), 19–31.
9. Ghimire, L., Smith, W. S., & Teijlingen, E. V. (2011). Utilisation of sexual health services by female sex workers in Nepal. BMC Health Services Research, 11(79), 1–8. Gupta, R., & Gupta, S. (2017). Hypertension in India : Trends in Prevalence , Awareness , Treatment and Control. RUHS Journal of Health Science, 2(1), 40–46.
10. Hitiris, T., & Posnett, J. (1992). The determinants and effects of health expenditure in Developed countries. Journal of Health Economics, 11, 173–181.
11. Nair, V. M., Thankappan, K. R., Vasan, R. S., & Sarma., P. S. (2004). Community Utilisation of Subcentres in Primary Health Care–An Analysis of Determinants in Kerala. Indian Journal of Public Health, 48(1), 17–20.
12. Qadeer, I. (2011). The challenge of building rural health services. Indian Journal of Medical Research, 134(5), 591–593.
13. Rahman, T. (2008). Determinants of public health expenditure: some evidence from Indian states. Applied Economics, 15(11), 853–857.
14. Sarma, S. (2009). Demand for Outpatient Healthcare, Empirical Findings from Rural India. Applied Health Economics and Health Policy, 7(4), 265–277.