Journal Press India^®

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The study explores the impact of access to public healthcare facilities on out-of-pocket (OOP) healthcare expenditure among poor populations. The study aims to understand whether improved access to public healthcare services can alleviate the financial burden on economically disadvantaged urban populations. By analyzing data from national health surveys and literature present, the study directs to understand the barriers and and out-of-pocket healthcare expenditure faced by the poor and vulnerable population in accessing public healthcare services. The findings indicate that improved access to public healthcare significantly reduces OOP healthcare expenses, leading to enhanced financial stability and better health outcomes for the poor. The study recommends for a comprehensive approach to public healthcare that aligns with the principles of justice and equality enshrined in the Indian constitution. The paper supports for a shift in mindset among policymakers and healthcare providers to better serve the demands of the most vulnerable population of India.

Keywords

Public healthcare facilities; OOP expenditure; Healthcare expenditure; Vulnerable population; Access to healthcare

1. Balarajan, Y., Selvaraj, S., & Subramanian, S. V. (2011). Health care and equity in India. The Lancet, 377(9764), 505-515.
2. Buriro, S. A., Muhammad, S., Rtd, M. M. P., Channar, H. B., Memon, S. A., & Chandio, I. (2023). Analysis of infectious communicable and non-communicable diseases in Pakistan: A systematic review. Journal of Population Therapeutics and Clinical Pharmacology, 30(18), 2207-2217.
3. Chatterjee, S., & Laha, A. (2016). Association between public health care access and financing of health infrastructure in India: An interstate analysis. Journal of Health Management, 18(2), 258-273.
4. Dash, A., & Mohanty, S. K. (2019). Do poor people in the poorer states pay more for healthcare in India? BMC Public Health, 19, 1-17
5. Gupta, M. D. (2005). Public health in India: Dangerous neglect. Economic and Political Weekly, 5159-5165.
6. Jhunjhunwala, R. (2019). An overview of barriers to public healthcare access in India. International Journal of Social Science and Economic Research, 12(4), 7402-7409
7. National Health Accounts (2019-20). National health accounts estimates for India. Retrieved from https://nhsrcindia.org/sites/default/files/2023-04/National%20Health%20 Accounts-2019-20.pdf
8. O’Donnell, O., Van Doorslaer, E., Rannan-Eliya, R. P., Somanathan, A., Adhikari, S. R., Akkazieva, B., & Zhao, Y. (2008). Who pays for health care in Asia? Journal of Health Economics, 27(2), 460-475.
9. Onah, M. N., & Govender, V. (2014). Out-of-pocket payments, health care access and utilisation in south-eastern Nigeria: A gender perspective. PLoS One, 9(4), e93887.
10. Palozzi, G., Schettini, I., & Chirico, A. (2020). Enhancing the sustainable goal of access to healthcare: Findings from a literature review on telemedicine employment in rural areas. Sustainability, 12(8), 3318.
11. Peters, D. H. (Ed.). (2002). Better health systems for India's poor: Findings, analysis, and options. World Bank Publication, 236-237.
12. Reddy, K. S., Patel, V., Jha, P., Paul, V. K., Kumar, A. S., & Dandona, L. (2011). Towards achievement of universal health care in India by 2020: A call to action. The Lancet, 377(9767), 760-768.
13. Richard, L., Furler, J., Densley, K., Haggerty, J., Russell, G., Levesque, J. F., & Gunn, J. (2016). Equity of access to primary healthcare for vulnerable populations: the IMPACT international online survey of innovations. International Journal for Equity in Health, 15, 1-20.
14. Rubina, T. A. L., & Ahmed, A. (2024). Exploring Barriers to Healthcare Access in Rural Hyderabad. Migration Letters, 21(S5), 2227-2237.
15. Viramgami, A., Upadhyay, K., & Balachandar, R. (2020). Catastrophic health expenditure and health facility access among rural informal sector families. Clinical Epidemiology and Global Health, 8(4), 1325-1329.