92% of rural households' hospitalisation costs are out of pocket, 77% for urban families—govt data

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New Delhi: The average out-of-pocket expenditure (OOPE) per household on hospitalisation, including institutional deliveries, in rural and urban areas stood at Rs 4,129 and Rs 5,290, respectively, from July 2022 to June 2023, according to theComprehensive Annual Modular (CAM) Survey conducted by the National Sample Survey Office under the Ministry of Statistics and Programme Implementation...

Thus, if the proportion of OOPE in total hospitalisation cost is calculated, in urban areas people spend nearly 77 percent of their in-patient care cost from their pocket, while for rural people this stands at nearly 92 percent...

While there is no OOPE data available from the 75th round of the NSS, government officials say that comparison of OOPE between 2017-18 and 2022-23 could suggest that the governments flagship health scheme Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (AB-PMJAY) and greater penetration of private health insurance may have played a significant role in bringing down OOPE for hospitalisation in the country...

Some public health specialists, however, stressed that without crucial other parameters indicating financial protection for healthcare, such as catastrophic healthcare expenditure(CHE)and the percentage of people getting pushed into poverty due to healthcare costs, the OOPE figures can be deceptive...

The latest CAMS survey also shows that average out-of-pocket medical expenditure per household in 30 days on medical services that did not require hospitalisation in rural and urban areas was Rs 539 and Rs 606, respectively...

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