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Appendix Table 10 Key variables means and concentration indices, annual measures and differences testing for households with healthcare needs or consumption. Source: authors calculations

From: Revisiting a decade of inequality in healthcare financial burden in Cambodia, 2009–19: trends, determinants and decomposition

   

Annual measure

Differences

   

Survey year

Survey years compared

Variable

Unit

Statistic

2009

2014

2019

2014vs2009

2019vs2014

2019vs2009

Excessive financial burden from healthcare (EFB) incidence in the last 30 days

 At 10% of consumption, excluding out-of-pocket expenditure

Percentage of HHs

Mean

22.90%**

25.33%**

31.51%**

2.44%**

6.18%**

8.61%**

 

(Conc.Index)

(-0.037**)

(-0.112**)

(-0.148**)

(-0.075**)

(-0.036*)

(-0.111**)

 At 25% of consumption, excluding out-of-pocket expenditure

Percentage of HHs

Mean

9.23%**

10.00%**

12.82%**

0.77%#

2.81%**

3.58%**

 

(Conc.Index)

(-0.020**)

(-0.056**)

(-0.089**)

(-0.036**)

(-0.033**)

(-0.069**)

Consumption

 Consumption excl. out-of-pocket health expenditure (EXP)

INT$(2011)

Mean

725.48**

984.77**

1,461.34**

259.29**

476.57**

735.86**

 

Median

542.78**

802.50**

1,169.30**

259.72**

366.80**

626.52**

 

(Conc.Index)

(0.298**)

(0.249**)

(0.269**)

(-0.048**)

(0.019)

(-0.029)

Out-of-pocket health expenditure (OOPHE)

 OOPHE as a percentage of EXP

Percent of EXP

Mean

10.61%**

11.72%**

13.49%**

1.11%*

1.77%**

2.88%**

 

Median

2.77%

3.20%

4.53%

0.43%

1.33%

1.76%

 Out-of-pocket health expenditure (OOPHE), excluding transportation

INT$(2011)

Mean

63.77**

103.23**

161.47**

39.46**

58.24**

97.70**

 

Median

15.61

27.14

55.65

11.54

28.50

40.04

 

(Conc.Index)

(0.163**)

(0.122*)

(0.126**)

(-0.042#)

(0.005)

(-0.037)

 Out-of-pocket health expenditure (OOPHE), including transportation

INT$(2011)

Mean

71.23**

114.89**

176.36**

43.66**

61.47**

105.13**

 

Median

19.00

33.93

67.86

14.93

33.93

48.86

 

(Conc.Index)

(0.163**)

(0.118*)

(0.128**)

(-0.045*)

(0.010)

(-0.036)

OOPHE by financing source

 Income-financed OOPHE, including transportation

INT$(2011)

Mean

 

62.30**

117.67**

 

55.37**

 
 

Median

 

10.18

30.54

 

20.36

 
 

(Conc.Index)

 

(0.170**)

(0.196**)

 

(0.026)

 

 Savings-financed OOPHE, including transportation

INT$(2011)

Mean

 

25.83**

40.05**

 

14.22**

 
 

Median

 

0.00

0.00

 

0.00

 
 

(Conc.Index)

 

(0.093)

(0.068)

 

(-0.025)

 

 Borrowing-financed OOPHE, including transportation

INT$(2011)

Mean

 

17.68**

10.67**

 

-7.01

 
 

Median

 

0.00

0.00

 

0.00

 
 

(Conc.Index)

 

(-0.023)

(-0.204**)

 

(-0.181)

 

 Selling-assets- and-production-financed OOPHE, including transportation

INT$(2011)

Mean

 

5.68**

3.31**

 

-2.36

 
 

Median

 

0.00

0.00

 

0.00

 
 

(Conc.Index)

 

(0.003)

(0.010)

 

(0.006)

 

 Other-and-unreported-financed OOPHE, including transportation

INT$(2011)

Mean

 

3.41**

4.66**

 

1.25

 
 

Median

 

0.00

0.00

 

0.00

 
 

(Conc.Index)

 

(0.287)

(-0.248*)

 

(-0.535*)

 

Social health protection coverage and free healthcare

 HEF or Priority Access Card holding

Percentage of HHs

Mean

1.95%**

12.82%**

12.07%**

10.87%**

-0.75%

10.12%**

 

(Conc.Index)

(-0.031**)

(-0.255**)

(-0.231**)

(-0.224**)

(0.024)

(-0.200**)

 Free healthcare in the last 12 months (unspecified)

Percentage of HHs

Mean

5.47%**

11.04%**

12.10%**

5.57%**

1.06%#

6.64%**

 

(Conc.Index)

(-0.091**)

(-0.205**)

(-0.117**)

(-0.114**)

(0.088**)

(-0.026)

 Free healthcare in the last 12 months (from Health Equity Fund, HEF)

Percentage of HHs

Mean

3.30%**

6.98%**

4.94%**

3.68%**

-2.04%**

1.65%

 

(Conc.Index)

(-0.057**)

(-0.137**)

(-0.099**)

(-0.080**)

(0.037**)

(-0.042*)

 Free healthcare in the last month (unspecified)

HH members

Mean

0.06**

0.06**

0.08**

0.00

0.02**

0.02**

 

(Conc.Index)

(-0.085**)

(-0.232**)

(-0.132**)

(-0.147**)

(0.100#)

(-0.047)

Liabilities

 Liabilities (loans), overall, unspecified

INT$(2011)

Mean

703.06**

1,518.35**

6,107.63**

815.29**

4,589.28**

5,404.57**

 

(Conc.Index)

(0.243**)

(0.323**)

(0.351**)

(0.080)

(0.028*)

(0.109**)

 Liabilities (loans), illness-related

INT$(2011)

Mean

45.54**

89.77**

159.81**

44.23**

70.04*

114.27**

 

(Conc.Index)

(-0.181)

(-0.031)

(0.007)

(0.151)

(0.037)

(0.188)

Healthcare needs in the last 30 days

 Illness/injury reported

HH members

Mean

1.45**

1.33**

1.28**

-0.13

-0.04**

-0.17

 

(Conc.Index)

(0.014)

(0.009**)

(0.000**)

(-0.005*)

(-0.009)

(-0.014*)

 Long (chronic—> 1 year) illness

HH members

Mean

0.29**

0.26**

0.40**

-0.03

0.14**

0.10**

 

(Conc.Index)

(0.064*)

(0.069)

(0.041)

(0.004)

(-0.028)

(-0.023#)

 Non-illness-related care needs

HH members

Mean

0.38**

0.36**

0.52**

-0.03

0.17**

0.14**

 

(Conc.Index)

(0.033)

(0.034)

(0.100**)

(0.001)

(0.066**)

(0.067)

Healthcare seeking in the last 30 days

 Healthcare visits

Visits

Mean

2.90**

2.34**

2.09**

-0.57**

-0.25

-0.81**

 

(Conc.Index)

(0.020)

(0.011**)

(0.020*)

(-0.009#)

(0.009)

(0.000)

 Healthcare for illness/injury sought

HH members

Mean

1.15**

1.28**

1.23**

0.14**

-0.05**

0.09**

 

(Conc.Index)

(0.013)

(0.008**)

(0.001**)

(-0.005#)

(-0.008)

(-0.012*)

 Medical healthcare sought

HH members

Mean

1.09**

1.15**

1.22**

0.05*

0.07**

0.12**

 

(Conc.Index)

(0.066**)

(0.021*)

(0.016**)

(-0.045**)

(-0.005)

(-0.049**)

 Hospitalizations

HH members

Mean

 

0.08**

0.11**

 

0.03**

 
 

(Conc.Index)

 

(-0.026*)

(-0.058**)

 

(-0.032)

 

Disease impairment in the last 30 days

 Activity days stopped because of illness/injury

Days

Mean

2.42**

1.59**

1.49**

-0.83**

-0.10

-0.93**

 

(Conc.Index)

(-0.037*)

(-0.044**)

(-0.099**)

(-0.007)

(-0.055)

(-0.062#)

Catastrophic health expenditure (CHE) in the last 30 days

 At 40% of national capacity-to-pay [WHO method]

Percentage of HHs

Mean

10.62%**

9.72%**

13.36%**

-0.90%

3.64%**

2.74%**

 

(Conc.Index)

(-0.060**)

(-0.077**)

(-0.113**)

(-0.017#)

(-0.036**)

(-0.053**)

  1. Results of statistical testing are marked according to the test’s P-value: **P-value < 0.01; *P-value < 0.05; and, #P-value < 0.1