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Table 2 Care seeking and associated costs at first provider (those who were sick)

From: Making free public healthcare attractive: optimizing health equity funds in Cambodia

 

HoHEF

N (%)

N = 411

CHEF

N (%)

N = 450

iSHPS

N (%)

N = 1153

HoHEF vs CHEF

CHEF vs iSHPS

HoHEF vs iSHPS

Sought care at

Cluster adjusted Chi square < 0.001

 Health centre

34 (8.3)

130 (29.0)

559 (48.7)

   

 Public hospital

21 (5.1)

47 (10.5)

80 (7.0)

   

 Private facility

209 (50.8)

161 (36.0)

337 (29.3)

   

 Non-medical

147 (35.8)

110 (24.6)

172 (15.0)

   

 Total who went public

55 (13.4)

177 (39.5)

639 (55.7)

   

Use of IDPoor card

Cluster adjusted Chi square < 0.001

 Health centre

19 (55.8)

121 (93.0)

422 (75.5)

   

 Hospital

9 (42.8)

29 (61.7)

40 (50.0)

   

 Any public facility

28 (50.9)

150 (84.7)

462 (72.3)

   

Distance to provider in km [SD]

p-value*

 Health centre

1.7 [2.5]

5.4 [7.9]

3.4 [4.1]

< 0.001

0.007

0.001

 Public hospital

16.8 [14.5]

35.3[21.9]

19.9 [23.3]

0.001

0.001

NS

 Private facility

3.1 [9.5]

9.7 [12.3]

4.7 [9.0]

< 0.001

< 0.001

0.001

 Non-medical

1.1 [1.1]

2.5 [5.3]

1.4 [2.8]

NS

NS

NS

 Average per facility

2.8 [8.1]

8.9 [14.2]

4.5 [9.1]

< 0.001

0.001

< 0.001

Direct medical cost in US$ [SD]

 Health centre

1.6 [5.4]

3.1 [32.9]

0.08 [0.9]

< 0.001

NS

< 0.001

 Public hospital

27.4 [45.3]

25.0 [60.3]

16.9 [57.7]

NS

NS

NS

 Private facility

32.1 [64.0]

30.4 [46.6]

20.5 [33.3]

0.05

0.001

NS

 Non-medical

3.3 [4.7]

6.4 [16.5]

3.4 [6.8]

NS

NS

NS

 Average per patient

19.1 [48.9]

15.9 [40.9]

7.7 [25.4]

< 0.001

< 0.001

< 0.001

Direct non-medical cost in US$ [SD]

 Health centre

0.3 [0.4]

0.9 [1.5]

0.3 [1.6]

NS

< 0.001

NS

 Public hospital

4.7 [4.8]

11.4 [15.4]

5.4 [7.1]

NS

NS

NS

 Private facility

0.6 [1.4]

2.6 [6.4]

1.1 [2.5]

< 0.001

0.001

0.014

 Non-medical

0.14 [0.3]

1.2 [7.0]

0.14 [0.4]

NS

NS

NS

 Average per patient

0.6 [1.8]

2.7 [7.8]

0.9 [2.9]

< 0.001

< 0.001

1.0

Average total cost in US$ [SD]

19.7 [49.2]

18.6 [64.3]

8.6 [26.3]

0.014

< 0.001

< 0.001

   Initiates care at public facilities

13.4

12.6

3.1

NS

< 0.001

0.001

   Initiates care at private facilities

20.6

19.5

15.5

NS

NS

NS

  1. NS not significant, SD standard deviation; * Bonferroni–Dunn post hoc test for multiple comparison after cluster adjusted Kruskal Wallis test