Table 5.
Independent variable (Andersen’s Behavioral Model) | Binary logistic regression model 2: catastrophic expenditure (of inpatient department) | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
CBHI | NHI | |||||||||
2013 (controlling insurance status) | 2013 | 2016 (controlling insurance status) | 2016 | 2018 | ||||||
Nagelkerke R2 0.594 |
Nagelkerke R2 0.583 |
Nagelkerke R2 0.635 |
Nagelkerke R2 0.415 |
Nagelkerke R2 0.301 |
||||||
OR | P value | OR | P value | OR | P value | OR | P value | OR | P value | |
Predisposing factors | ||||||||||
Gender | ||||||||||
Male | ||||||||||
Female | 1.990 | 0.368 | 2.012 | 0.453 | 0.838 | 0.804 | 0.743 | 0.795 | 0.662 | 0.601 |
Age | ||||||||||
18–35 | ||||||||||
36–49 | 0.314 | 0.304 | 0.543 | 0.651 | 0.287 | 0.146 | 0.362 | 0.154 | 1.223 | 0.211 |
50 or above | 0.140 | 0.089 | 0.156 | 0.094 | 0.039 | 0.007 | 0.123 | 0.078 | 0.803 | 0.457 |
Marital status | ||||||||||
Single | ||||||||||
Married | 1.648 | 0.687 | 1.431 | 0.541 | 1.572 | 0.524 | 1.659 | 0.573 | 0.643 | 0.144 |
Educational status | ||||||||||
Never attended school | ||||||||||
Primary school | 0.779 | 0.818 | 0.631 | 0.756 | 0.245 | 0.094 | 0.346 | 0.097 | 0.943 | 0.505 |
Lower secondary school or higher | 0.114 | 0.045 | 0.124 | 0.056 | 0.522 | 0.472 | 0.542 | 0.871 | 1.156 | 0.792 |
Size of household | ||||||||||
Small (1–4 people) | ||||||||||
Large (more than 5 people) | 1.978 | 0.364 | 2.142 | 0.534 | 1.026 | 0.970 | 1.042 | 0.879 | 0.946 | 0.836 |
Enabling factors | ||||||||||
Income level | ||||||||||
Less than 1 million LAK (US$120) | ||||||||||
1 million (US$120) to 2.5 million LAK (US$300) | 0.049 | 0.000* | 0.056 | 0.001* | 0.030 | 0.000* | 0.056 | 0.002* | 1.166 | 0.894 |
2.5 million LAK (US$300) or more | 0.034 | 0.019* | 0.04 | 0.003* | 0.012 | 0.000* | 0.045 | 0.000* | 1.117 | 0.900 |
Insurance status | ||||||||||
No – uninsured | ||||||||||
Yes – Insured | 0.426 | 0.277 | 0.037 | 0.000* | ||||||
Need factors | ||||||||||
Chronic condition | ||||||||||
No | ||||||||||
Yes | 4.306 | 0.067 | 6.102 | 0.083 | 0.622 | 0.568 | 0.75 | 0.780 | 8.695 | 0.000* |
* Statistically significant at 95% confidence interval