In and out: user fees and other unfortunate events during hospital admission and discharge

Castro, Arachu

doi:10.1590/s0102-311x2008000500026

Cited by 7 publications

(5 citation statements)

References 3 publications

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“…Sometimes patients are deserted inside hospitals by their families, and unclaimed corpses discarded in anonymous graves. [2][3][4][5][6][7] Detention of patients infringe numerous international human rights. 2,[8][9][10][11][12] The Universal Declaration of Human Rights consists of 30 articles which are elaborated in 9 core international human rights treaties.…”

Section: Hospital Detention Practicesmentioning

confidence: 99%

“…Figure and Table 1 show evidence of HDP per continent. [2][3][4]6,7, HDP have most frequently been reported in Africa, Asia and South-America. Yet, accounts come from the European and North-American continent as well.…”

Section: Evidence Of Hospital Detention Practices Worldwidementioning

confidence: 99%

“…Neither from its committees of experts that should monitor the implementation of signed treaties, nor from its Special Rapporteurs and Working Groups. 4,8,9 Condemnation of HDP by this important institute however is imperative. Their treaty-based and charter-based monitoring bodies must start to investigate and report on HDP.…”

Section: Discoursementioning

confidence: 99%

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Global Problem of Hospital Detention Practices

Handayani

Sijbranda²,

Westenberg³

et al. 2020

Int J Health Policy Manag

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Although an official definition by the World Health Organization (WHO) or any other authority is currently lacking, hospital detention practices (HDP) can be described as: "refusing release of either living patients after medical discharge is clinically indicated or refusing release of bodies of deceased patients if families are unable to pay their hospital bills. " Reports of HDP are very scarce and lack consistent terminology. Consequently, the problem's scale is unknown. This study aimed to find evidence of HDP worldwide, explore characteristics of HDP reports, and compare countries with or without reports. PubMed and Google were examined for relevant English, Spanish, and French publications up to January 2019. Of 195 countries, HDP reports were found in 46 countries (24%) in Africa, Asia, South-America, Europe, and North-America. Most reports were published by journalists in newspapers. In most countries reports concern living adults and children who are imprisoned in public hospitals. A majority (52%) of reports were of individuals detained for at least a month. Almost all countries, with or without HDP reports, have signed the Universal Declaration of Human Rights. Countries with reported HDP have larger population size (P < .001), worse Corruption Perception Index score (P = .025), higher out-of-pocket expenditure (P = .024), lower Universal Health Coverage Index score (P = .015), and worse Press Freedom Index score (P = .012). We conclude that HDP are more widespread than currently acknowledged. Urgent intervention by stakeholders is required to stop HDP.

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Section: Hospital Detention Practicesmentioning

confidence: 99%

Section: Evidence Of Hospital Detention Practices Worldwidementioning

confidence: 99%

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Global Problem of Hospital Detention Practices

Handayani

Sijbranda²,

Westenberg³

et al. 2020

Int J Health Policy Manag

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“…In several countries notionally universal entitlements to public health services have been progressively undermined by the introduction of user fees. The overall extent of charging patients for access to these services is unclear, as fees are often levied on an ‘unofficial’ basis and much is left to the discretion of individual hospitals (Lloyd‐Sherlock and Novick 2001; Castro 2008). In some cases, patients have been denied access to care before up‐front payments or have been detained in hospitals until they have paid their fees.…”

Section: Health Carementioning

confidence: 99%

Social Policy and Inequality in Latin America: A Review of Recent Trends

Lloyd‐Sherlock¹

2009

Soc Policy Adm

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Abstracts pol_667 347..363Most Latin American countries have extensive social policies which absorb high levels of state spending. Despite this, Latin America continues to suffer from high levels of inequality in terms of income and access to basic services. This article explores this apparent paradox. It focuses on three aspects of social policy in the region: patterns of resource allocation, the distribution of welfare entitlements and differing capacities to take advantage of these entitlements. It applies this framework to study the distributional effects of education, health and social security policies, paying particular attention to recent changes and developments. The article shows that these three factors combine in various ways to benefit higher-income groups and exclude the poor. Recent changes have marginally improved provision for low-income groups, but the fundamentally inegalitarian nature of social policy in the region remains largely unchanged and unchallenged.

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“…4 Hospital detention has been reported by human rights organizations, clinicians, journalists and laypeople in Africa, Asia, Latin-America and Eastern-Europe. 1–7 These reports concern patients of all ages with acute conditions (e.g., emergency care for road accident victims, women with birth complications) and chronic diseases (e.g., cancer, HIV/AIDS).…”

mentioning

confidence: 99%