BACKGROUND The main goal of this study is to examine the distributions of illness conditions and resulting medical expenditures and their associated factors. To achieve this goal, an in-house survey was conducted in August of 2012 in rural Beijing, the capital city of China. RESULTS The survey was conducted in Nanjianchang and Beijianchang, which are two villages 20 KM away from Miyun, a sate...

BACKGROUND Nearly one in three Americans are financially burdened by their medical expenses. To mitigate financial distress, experts recommend routine physician-patient cost conversations. However, the content and incidence of these conversations are unclear, and rigorous definitions are lacking. We sought to develop a novel set of cost conversation definitions, and determine the impact of defi...

BACKGROUND The evidence assessing differences in medical costs between men and women with diabetes living in the United States is sparse; however, evidence suggests women generally have higher healthcare expenditures compared to men. Since little is known about these differences, the aim of this study was to assess differences in out-of-pocket (OOP) and total healthcare expenditures among adult...

INTRODUCTION The free maternal health policy was implemented in Ghana in 2008 under the National Health Insurance Scheme (NHIS). The policy sought to eliminate out of pocket (OOP) payments and enhance the utilisation of maternal health services. It is unclear whether the policy had altered OOP payments for services. The study explored views on costs and actual OOP payments during pregnancy. The...

BACKGROUND There is a global concern regarding how households could be protected from relatively large healthcare payments which are a major limitation to accessing healthcare. Such payments also endanger the welfare of households with the potential of moving households into extreme impoverishment. This paper examines the impoverishing effects of out-of-pocket (OOP) healthcare payments in Ghana...

The prevalence of hepatocellular carcinoma (HCC) is increasing in the US, which concomitantly associated with number cases cirrhosis related to chronic hepatitis C infection, as well rising diabetes, obesity, and non-alcoholic fatty liver disease. We conducted a retrospective observational analysis using administrative claims data assess healthcare economic burden patients newly diagnosed HCC t...

BACKGROUND More than 72% of health expenditure in India is financed by individual households at the time of illness through out-of-pocket payments. This is a highly regressive way of financing health care and sometimes leads to impoverishment. Health insurance is recommended as a measure to protect households from such catastrophic health expenditure (CHE). We studied two Indian community healt...

Editorial To achieve universal health insurance coverage, China has launched three phases of health care system reforms. The first round of reforms was embarked on in the mid-1980s with the introduction of market incentives. The second round began in 1997 with the introduction of the Urban Employee Basic Medical Insurance (UEBMI) scheme which provided health insurance coverage to all urban work...