BACKGROUND As healthcare spending continues to increase, medical insurance is now under great pressure of growing economic burden. To control the excessive growth of medical expenditure, change of medical payment system was clearly put forward in China's new healthcare reform. With this end, Tianjin, a large city in North China, is now exploring to replace traditional fee-for-service (FFS) with...

Health Insurance (HI) programmes in low-income countries aim to reduce the burden of out-of-pocket (OOP) health care expenditure. However, if the decisions to purchase insurance and to seek care when ill are correlated with the expected health care expenditure, the use of naïve regression models may produce biased estimates of the impact of insurance membership on OOP expenditure. Whilst many s...

BACKGROUND China is reforming the way it finances health care as it moves towards Universal Health Coverage (UHC) after the failure of market-oriented mechanisms for health care. Improving financing equity is a major policy goal of health care system during the progression towards universal coverage. METHODS We used progressivity analysis and dominance test to evaluate the financing channels ...

Introduction Chronic Kidney Disease (CKD) has significant economic impact on both patients’ households and the country. Objectives To assess the out-of-pocket (OOP) expenditure of accessing health services among CKD patients in Anuradhapura District Methods This community based cross-sectional study included a representative sample of 1174 registered CKD patients from all 19 Medical Officer...

OBJECTIVE To examine the health insurance experience and out-of-pocket health care costs of families with a child with IDDM. RESEARCH DESIGN AND METHODS A case-control study of 197 families with a child with IDDM and 142 control families with no diabetic children was conducted. IDDM-affected families were identified from the Allegheny County IDDM Registry. Brothers and sisters of the parents ...

Health insurance plans with high deductibles increase exposure to health care costs, raising concerns about how the growth in these plans may be impacting both the financial burden of health care expenditures on families and their access to health care. We find that foregoing medical care is common among low-income, privately insured families, occurring at a greater rate than those with higher ...

BackgroundComparable estimates of household health spending and out-of-pocket (OOP) payment on care in India are a daunting task. Often these provided for specific services such as maternal care, type disease, hospitalisation, outpatient an episode hospitalisation. This paper presents comprehensive comparable hospitalisation over the past 15 years.MethodsA total 73,868 households 2004, 65,932 2...