OBJECTIVE To compare perceived quality of maternal and newborn care using quantitative and qualitative methods. DESIGN A continuous household survey (April 2011 to November 2013) and in-depth interviews and birth narratives. SETTING Tandahimba district, Tanzania. PARTICIPANTS Women aged 13-49 years who had a birth in the previous 2 years were interviewed in a household survey. Recently de...

OBJECTIVE We report inequity in out-of-pocket payments (OOPP) for hospitalisation in India between 1995 and 2014 contrasting older population (60 years or more) with a population under 60 years (younger population). METHODS We used data from nationwide healthcare surveys conducted in India by the National Sample Survey Organisation in 1995-96, 2004 and 2014 with the sample sizes ranging from ...

opportunity to fundamentally change the way health benefits are structured, and to reframe the national debate on healthcare to focus on the value of health services—not on cost or quality alone. In a VBID benefit, cost sharing is still utilized, but a “clinically sensitive” approach is explicitly designed to mitigate the adverse health consequences of high out-of-pocket expenditures. By aligni...

OBJECTIVE To explore what happened to poor women in Bangladesh once they reached a hospital providing comprehensive emergency obstetric care (EmOC) and to identify support mechanisms. DESIGN Mixed methods qualitative study. SETTING Large government medical college hospital in Bangladesh. SAMPLE Providers and users of EmOC. METHODS Ethnographic observation in obstetrics unit including in...

OBJECTIVE To examine medical and mental health care expenditures for large numbers of individuals with diabetes enrolled in employment-sponsored insurance plans. RESEARCH DESIGN AND METHODS Health insurance billing data for approximately 1.3 million individuals enrolled in health insurance plans sponsored by 862 large self-insured employers nationwide were used to examine employer expenditure...

This study explored catastrophic health expenditure in China, due to out-of-pocket payments for dental care, and its associated individual- and contextual-level factors. We pooled data from 31,566 adults who participated in the third National Oral Health Survey with province-level data from different sources. We defined catastrophic dental health expenditure (CDHE) as payments for dental servic...

The Commonwealth Fund Survey of Older Adults reveals that adults ages 50 to 70 who rely on the individual insurance market for health coverage pay much higher premiums than their counterparts with employer coverage or Medicare. The survey found that in 2004, more than half (54%) of older adults with individual coverage spent $3,600 or more annually on premiums. A quarter (26%) spent $6,000 or m...

BACKGROUND During the last two decades, the trend of out-of-pocket payments (OOP) for health services by Iranian households has been a matter of concern and it has exposed a significant proportion of them to catastrophic and impoverishing health expenditures. OBJECTIVES The current study aimed to investigate three objectives: First, the mean of out-of-pocket payments among Iranian households ...