Out-of-pocket (OOP) payments have severe consequences for health care access and utilisation and are especially catastrophic for the poor. Although women comprise the majority of the poor in Nigeria and globally, the implications of OOP payments for health care access from a gender perspective have received little attention. This study seeks to fill this gap by using a combination of quantitati...

BACKGROUND The main aim of this study was to evaluate the achievements of some important goals of Iran's urban family physician plan. This plan was implemented when the country experienced economic instability. We examine whether an economic crisis affects the efficacy of a healthcare program. METHODS We used the household income and expenditures survey data for 2011 (before program implement...

More than 30 million people in the U.S. have diabetes, and approximately 7.4 (30% of those with diabetes) regularly use one or more insulin formulations. For who rely on it, i.e., all patients type 1 diabetes many 2 is a lifesaving medication. Between 2007 2016, average annual total Medicare Part D payment per person increased by 358%, which resulted an 81% increase for out-of-pocket (OOP) (1)....

Background Despite improvements in many health indicators, providing access to affordable healthcare remains a considerable challenge Bangladesh. Financing incidence analysis will enable an evaluation of how well the system performs achieve equity financing. The objective this study is assess burden out-of-pocket (OOP) cost on different socio-economic groups by assessing financing because OOP ...

BACKGROUND National health accounts provide useful information to understand the functioning of a health financing system. This article attempts to present a profile of the health system financing in Malawi using data from NHA. It specifically attempts to document the health financing situation in the country and proposes recommendations relevant for developing a comprehensive health financing ...

The paper attempts to describe catastrophic health spending and its impact to poverty in the Philippine setting. It focuses on the role of out-of-pocket payments for health care as a springboard in the analysis of measuring the magnitude and analyzing the extent of damage of catastrophic health expenditures. It also explores the scope and trends of these spending by different socioeconomic indi...

OBJECTIVE To measure the impact of China's New Cooperative Medical Scheme (NCMS) on catastrophic medical payments of rural households in Linyi County, Shandong Province. METHOD In 2005, from a stratified cluster sample of 3101 rural households, we identified 375 households that might be at risk of catastrophic payments by searching through NCMS claims and interviewing key informants. We inter...

Ms. H has Medicare due to a disability and was in a Medicare private health plan. She chose this particular plan because it had a cap on out-of-pocket payments. She discovered, however, that the cap did not always apply to her cancer treatments, and her out-ofpocket costs were higher than she had expected. Fortunately, Ms. H’s husband was starting a new job, and she was able to disenroll and ge...

Objective To investigate trends in out-of-pocket health-care payments and catastrophic health expenditure in India by household age composition. Methods We obtained data from four national consumer expenditure surveys and three health-care utilization surveys conducted between 1993 and 2014. Households were divided into five groups by age composition. We defined catastrophic health expenditur...

BACKGROUND Out-of-pocket payments can have a large impact on the demand for healthcare. They can be essential not only to decrease unnecessary service use, but also to encourage the use of particular preventive services provided free of charge or at a lower price. Moreover, out-of-pocket payments may increase the costs of unhealthy behaviour and provide incentives for a healthier lifestyle. M...