OBJECTIVE To determine the incidence of - and illnesses commonly associated with - catastrophic household expenditure on health in Nepal. METHODS We did a cross-sectional population-based survey in five municipalities of Kathmandu Valley between November 2011 and January 2012. For each household surveyed, out-of-pocket spending on health in the previous 30 days that exceeded 10% of the househ...

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...

Abstract We examine how political institutions influence health expenditure by using a panel of 151 developing and developed countries for the years 2000 to 2015 four measures democracy. Our pooled OLS analysis shows that democracies have 20–30% higher government relative GDP than their autocratic counterparts. An instrumental variable approach which exploits regional diffusion democracy confir...

The southern state of Kerala, India was seriously affected by a chikungunya epidemic in 2007. As this outbreak was the first of its kind, the morbidity incurred by the epidemic was a challenge to the state's public health system. A cross sectional survey was conducted in five districts of Kerala that were seriously affected by the epidemic, using a two-stage cluster sampling technique to select...

The impact of ageing on health expenditure has recently attracted from policy makers and academics. Majority of studies, however, focus on developed countries, where health care systems are well developed. In China, where old age dependency ratio has grown faster than in most countries and the health care system has moved away from a public to a largely self-financed system, the issue of whethe...

OBJECTIVE: The purpose of this study was to evaluate the relationship of the radiological research activity from 1998 to 2007 to the gross domestic product (GDP), health expenditure and public expenditure on education. METHODS: The population-adjusted research activity determined by the number of articles published, the cumulative impact factor (IF) and the cumulative IF per capita were correl...

BACKGROUND The catastrophic health expenditure and impoverishment indices offer guidance for developing appropriate health policies and intervention programs to decrease financial inequity. This study assesses socioeconomic inequalities in catastrophic health expenditure and impoverishment in relation to self-reported non-communicable diseases (NCD) in urban Hanoi, Vietnam. METHODS A cross-se...