Background In planning for universal health coverage, many countries have been examining their fiscal decentralization policies with the goal of increasing efficiency and equity via “additionalities.” The concept of “additionality,” when the government of a lower administrative level increases the funding allocated to a particular issue when extra funds are present, is often used in these...

Abstract How has public healthcare spending prepared countries for tackling the COVID-19 pandemic? Arguably, is primary policy tool of governments providing effective health. We argue that effectiveness reducing COVID deaths conditional on existence equity and lower political corruption because health sector particularly susceptible to spending. Our results, obtained using ordinary least square...

Medication nonadherence is a public health epidemic. Numerous studies evaluating a wide variety of drugs and conducted in varied healthcare settings have described the consistent nature of this problem.1 Hypertension is no exception: Almost half of patients become nonadherent to their antihypertensive medication within 1 year of initiating therapy.2 Although difficult to quantify precisely,3 th...

OBJECTIVES To examine trends in out-of-pocket spending and the financial burden of care for persons with diabetes between 2001 and 2009, and to examine whether these trends are consistent with trends in access to prescription drugs and utilization of hospital services. STUDY DESIGN AND METHODS Data are from the 2001 to 2009 Medical Expenditure Panel Survey (MEPS). The sample includes persons ...

d t e r t b a c 1 As of 2010, health care–related expenditures in the U.S. totaled some $2.6 trillion (17.9% of the gross domestic product [GDP]). Year after year, ealthcare spending rises at double the rate of overall DP growth, and total healthcare spending growth conistently outpaces overall inflation. This exuberant rowth would be welcome if health care were thriving ecause of its effıcienc...

OBJECTIVE Up to 50% of pregnancies are unintended in the United States, and the healthcare costs associated with pregnancy are the most expensive among hospitalized conditions. The current study aims to assess Medicaid spending on various methods of contraception and on pregnancy care including unintended pregnancies. METHODS We analyzed Medicaid health claims data from 2004 to 2010. Women 14...

Inflammatory bowel diseases (IBDs), Crohn ́s disease (CD) and ulcerative colitis (UC) refractory to conventional treatment are treated with biologics despite their high costs. In order to allocate healthcare spending efficiently, biologics for IBDs are an important target for cost-effectiveness analyses. The aim of this study was to systemically review all published literature on the cost-effect...

Population aging is a public health problem affecting the majority of the developed world. As populations age, the incidence of degenerative diseases increases exponentially, leading to large increases in public spending on healthcare. Here we summarize recent findings on the developmental drift theory of aging, and the links that have been established between aging and the Wnt signaling pathwa...

The burden of mental, neurological, and substance use (MNS) disorders increased by 41% between 1990 and 2010 and now accounts for one in every 10 lost years of health globally [1]. Mental and brain disorders represent the greatest health burden to Europe-not only for directly affected individuals, but also for their caregivers and the wider society. They incur substantial economic costs through...

In the mid-1990s, everyone knew that health care organizations across the United States were plagued by wasteful spending. The question for Intermountain Healthcare, which serves residents of Utah and Idaho, was where to start looking for savings internally. Data analyses quickly identified the most promising targets: 104 of the 1,440 clinical conditions that Intermountain treated accounted for...