Protecting households from high out-of-pocket (OOP) payments for health care is an important health system goal. High OOP payments can push households into poverty and make them vulnerable to catastrophic health expenditures. This study, based in India, aims to: (a) estimate OOP payments for health and related impoverishment across economic groups; (b) decompose OOP payments and relate the cont...

abstract: background: today one of the main problems low or middle income families face is financing healthcare costs. this article studies the methods of of financing health care costs among hospitalized diabetic patients in different types of insurances. materials & methods: this is a causal-comparative study. the variables consist of comparative (health care costs) and categorical(different ...

this study will provide detailed specification of those variables and determinants of unpredictable health expenditure in iran, and the requirements to reduce extensive effects of the factors affecting households' payments for health and other goods and services inappropriately.this study aims to identify measures of fair financing of health services and determinants of fair financing contribut...

In the employer-sponsored insurance market that covers most Americans; many workers are "underinsured." The evidence shows onerous out-of-pocket payments causing them to forgo needed care, miss work, and fall into bankruptcies and foreclosures. Nonetheless, many higher-paid workers are "overinsured": the evidence shows that in this domain, surplus insurance stimulates spending and price inflati...

BACKGROUND We estimated the personal costs to women found to have a breast problem (either breast cancer or benign breast disease) in terms of time spent, miles traveled, and cash payments made for detection, diagnosis, initial treatment, and follow-up. METHODS We analyzed data from personal interviews with 465 women from four communities in Florida. These women were randomly selected from th...

BACKGROUND Each year, 100 million people are impoverished globally as a result of expenditure on health. OBJECTIVE To assess the constraints and implications of out-of-pocket payment for health services among government employees in Abakaliki, Ebonyi State, south east Nigeria. METHOD This was a cross-sectional descriptive study. The study instrument was a pre-tested, semi-structured self ad...

BACKGROUND The cost of maternity care can be a barrier to access that may increase maternal and neonatal mortality risk. We analyzed spending on maternity care in urban slum communities in Mumbai to better understand the equity of spending and the impact of spending on household poverty. METHODS We used expenditure data for maternal and neonatal care, collected during post-partum interviews. ...

Abstract Background In 2003, Ghana implemented a National Health Insurance Scheme (NHIS) designed to promote universal health coverage and equitable access care. The scheme has largely been successful, yet it is confronted with many challenges threatening its sustainability. Out-of-pocket payments (OOP) by insured clients one of such the scheme. This study sought examine types services OOP char...

Out-of-pocket (OOP) payments are the principal means of financing health care throughout much of Asia. We estimate the magnitude and distribution of OOP payments for health care in fourteen countries and territories accounting for 81% of the Asian population. We focus on payments that are catastrophic, in the sense of severely disrupting household living standards, and approximate such payments...