BACKGROUND Subsidizing healthcare costs through insurance schemes is crucial to overcome financial barriers to health care and to avoid high medical expenditures for patients in China. The health insurance could decrease financial risk by less out-of-pocket (OOP) payment, but not promise the protection equity. With the growth of New Cooperative Medical Scheme (NCMS) financing and coverage since...

With the establishment of the social security system in 1924, Chile started the path towards UHC. A key milestone was the creation of the National Health System in 1952, which offered public subsidized coverage for the poor [1]. Currently, after the partial privatization of social security in 1981 the health system is mixed, both in insurance and in service provision [2], and health insurance r...

In the background of ongoing health sector reforms in India, the paper investigates the magnitude and trends in out-of-pocket and catastrophic payments for key population sub-groups. Data from three rounds of nationally representative consumer expenditure surveys (1999-2000, 2004-05 and 2011-12) were pooled to assess changes over time in a range of out-of-pocket -related outcome indicators for ...

OBJECTIVE To estimate the effect of "Seguro Popular" (SP) on the incidence of catastrophic health expenditure (CHE) and out-of-pocket (OOP) health expenditure in the medium term. MATERIAL AND METHODS We used the 'Encuesta de Evaluación del SP' --SP Survey Evaluation-- (2005-2008). We analyzed the SP effect on the rural cohort during two years of follow-up (2006 and 2008) and in the urban coho...

Research on impact of publicly financed health insurance has paid relatively little attention to the nature of healthcare provision the schemes engage. India's National Health Insurance Scheme or RSBY was made universal by Chhattisgarh State in 2012. In the State, public and private sectors provide hospital services in a context of extensive gender, social, economic and geographical inequities....

This study estimates progressivity of out-of-pocket (OOP) health payments and their determinants using South African Income Expenditure Surveys. Concentration is decomposed to examine the effec...

Financial protection should be the principal objective of any health system. Commonly used indicators for financial protection are out-of-pocket (OOP) payments as a share of total health expenditure and the amount of households driven into poverty by catastrophic health expenditures (CHEs). In the last decade, OOP health payments consisted of approximately one-fifth of the health finance resour...

BackgroundComparable estimates of household health spending and out-of-pocket (OOP) payment on care in India are a daunting task. Often these provided for specific services such as maternal care, type disease, hospitalisation, outpatient an episode hospitalisation. This paper presents comprehensive comparable hospitalisation over the past 15 years.MethodsA total 73,868 households 2004, 65,932 2...