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...

This paper assesses the extent of the financial burden due to out-of-pocket payments for health care incurred by people living with HIV (PLHIV) and the effect of this burden on their financial capacity. Data were collected in a cross-sectional survey of 353 PLHIV from three cities in Indonesia (Jakarta, Jogjakarta and Merauke). Respondents in Jakarta were sampled from one hospital and one non-g...

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...

OBJECTIVE To explore factors associated with household coping behaviours in the face of health expenditures in 15 African countries and provide evidence for policy-makers in designing financial health protection mechanisms. METHODS A series of logit regressions were performed to explore factors correlating with a greater likelihood of selling assets, borrowing or both to finance health care. ...

1 Department of Health Economics and Management, Faculty of Public Health, Medical University of Varna, Varna, Bulgaria, 2 Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, CAPHRI, Maastricht University Medical Center, Maastricht University, Maastricht, Netherlands, 3 Topinstitute Evidence-Based Education Research (TIER), Maastricht University, Maastricht, N...