Recent history of the health care system The health care system was highly centralized in line with the Semashko model of the Soviet Union. The entire population had access to a comprehensive range of medical services free at the point of access. Following independence, devastating economic and sociopolitical problems forced a radical reform programme which introduced out-of-pocket payments for...

(MCBS) tracks health care expenditures for 12,000 beneficiaries. The survey is unique because it combines survey data with Medicare administrative data to give a detailed portrait of health care spending for Medicare beneficiaries. The MCBS provides health care expenditures for the Medicare population by service and payer, and it allows for analysis by demographic and socioeconomic characterist...

BACKGROUND Hypertension, stroke and coronary heart disease (CHD) are common diseases that impose a heavy burden on patients and their families, particularly on those living in poor areas. This study examined catastrophic medical payments faced by patients with these diseases and the effectiveness of the new rural cooperative medical system (NRCMS) at alleviating the impact of the said diseases ...

OBJECTIVE To assess the distribution of financial burden in Chile, with a focus on the burden and progressivity of out-of-pocket payment. METHODS Based on the principle of ability to pay, we explore factors that contribute to inequities in the health system finance and issues about the burden of out-of-pocket payment, as well as the progressivity and redistributive effect of out-of-pocket pay...

Background: Physiotherapy services are important because they help disabled patients to return work and other social activities. High out-of-pocket payments of physiotherapy one the major barriers utilization these services. In 2014 a reform was implemented in Iran named as Health Transformation Plan aimed improve Universal Coverage Iranians. We tried find effects HTP on financial outcomes