Introduction Chronic Kidney Disease (CKD) has significant economic impact on both patients’ households and the country. Objectives To assess the out-of-pocket (OOP) expenditure of accessing health services among CKD patients in Anuradhapura District Methods This community based cross-sectional study included a representative sample of 1174 registered CKD patients from all 19 Medical Officer...

Health Insurance (HI) programmes in low-income countries aim to reduce the burden of out-of-pocket (OOP) health care expenditure. However, if the decisions to purchase insurance and to seek care when ill are correlated with the expected health care expenditure, the use of naïve regression models may produce biased estimates of the impact of insurance membership on OOP expenditure. Whilst many s...

Health insurance plans with high deductibles increase exposure to health care costs, raising concerns about how the growth in these plans may be impacting both the financial burden of health care expenditures on families and their access to health care. We find that foregoing medical care is common among low-income, privately insured families, occurring at a greater rate than those with higher ...

BACKGROUND Persons with dementia need much care, but what care is used and how the burden of financing divided between persons dementia, caregivers, public programs may differ countries. OBJECTIVE The objective this study was to compare health use out-of-pocket (OOP) spending associated United States Europe, without controlling for background characteristics. RESEARCH DESIGN We prospectively co...

To determine burden of healthcare costs on patients with rheumatoid arthritis (RA) in the US within MEPS 2018 data and to characterize impact sociodemographic insurance coverage. A retrospective, cross-sectional analysis Medical Expenditure Panel Survey (MEPS) was conducted. 456 (1.5%) adult RA were identified from 30,461 survey respondents. Association annual total expenditure characteristics ...

This paper compares egalitarian concepts of fairness in health care payments (requiring that payments be linked to ability to pay or ATP) and minimum standards approaches (requiring that payments do not exceed a pre-specified proportion of pre-payment income, or do not drive households into poverty). We develop indices for both sets of approaches. In the first, we compare the “agnostic” approac...

SUMMARY BACKGROUND The Government of Ghana's fee exemption policy for delivery care introduced in September 2003, aimed at reducing financial barriers to using maternal services. This policy also aimed to increase the rate of skilled attendance at delivery, reduce maternal and perinatal mortality rates and contribute to reducing poverty. OBJECTIVE To evaluate the economic outcomes of the poli...

The South African Government recently set targets to reduce cardiovascular disease (CVD) by lowering salt consumption. We conducted an extended cost-effectiveness analysis (ECEA) to model the potential health and economic impacts of this salt policy. We used surveys and epidemiologic studies to estimate reductions in CVD resulting from lower salt intake. We calculated the average out-of-pocket ...

Background One of the main objectives of health systems is the financial protection against out-of-pocket (OOP) health expenditures. OOP health expenditures can lead to catastrophic payments, impoverishment or poverty among households. In Iran, health sector evolution plan (HSEP) has been implemented since 2014 in order to achieve universal health coverage and reduce the OOP health expenditures...