Background and purpose: In 2000 World Health Organization (WHO) has announced the fairness of financial contribution to health care costs, as one of the three goals of health systems. However, conducted studies in Iran reflect the dire situation in the context of health equity in terms of financing health care costs. The aim of the present study is to determine the disparities in health expendi...

background one common challenge to social systems is achieving equity in financial contributions and preventing financial loss. because of the large and unpredictable nature of some costs, achieving this goal in the health system presents important and unique problems. the present study investigated the household financial contributions (hfcs) to the health system.   methods the study investiga...

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...

Background One common challenge to social systems is achieving equity in financial contributions and preventing financial loss. Because of the large and unpredictable nature of some costs, achieving this goal in the health system presents important and unique problems. The present study investigated the Household Financial Contributions (HFCs) to the health system.   Methods The study investiga...

OBJECTIVE Compare patterns of catastrophic health expenditures in 12 countries in Latin America and the Caribbean. MATERIAL AND METHODS Prevalence of catastrophic expenses was estimated uniformly at the household level using household surveys. Two types of prevalence indicators were used based on out-of-pocket health expense: a) relative to an international poverty line, and b) relative to th...

BACKGROUND During recent decades, increase in both health care expenditures and improvement of the awareness as well as health expectations have created some problems with regard to finance healthcare expenditures so that the issue of health financing by households has been determined as a major challenge in health sector. According to the definition by the World Health Organization, catastroph...

background : performance of a health system is of great importance since it is the major means for improving health. until now, various methods have been proposed for assessing the performance of the health system. the method proposed by world health organization is based on three major goals of the health system: health improvement, accountability, and equity in financial contribution. equity ...

BACKGROUND The social health insurance coverage is relatively high in Mongolia; however, escalation of out-of-pocket payments for health care, which reached 41 % of the total health expenditure in 2011, is a policy concern. The aim of this study is to analyse the incidence of catastrophic health expenditures and to measure the rate of impoverishment from health care payments under the social he...

BACKGROUND Health policy makers are concerned about protecting people from catastrophic health expenditures and subsequent impoverishment. This study aimed to describe the magnitude and distribution of catastrophic health expenditures in Kermanshah western Iran. METHODS In this descriptive study, during May 2008, 189 households were chosen by "Systematic Random sampling" among the community ...