introduction: direct cash payments are the principal sources of health care finance in most countries. health services may impose a regressive cost burden on households, especially in developing countries. the purpose of this study was to calculate households encountered with catastrophic healthcare expenditures in qazvin, iran. methods: the statistical society included 100 household equaled to...

BACKGROUND The New Cooperative Medical Scheme (NCMS) in rural China has been expanding in both population coverage and benefit package. China has also established an essential medicine policy in recent years to further reduce patients' medical expenditures and financial burden. This study aims to evaluate the impact of these policies on reducing medical expenditures and financial burden of pati...

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...

OBJECTIVES Catastrophic health expenditure (CHE) means that the medical spending of a household exceeds a certain level of capacity to pay. Previous studies of CHE have focused on benefits supported by the public sector or high medical cost incurred by treating diseases in South Korea. This study examines variance of CHE in these households according to changes in employment status. We also det...

BACKGROUND In the absence of functional social security mechanisms for elderly people in Nigeria, elderly households are solely responsible for geriatric healthcare costs, which can lead to catastrophic health expenditures (CHE) - particularly among the poor. This study investigates the key determinants of CHE among poorly insured elderly households in Nigeria. We also offer some policy options...

The results of previous Iranian studies on the protective effect health insurance catastrophic expenditures (CHE) are inconsistent. Therefore, aim this meta-analysis was to summarize all existent evidence. We searched international and scientific databases for relevant literature. Using a Mantel–Haenszel random-effects model, pooled odds ratios (OR) were calculated. Subgroup meta-analyses perfo...

BACKGROUND Protecting households against financial risks is one of objectives of any health system. In this regard, Iran's fourth five year developmental plan act in its 90th article, articulated decreasing household's exposure to catastrophic health expenditure to one percent. Hence, this study aimed to measure percentage of Iranian households exposed to catastrophic health expenditures and to...