background health literacy presents an enormous challenge in the delivery of effective healthcare and quality outcomes. we evaluated the impact of low health literacy (lhl) on healthcare utilization and healthcare expenditure.   methods database analysis used medical expenditure panel survey (meps) from 2005-2008 which provides nationally representative estimates of healthcare utilization and e...

In this study, we examine whether and to what extent the health insurance system in Turkey provided adequate protection against high out of pocket expenditures in the period prior to "The Health Transformation Programme". Furthermore, we examine the distribution of out of pocket expenditures by demographic characteristics, poverty status, health service type, access to health care and self-repo...

Out-of-pocket spending is increasingly recognized as an important barrier to accessing health care, particularly in low-income and middle-income countries (LMICs) where a large portion of health expenditure comes from out-of-pocket payments. Emerging universal healthcare policies prioritize reduction of poverty impact such as catastrophic and impoverishing healthcare expenditure. Poverty impact...

BACKGROUND In the Indian context, a household's caste characteristics are most relevant for identifying its poverty and vulnerability status. Inadequate provision of public health care, the near-absence of health insurance and increasing dependence on the private health sector have impoverished the poor and the marginalised, especially the scheduled tribe population. This study examines caste-b...

Cross-sectional health expenditure data are used to compare health expenditure aggregates and the contribution of the public and private sectors in a selection of 31 low, middle and high income countries. The comparative data illustrate the diversity of outcomes in terms of total health expenditure and its components even amongst countries with similar GDP per capita. Low and middle income coun...

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 To determine the incidence of - and illnesses commonly associated with - catastrophic household expenditure on health in Nepal. METHODS We did a cross-sectional population-based survey in five municipalities of Kathmandu Valley between November 2011 and January 2012. For each household surveyed, out-of-pocket spending on health in the previous 30 days that exceeded 10% of the househ...

BACKGROUND Health indicators such as life expectancy at birth, infant mortality rate etc. are some of the tools to measure the social development of that country. Due to advancement in technology, disease profile etc. expenditure on health care, especially tertiary care treatment is increasing day by day, and is beyond the reach of common people. This is one of the hindrances in the social deve...

Background Provincial Health Accounts (PHA) as a subset of National Health Accounts (NHA) present financial information for health sectors. It leads to a logical decision making for policy-makers in order to achieve health system goals, especially Fair Financial Contribution (FFC). This study aimed to examine Health Accounts in Kerman Province.   Methods The present analytical study was carried...