Abstract Background Catastrophic health expenditure (CHE) among the Chinese elderly warrants attention. However, incidence, intensity and determinants of CHE have not been fully investigated. This study explores citizens, i.e., those aged 60 years or older. Methods Data were obtained from three waves China Health Retirement Longitudinal Study (CHARLS): 2011, 2013 2015. The cut-off points used i...

BACKGROUND To quantify extent of catastrophic household health expenditures, determine factors influencing it and estimate Fairness in Financial Contribution (FFC) index in Georgia to establish the baseline for expected reforms and contribute to the design and fine-tuning of the major reforms in health care financing initiated by the government mid-2007. METHODS The research is based on the n...

BACKGROUND Bangladesh has a high proportion of households incurring catastrophic health expenditure, and very limited risk sharing mechanisms. Identifying determinants of out-of-pocket (OOP) payments and catastrophic health expenditure may reveal opportunities to reduce costs and protect households from financial risk. OBJECTIVE This study investigates the determinants of high healthcare expe...

Financial protection should be the principal objective of any health system. Commonly used indicators for financial protection are out-of-pocket (OOP) payments as a share of total health expenditure and the amount of households driven into poverty by catastrophic health expenditures (CHEs). In the last decade, OOP health payments consisted of approximately one-fifth of the health finance resour...

INTRODUCTION It is well-known that the prevalence of chronic diseases is high among older people, especially those who are poor. Moreover, chronic diseases can result in catastrophic health expenditure. The relationship between chronic diseases and their financial burden on households is thus double-sided, as financial difficulties can give rise to, and result from, chronic diseases. Our aim wa...

Using data from 60 round of the National Sample Survey, this study attempts to measure the incidence and intensity of “catastrophic” maternal health care expenditure and examines its socio-economic correlates in urban and rural areas separately. Additionally, it measures the effect of maternal health care expenditure on poverty incidence and examines the factors associated with such impoverishm...

This study assessed the extent of household catastrophic expenditure in dental health care and its possible determinants in 41 low and middle income countries. Data from 182,007 respondents aged 18 years and over (69,315 in 18 low income countries, 59,645 in 15 lower middle income countries and 53,047 in 8 upper middle income countries) who participated in the WHO World Health Survey (WHS) were...

BACKGROUND In 2002, the Chinese government launched a new rural health financing policy to provide health insurance (New Cooperative Medical Scheme, NCMS) for its rural population. NCMS, jointly financed by governments and individual households, aims to protect households from impoverishment due to catastrophic health expenditure. In 2011, NCMS covered more than 96% of the rural population. We ...

Objectives: Korea achieved universal population coverage through national health insurance in 1989. However, out-of-pocket payments (OOP) still accounted for 36% of total health expenditure in 2006. This paper aims to provide evidence for improving the benefit package through analyzing household financial burden. Methods: OOP and the incidence of catastrophic health expenditure were analysed us...