One of the main challenges in the implementation of health care reform in developing countries of India has been the development of catastrophic household expenditure on health care. This papers aims at contributing to the examination of the content, measurement and policy implications of health care reform tackling catastrophic risks in one of the oldest city of Odisha that is Cuttack. We unde...

This paper uses the quasi-experimental implementation of a non-contributory pension scheme in Yucatan, Mexico to evaluate the health care utilization and expenditure responses of the elderly to an exogenous unanticipated income shock. Using a difference-in-difference approach and data from a longitudinal aging survey we find evidence that non-contributory pensions encourages the use of formal h...

• Context The healthy ageing assumptions may lead to substantial changes in paths of aggregate healthcare expenditures, notably catastrophic expenditures of people at the end of the life. But clear assessments of involved amounts are not available when we specifically consider ambulatory care (as drug expenditures) generally offered to chronically-ill people who can remain in this health-status...

BACKGROUND Social systems are dealing with the challenge of achieving fairness in the distribution of financial burden and protecting the risk of financial loss. The purpose of this paper is to present a trend analysis for the indicators related to fairness in healthcare's financial burden in rural and urban population of Iran during the eight years period of 2003 to 2010. METHODS We used the...

Background: One of the main goals of health systems is to protect people against financial risks associated with diseases that can be catastrophic for patients. In 2014, Health Sector Evolution Plan (HSEP) was implemented in Iran; one of the objectives of HSEP was to reduce out-of-pocket payments and provide more financial protection for people. Therefore, the present study aimed at exploring t...

BACKGROUND In India, Non Communicable Diseases (NCDs) and injuries account for an estimated 62% of the total age-standardized burden of forgone Disability Adjusted Life Years (DALYs). Public and private financing of clinical services to reduce the NCD burden is a major challenge. METHODS We used National Sample Survey Organization (NSSO) survey data from 1995-96 and 2004 covering nearly 200 t...