scholarly journals Inequality in household catastrophic health care expenditure in a low-income society of Iran

2012 ◽  
Vol 27 (7) ◽  
pp. 613-623 ◽  
Author(s):  
Z. Kavosi ◽  
A. Rashidian ◽  
A. Pourreza ◽  
R. Majdzadeh ◽  
F. Pourmalek ◽  
...  
Author(s):  
Xiaocang Xu ◽  
Zhiming Xu ◽  
Linhong Chen ◽  
Chang Li

Industrial development has brought about not only rapid economic growth, but also serious environmental pollution in China, which has led to serious health problems and heavy economic burdens on healthcare. Therefore, the relationship between the industrial air pollution and health care expenditure (HCE) has attracted the attention of researchers, most of which used the traditional empirical methods, such as ordinary least squares (OLS), logistic and so on. By collecting the panel data of 30 provinces of China during 2005–2016, this paper attempts to use the Bayesian quantile regression (BQR) to reveal the impact of industrial air pollution represented by industrial waste gas emission (IWGE) on HCE in high-, middle-, low-income regions. It was found that double heterogeneity in the influence of IWGE on HCE was obvious, which revealed that people in high-, middle-, low-income regions have significantly different understandings of environmental pollution and health problems. In addition, the BQR method provided more information than the traditional empirical methods, which verified that the BQR method, as a new empirical method for previous studies, was applicable in this topic and expanded the discussion space of this research field.


2019 ◽  
Vol 113 (10) ◽  
pp. 649-651 ◽  
Author(s):  
Angela McBride ◽  
B Thuy Duong ◽  
V Vinh Chau Nguyen ◽  
C Louise Thwaites ◽  
Hugo C Turner ◽  
...  

Abstract Background The cost of treatment for infectious shock in intensive care in Vietnam is unknown. Methods We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures. Results The median hospital bills were US$617 for septic shock (n=100) and US$57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively. Conclusions Further advocacy is required to moderate insurance co-payments for costly critical care interventions.


2020 ◽  
Vol 10 (4) ◽  
pp. 1-36
Author(s):  
Dayashankar Maurya ◽  
Amit Kumar Srivastava ◽  
Sulagna Mukherjee

Learning outcomes The central lesson to be learned from studying the case is to understand the challenges and constraints posed by contextual conditions in designing contracts in public–private partnerships (PPP) for financing and delivering health care in emerging economies such as India. Case overview/synopsis Perverse incentives, along with contextual conditions, led to extensive opportunistic behaviors among involved agencies, limiting the effectiveness of otherwise highly regarded innovative design of the program. Complexity academic level India’s “Rashtriya Swasthya Bima Yojana” or National Health Insurance Program, launched in 2007 provided free health insurance coverage to protect millions of low-income families from getting pushed into poverty due to catastrophic health-care expenditure. The program was implemented through a PPP using standardized contracts between multiple stakeholders from the public and private sector – insurance companies, hospitals, intermediaries, the provincial and federal government. Supplementary materials Teaching Notes are available for educators only. Subject code CSS: 10 Public Sector Management.


Author(s):  
Sayaka Sakoda ◽  
Masaoki Tamura ◽  
Naohiko Wakutsu

AbstractThe aim of this study is to clarify whether health-care inequality in Japan widens during a depression, even though Japan has a universal health-care system. To this end, we investigate the time-series fluctuations in health-care expenditure inequalities in Japan for the period 2008–2017, which includes the period during which the global financial crisis affected Japan. We construct an economy-wide inequality index comparing the actual health-care expenditure at various income levels (low, middle and high) against the estimated health-care needs. The findings of the study are as follows. First, the rich (the top 20% income class) spend far more than their estimated needs on health care, whereas the poor (bottom 20%) spend far less. Second, during the global financial crisis, health-care inequality especially among the working generation became greater in Japan, mainly because not only the low-income class but also the middle-income class (the bottom 30–60%) was unable to pay for health care.


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