Analysis of the Effect of Private Healthcare Financing on Poverty in Nigeria: Evidence from Edo State

2021 ◽  
Vol 8 (2) ◽  
pp. 73-80
Author(s):  
Olaniyi O ◽  
Abubakar Idris
Keyword(s):  
Health Care ◽  
Low Income ◽  
Health Care Financing ◽  
Well Being ◽  
Survey Method ◽  
Income Poverty ◽  
Private Health Care ◽  
Healthcare Financing ◽  
Out Of Pocket Payments ◽  
Edo State

Poverty is one of the problems that challenge economies in Africa. Though it is a complex phenomenon which requires efforts by different experts to reduce or eliminate, conventional wisdom posits that “health is wealth”. Health status is a component of human capital development which plays a fundamental role in the poverty and well-being of individuals and national economies. Paradoxically the cost of accessing quality healthcare is an important contributor to income poverty among low income households. Thus adequate healthcare financing mechanisms (public and private) are required to attain quality health outcomes. This study therefore investigates the adequacy or otherwise of the current means of private health care financing in Edo state of Nigeria and it employed the survey method and multinomial logistic regression technique. Results revealed that the dominant means of private health care financing in Edo state is “out of pocket” payments which has negative effect on the income of households. It therefore recommends the introduction of a more effective collective healthcare financing mechanism to mitigate the financial burden associated with out-of-pocket spending. Also funding should be provided for research and development of locally manufactured drugs with high local content to enhance the availability and affordability of effective drugs.

scholarly journals The Role of Private Health Care Financing in the Central and Eastern European Countries

Ekonomika ◽  
2008 ◽  
Vol 83 ◽  
Author(s):  
Marta Borda
Keyword(s):  
Health Care ◽  
Health Expenditure ◽  
Health Care Services ◽  
Health Care Systems ◽  
Health Care Financing ◽  
Economic Transformation ◽  
Eastern European ◽  
Private Health Care ◽  
Out Of Pocket Payments ◽  
Care Systems

The economic transformation process in the central and Eastern European (CEE) countries has included, among others, a thorough reform of the previous, centrally planned health care systems. Consequently, the contemporary health care systems functioning in these countries, despite common directions of changes, vary in the area of detailed aspects. The purpose of the paper is to provide an overview of private sources of the health care financing (including out-of-pocket payments and prepaid plans), which are considered to be an important component of each health care system. In the first part of the paper, the results of comparative analysis of total health expenditure incurred by the CEE countries between 2000 and 2004 are presented in order to indicate the main trends, problems and differences among the analysed states. Next, the main types of private health expenditure are described and their contribution to the health care financing is presented. Finally, voluntary health insurance offered in the Polish market, considered as an additional method of health care financing. is characterized.The obtained results allow to compare and evaluate the range of using private health care funds in the analysed countries during the last few years. Moreover, the results indicate a need for the further development of private methods of health care financing. which in practice can supplement or duplicate health care services delivered by the public sector.

scholarly journals Redistributive effects of health care out-of-pocket payments in Cameroon

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Augustin Ntembe ◽  
Regina Tawah ◽  
Elkanah Faux
Keyword(s):  
Health Care ◽  
Low Income ◽  
Health Care Financing ◽  
Household Survey ◽  
Poverty Line ◽  
Goods And Services ◽  
Income Groups ◽  
Out Of Pocket Payments ◽  
Redistributive Effects ◽  
Using Data

Abstract Background The bulk of health care financing in Cameroon is derived from out-of-pocket payments. Given that poverty is pervasive, with a third of the population living below the poverty line, health care financing from out-of-pocket payments is likely to have redistributive and equity effects. In addition, out-of-pocket payments on health care can limit the ability of households to afford non-healthcare goods and services. Method The study estimates the Kakwani index for analyzing tax progressivity and applies the model developed by Aronson, Johnson, and Lambert (1994) to measure the redistributive effects of health care financing using data from the 2014 Cameroon Household Survey. The estimated indexes measure the extent of the progressivity of health care payments and the reranking that results from the payments. Results The results indicate that out-of-pocket payments for health care in Cameroon in 2014 represented a significant share of household prepayment income. The results also show some evidence of inequity as few people change ranks after payment despite the slight progressivity of health care out-of-pocket payments. Conclusion The existence of some disparities among income groups implies that the burdens of ill-health and out-of-pocket payments are unequal. The detected disparities within income groups can be reduced by targeting low-income groups through increases in government expenditures on health care and pro-poor prioritization of the expenditures.

Private Health Care Financing Alternatives 1

2019 ◽  
pp. 79-97
Author(s):  
Julio Castañeda Costa ◽  
José Carlos Vera la Torre
Keyword(s):  
Health Care ◽  
Health Care Financing ◽  
Private Health Care

Implementation and evaluation of primary health care financing strategies for low-income communities of Rio De Janeiro, Brazil

1987 ◽  
Vol 21 (2) ◽  
pp. 93-103 ◽  
Author(s):  
Karen Johnson Lassner ◽  
Beatriz B. Collere Hanff ◽  
Glaucia Maria Bon ◽  
Luiz Claudio De Souza Benguigui ◽  
Barnett R. Parker ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Low Income ◽  
Rio De Janeiro ◽  
Health Care Financing ◽  
Primary Health

Designing primary health care financing strategies for low-income communities of Rio De Janeiro: A heuristic solution

1987 ◽  
Vol 21 (2) ◽  
pp. 79-91 ◽  
Author(s):  
Barnett R. Parker ◽  
Karen Johnson Lassner ◽  
Magda Soares Smarzaro ◽  
Carlos Augusto Barros Riberro
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Low Income ◽  
Rio De Janeiro ◽  
Health Care Financing ◽  
Heuristic Solution ◽  
Primary Health

scholarly journals Transportation and Other Nonfinancial Barriers Among Uninsured Primary Care Patients

2018 ◽  
Vol 5 ◽  
pp. 233339281774968 ◽  
Author(s):  
Akiko Kamimura ◽  
Samin Panahi ◽  
Zobayer Ahmmad ◽  
Mu Pye ◽  
Jeanie Ashby
Keyword(s):  
Health Care ◽  
Low Income ◽  
Underserved Populations ◽  
Unmet Need ◽  
Care Facility ◽  
Well Being ◽  
Safety Net ◽  
The United States ◽  
Free Clinic ◽  
Transportation Barriers

Introduction: Nonfinancial barriers are frequent causes of unmet need in health-care services. The significance of transportation barriers can weigh more than the issues of access to care. The purpose of this cross-sectional study was to examine transportation and other nonfinancial barriers among low-income uninsured patients of a safety net health-care facility (free clinic). Methods: The survey data were collected from patients aged 18 years and older who spoke English or Spanish at a free clinic, which served uninsured individuals in poverty in the United States. Results: Levels of transportation barriers were associated with levels of other nonfinancial barriers. Higher levels of nonfinancial barriers were associated with elevation in levels of stress and poorer self-rated general health. Higher educational attainment and employment were associated with an increase in other nonfinancial barriers. Conclusion: Focusing only on medical interventions might not be sufficient for the well-being of the underserved populations. Future studies should examine integrative care programs that include medical treatment and social services together and evaluate such programs to improve care for underserved populations.

Umverteilungseffekte in der Finanzierung von Gesundheitsleistungen / Redistribution Effects of Health Care Financing

2007 ◽  
Vol 227 (5-6) ◽  
Author(s):  
Florian Buchner ◽  
Rebecca Deppisch ◽  
Jürgen Wasem
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Systems ◽  
Health Care Financing ◽  
Social Health Insurance ◽  
Health Care Expenditures ◽  
Social Health ◽  
Financing System ◽  
Out Of Pocket Payments ◽  
Care Systems

SummaryHealth care systems are financed through a mixture of different components: taxes, contributions to social health insurance, premiums to private health insurance, out of pocket payments by patients. These components can be combined differently leading to specific effects of interpersonal redistribution. This can be compared between different countries. In such a comparison the redistributional impact of the German health care systems is rather regressive - which is basically caused by the opportunity for people with high income to leave social health insurance. In comparison to a health insurance system with risk rated premiums, financing of the German social health insurance leads to interpersonal redistribution from higher to lower income, from the young to the elderly, from healthy to sick and from singles to families with children. The pay-as-you-go character of the system leads especially in combination with an aging population and technological change to burden for future generations. In comparison to a system in which each region finances its own health care expenditures, there are also considerable interregional redistributions. The financing system in Germany is not conceptually consistent. Reform proposals (unified health insurance for all; flat rate premiums) tackle these inconsistencies.

Public and private health-care financing with alternate public rationing rules

2010 ◽  
Vol 21 (2) ◽  
pp. 83-100 ◽  
Author(s):  
Katherine Cuff ◽  
Jeremiah Hurley ◽  
Stuart Mestelman ◽  
Andrew Muller ◽  
Robert Nuscheler
Keyword(s):  
Health Care ◽  
Health Care Financing ◽  
Private Health Care ◽  
Public And Private

Making Health Care Truly Affordable after Health Care Reform

2016 ◽  
Vol 44 (4) ◽  
pp. 546-554 ◽  
Author(s):  
Timothy Stoltzfus Jost ◽  
Harold A. Pollack
Keyword(s):  
Health Care ◽  
Low Income ◽  
Cost Sharing ◽  
Health Care Financing ◽  
Recent Analysis ◽  
Financing System ◽  
Middle Income ◽  
Report Data ◽  
Financial Burdens ◽  
Medicaid Expansions

The Affordable Care Act (ACA) is an essential first step toward making health insurance more affordable for lower and moderate income Americans. It has accomplished historic reductions in the proportion of Americans who are uninsured. The number of Americans reporting delaying medical care for financial reasons has declined by approximately one-third since 2010. Medicaid expansions, in particular, have significantly reduced financial burdens and accompanying anxieties experienced by low-income Americans in states that have embraced this opportunity. Consistent with these finding, one recent analysis of credit report data finds that Medicaid expansion was associated with between a $600 and $1000 decline in collection balances among individuals who gained coverage. Notwithstanding these gains, premiums and cost-sharing are still too high for many Americans. And cost-sharing has continued to edge higher for the majority of Americans who have coverage through employer-based plans. Measures to address these challenges must build on the ACA to provide greater protection to millions of Americans and to address continued dissatisfaction with our health care financing system among middle-income Americans.

Sign in / Sign up

Export Citation Format

Share Document