Household catastrophic health expenditure: a multicountry analysis

@article{Xu2003HouseholdCH,
  title={Household catastrophic health expenditure: a multicountry analysis},
  author={Ke Xu and David B. Evans and Kei Kawabata and Riadh Zeramdini and Jan Klavus and Christopher J. L. Murray},
  journal={The Lancet},
  year={2003},
  volume={362},
  pages={111-117}
}
View on Elsevier
who.int
1,907 Citations
Highly Influential Citations
145
Background Citations
747
Methods Citations
135
Results Citations
42

Tables from this paper

1,907 Citations

Citation Type

Citation Type

Determinants of Household Catastrophic Health Expenditure: A Systematic Review
TLDR
The crucial finding of the current study is that socioeconomic inequality plays an important role in the incidence of CHE all over the world, where low-income households are at high risk of financial hardship from healthcare payments.
Household catastrophic health expenditure: evidence from Georgia and its policy implications
TLDR
Reducing the prevalence of catastrophic health expenditure is a policy objective of the government, which can be achieved by focusing on increased financial protection offered to poor and expanding government financed benefits for poor and chronically ill by including and expanding inpatient coverage and adding drug benefits.
Catastrophic health care expenditure in Myanmar: policy implications in leading progress towards universal health coverage
TLDR
Vulnerable groups, such as households with a household head with a low-level of education, households with children under the age of 5 years or disabled persons, and low-income households should be prioritized by policymakers to improve access to essential health care.
Catastrophic health expenditures arising from out-of-pocket payments: Evidence from South African income and expenditure surveys
TLDR
The analysis applies three different catastrophic expenditure measurements and finds limited incidence of health care expenditure catastrophe, although larger shares of capacity are being devoted to health care in more recent years.
Determining factors of catastrophic health spending in Bogota, Colombia
TLDR
Testing whether the low-income population in Bogota not insured under the General Social Security Health System is able to economically handle unexpected health problems or not finds no statistical evidence for rejecting the hypothesis, which states that low- income households that have no health insurance are more likely to have catastrophic health spending than higher-income households with health insurance.
Catastrophic Health Expenditure: An Experience from Health Insurance Program in Nepal
  • D. Paudel
  • Medicine, Political Science
    Emerging Science Journal
  • 2019
TLDR
The study found that households without having health insurance, low economic status, and head with low level of education were more likely to face catastrophic spending, suggesting a policy guideline in the ongoing national health insurance debate in Nepal.
Catastrophic household expenditure for health care in a low-income society: a study from Nouna District, Burkina Faso.
TLDR
It is concluded that the poorest members of the community incurred catastrophic health expenses, and this has important policy implications and can be used to ensure better access to health services and a higher degree of financial protection for low-income groups against the economic impact of illness.
Catastrophic health care spending and impoverishment in Kenya
TLDR
The burden of out-of-pocket payments in Kenya; the incidence and intensity of catastrophic health care expenditure and the effect of health spending on national poverty estimates are estimated.
Progress on catastrophic health spending in 133 countries: a retrospective observational study.
Catastrophic expenditure due to out-of-pocket health payments and its determinants in Colombian households
  • J. L. Amaya-Lara
  • Medicine, Political Science
    International Journal for Equity in Health
  • 2016
TLDR
Results indicate the importance of establishing intervention mechanisms in order to improve equity in access and payment for health care, protect vulnerable groups against financial risk, and, consequently, reduce the incidence of catastrophic healthcare spending.
...
...

References

SHOWING 1-10 OF 32 REFERENCES
Preventing impoverishment through protection against catastrophic health expenditure.
TLDR
A preliminary analysis of income and expenditure survey data for 60 countries shows that lower income groups have a greater proportion of households with catastrophic levels of health spending than do higher income groups, and that the highest proportion of catastrophic health spending does not necessarily occur in the lowest income group.
Weak Links in the Chain II: A Prescription for Health Policy in Poor Countries
TLDR
An approach to public policy in health is presented that comes directly from the literature on public economics and identifies two characteristic market failures in health, the existence of large externalities in the control of many infectious diseases that are mostly addressed by standard public health interventions and the widespread breakdown of insurance markets that leave people exposed to catastrophic financial losses.
The poor pay more: health-related inequality in Thailand.
Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges.
  • M. Ranson
  • Medicine, Political Science
    Bulletin of the World Health Organization
  • 2002
TLDR
Assessment of the Self Employed Women's Association's Medical Insurance Fund in Gujarat in terms of insurance coverage according to income groups, protection of claimants from costs of hospitalization, time between discharge and reimbursement, and frequency of use has implications for community-based health insurance schemes in India and elsewhere.
Household health system contributions and capacity to pay: Definitional, empirical and technical challenges
TLDR
This chapter introduces a method for estimating the HFC from household survey data and describes in detail the calculation of households’ health system payments through different payment mechanisms and the measurement of capacity to pay.
Social risk management options for medical care in Indonesia.
TLDR
It is found that the existing regimes significantly reduce the exposure to catastrophic shocks but do not eliminate them, andSimulations suggest that further reductions could be achieved if a larger proportion of government subsidies were directed to inpatient care.
The burden of out-of-pocket payments for health care in Tbilisi, Republic of Georgia.
TLDR
Economic disruption and health care reforms have led to access problems and out-of-pocket financing strategies that include reliance on personal savings, selling personal items, and borrowing money.
Public spending on health care: how are different criteria related?
  • P. Musgrove
  • Political Science, Economics
    Health policy
  • 1999
Families with catastrophic health care expenditures.
TLDR
The characteristics of families with catastrophic health care expenditures are described, based on data from a national sample, and the implications for several current issues are discussed, including catastrophic coverage proposals for Medicare and proposed programs to help the medically indigent and the uninsured.
Financially catastrophic and high-cost cases: definitions, distinctions, and their implications for policy formulation.
  • L. Wyszewiański
  • Medicine
    Inquiry : a journal of medical care organization, provision and financing
  • 1986
TLDR
It is shown how third-party coverage and other resources determine whether a high-cost case or illness is also financially catastrophic, and the usefulness of the proposed categorization is illustrated by applying it to several current policy issues.
...
...