Evidence is good for your health system: policy reform to remedy catastrophic and impoverishing health spending in Mexico

Factors affecting catastrophic health expenditure and impoverishment from medical expenses in China: policy implications of universal health insurance

“…32 Basing health-care financing largely on out-of-pocket payment is regarded as both inefficient and inequitable. [33][34][35][36] The high out-of-pocket and high rates of catastrophic health expenditure and impoverishment in China suggest that the support provided by insurance has been surpassed by increased service volumes and charges. More worrying is the possibility that, without effective cost controls, the increased flow of government subsidies to insurance companies has actually helped increase service volumes and charges through provider-induced demand.…”

¿El aseguramiento público en salud mejora la atención en los servicios? El caso de la atención prenatal en adolescentes en México

“…24,25 Características individuales: rezago educativo en años (aproximado por la diferencia en años entre la escolaridad reportada y la esperada según la edad de la mujer), exposición al matrimonio (soltera vs casada, unión libre, divorciada, separada, viuda), y años de edad al momento del parto (12)(13)(14)(15)(16)(17)(18)(19). Antecedentes obstétricos: número de hijos al momento del evento obstétrico (0, 1, ≥2), y haber sufrido algún aborto espontáneo o inducido.…”

“…Sobre un esquema de distribución de recursos basado en la demanda, el SPS es un instrumento de financiamiento público dirigido a la población sin Seguridad Social que se encuentra en los primeros deciles de ingreso. [14][15][16] Busca, a través de la transferencia de recursos financieros a los subsistemas de salud estatales, garantizar la atención equitativa de la salud y la protección financiera de sus afiliados. 17,18 Pese a su importancia, son escasos los estudios que brinden suficiente evidencia científica que dé luz sobre la atención prenatal en mujeres adolescentes, en el marco de la ampliación de la protección social en salud en México y que consideren lo adecuado de la atención y las posibles diferencias de acuerdo con el tipo de aseguramiento de salud.…”

Catastrophic Health Expenditure After the Implementation of Health Sector Evolution Plan: A Case Study in the West of Iran

“…2,3 The WHO recognizes households facing catastrophic health expenditures (CHE) when the household out-of-pocket (OOP) expenditure on health is equal to or higher than 40% of the households' capacity to pay. [4][5][6] The households' capacity to pay is defined as the income left after all basic needs are satisfied. 4,5 According to the WHO, the case of CHE represents a failure of health systems to protect people against the financial consequences resulting from utilization of healthcare services.…”

“…CHE can occur not necessarily due to the costs of expensive treatment processes; many households with relatively low payments also face financial catastrophes. 1,6 Today, millions of people are deprived of healthcare services due to health expenditures at the time of service delivery, and most people who make use of such services also tend to face financial problems; or they are even pushed into financial poverty when paying the expenditures of healthcare services.…”