A study analyzing data from German representative surveys found that 21% of participants reported forgone care in the past year, with higher rates in women and younger adults. The main barriers to accessing care were categorized as systemic, psychological, and...
Economic burden and determinants among hospitalized patients with epilepsy in Thailand
This study analyzes the direct medical costs of hospitalized epilepsy patients in Thailand. These costs are assessed from both a societal perspective—which includes hospital expenditures and payments made by health insurance schemes—and a patient perspective, which...
Willingness to pay for a quality-adjusted life year (QALY) in Pakistan: implications for health policy
This study investigates the willingness to pay (WTP) for one additional Quality-Adjusted Life Year (QALY) among the general population in Pakistan, highlighting the economic constraints in healthcare resource allocation. A survey revealed a mean WTP of 114,006.4...
Implications of U.S. withdrawal from the World Health Organization on health financing in Africa
The U.S. withdrawal from the World Health Organization (WHO) could severely impact global health financing, especially in Africa, where its previous contributions supported vital health programs for HIV/AIDS, maternal and child health, tuberculosis, and malaria. This...
Health impact and economic evaluation of the Expanded Program on Immunization in China from 1974 to 2024: a modelling study
The Expanded Program on Immunization (EPI) in China, initiated by WHO in 1974, has significantly reduced disease burden by vaccinating against eight pathogens, averting an estimated 703 million cases and 2.48 million deaths over 50 years. The program has also...
How to Create a Public Health Insurance Plan: Lessons from States in USA
Health coverage rates in the U.S. have reached a record high since the Affordable Care Act was enacted, yet many insured individuals still struggle with high healthcare costs, particularly among marginalized racial and ethnic groups. Surveys indicate that a...
Analysis the status and spatio-temporal characteristics of the synergistic development of China’s multi-level medical insurance system
The study examines the development and spatio-temporal evolution of China's multi-level medical insurance system (MMIS) from 2011 to 2020, highlighting improvements in the coupling coordination index (CCI) which rose from a moderate disorder to a well-coordinated...
Health insurance type, healthcare utilization and out-of-pocket expenditure in the face of COVID-19: Evidence from Thai national survey data
This study investigates whether the type of public health insurance affects outpatient healthcare utilization and out-of-pocket expenditure in Thailand before and during the COVID-19 pandemic. The findings suggest that health insurance type primarily affects provider...
The rising income gradient in life expectancy in Sweden over six decades
This study investigates the relationship between income and life expectancy in Sweden from 1960 to 2021, revealing a widening gap in life expectancy between different income levels. The disparity increased significantly, with men’s life expectancy gap growing from 3.5...
A retrospective study of insurance coverage status and economic cost of rare diseases in Hainan Province
Rare diseases in Hainan Province pose a significant economic burden, with a rising prevalence and limited data available. A study from 2019 to 2023 found that 83.01% of the 4,975 diagnosed patients were insured, yet total economic costs escalated from 34.26 million...
Protective role of health insurance coverage in reducing under-five mortality in Ethiopia: Gompertz inverse-Gaussian shared frailty modelling
This study found a significant association between health insurance coverage and under-five mortality, revealing that children of uninsured mothers had a notably higher risk of mortality. Specifically, 96.46% of the children assessed were born to mothers without...
Healthcare systems and health economics in GCC countries: informing decision-makers from the perspective of the Gulf health economics association
The discovery of oil has enabled GCC countries to provide universal healthcare to their citizens, but rising healthcare demands pose challenges in financing these systems effectively. Experts in health economics from the Gulf Health Economics Association held a focus...
Informal employment and high burden of out-of-pocket healthcare payments among older workers: evidence from the Longitudinal Ageing Study in India
India's economy features a significant informal workforce that often struggles with low wages and inadequate healthcare benefits, leading many older workers to continue working past retirement age to cover their medical costs. This study found that informal older...
Medicare austerity reforms and patient out-of-pocket costs: The experience from Australian cancer patients
This paper analyzes trends in provider fees, government spending on private out-of-hospital medical services, and out-of-pocket costs for cancer patients following policy changes aimed at reducing government expenditure. It highlights significant variations in...
A Chinese conundrum: does higher insurance coverage for hospitalization reduce financial protection for the patients who most need it?
This paper analyzes how cost-sharing impacts the use of outpatient and inpatient health services in China. The study reveals that increased cost-sharing for outpatient services leads to decreased outpatient usage while simultaneously increasing reliance on inpatient...