Good quality housing is crucial for public health, yet its economic implications for long-term care have not been extensively studied. This research analyzes how housing improvements can affect future long-term care costs in England, utilizing data from the English...
Political economy analysis of health financing reforms in times of crisis: findings from three case studies in south-east Asia
This study examines recent health financing reforms in Nepal, Thailand, and Indonesia through a political economy lens. The objective is to understand whether and how crises can be leveraged to advance universal health coverage (UHC) and to analyse the strategies used...
Political economy analysis of primary health care-oriented reforms: a case study on contracting district health systems for primary care services in Thailand
In Thailand, primary health care (PHC) is the first point of access to health services for all Thai citizens within the district health system. This case study investigates the political economy factors that have influenced Thailand’s decades-long implementation of...
Catastrophic health expenditure associated with non-inpatient costs among middle-aged and older individuals in China
The primary social health insurance schemes in China, UEMIS and URRMS, mainly cover non-inpatient expenditures, neglecting costs associated with outpatient care and medications. A study found that over 60% of participants used non-inpatient services recently, with...
The current situation of health equity in underserved areas of Afghanistan
Providing universal health coverage (UHC) in Afghanistan faces challenges due to the country's geographic topography and gender dynamics. A significant number of primary healthcare facilities are unevenly distributed, leaving nearly 25% of the population underserved,...
Financial Protection Outcomes in Four East Asian Countries During COVID-19: Cambodia, Vietnam, Thailand and Indonesia
This paper analyzes the effects of the COVID-19 pandemic on Universal Health Coverage (UHC) and financial protection in four East Asia and Pacific (EAP) countries: Indonesia, Cambodia, Vietnam, and Thailand. It highlights a general improvement in service coverage in...
The political economy of national health insurance schemes: evidence from Zambia
Governments in low and middle-income countries (LMICs) are increasingly considering national health insurance schemes (NHIS) to achieve universal health coverage (UHC). This article examines the political economy surrounding the establishment of Zambia's NHIS in 2018,...
South Korea’s healthcare expenditure: a comprehensive study of public and private spending across health conditions, demographics, and payer types (2011–2020)
South Korea's healthcare expenditure rose significantly from $45.6 billion in 2011 to $76.9 billion in 2020, accounting for 9.3% of GDP. Despite universal health coverage, out-of-pocket (OOP) expenses remain high, particularly for women and the elderly. Public...
Who pays to treat malaria and how much? Analysis of the cost of illness, equity and economic burden of malaria in Uganda
Case management of malaria in Africa has significantly progressed over the past two decades, necessitating updated cost estimates for effective malaria control policies. In Uganda, a costing exercise revealed that the mean societal economic cost for treating suspected...
Determinants of out-of-pocket expenditure on medicines among adults in Saudi Arabia: a cross-sectional study
This study examined out-of-pocket (OOP) expenditures on medications among adults in Saudi Arabia using data from the 2018 Family Health Survey. The average OOP expenditure was estimated at 279.69 Saudi Riyals. Key determinants of OOP spending included age, household...
Socioeconomic Inequalities in Out-of-Pocket and Catastrophic Health Expenditures in Pakistan
In Pakistan, healthcare utilization is linked to out-of-pocket payments (OOP) which disproportionately affect low-income households. The study investigated socioeconomic inequality in OOP and catastrophic health expenditures (CHEs), and the contribution of...
Examining health equity in Nepal’s climate change and health policies through the lens of environmental justice
In Nepal, lack of shared understanding of health equity across sectors hinders coordinated policy efforts. There is an urgent need to expand climate change responses to consider specific health vulnerabilities. By positioning health equity as a key element of...
The impact of the expanded health insurance coverage policy on healthcare spending
In South Korea, the "Moon Care" policy was implemented in 2017 with the goal of reducing co-payment rates for healthcare costs by expanding national health insurance coverage up to 70%, in order to protect citizens from financial hardship due to healthcare...
The 2022 restructure of Aotearoa New Zealand’s health system
Aotearoa New Zealand has restructured its health system with the aim of addressing inequities in access to healthcare services and health outcomes, particularly among the indigenous Māori population. In July 2022, two new organizations, Health New Zealand and Māori...
Value-based payment for high-cost treatments in Singapore
Risk-sharing agreements (RSAs) have been introduced to allocate risk between payers and pharmaceutical companies, often taking the form of outcome-based or financial-based models. This study seeks to explore the perspectives of key stakeholders within Singapore’s...