A rural China policy waiving copayments for essential medicines in primary care (PC) significantly increased PC visits by 44% and outpatient spending at PC facilities by 40%. At the same time, outpatient hospital visits fell by 26%, though hospital spending and...
Greece’s health system has faced mounting strain from ageing populations, chronic diseases, financial pressures, and shocks like COVID-19 and climate change, which have exposed deep structural weaknesses. Although multiple reforms have aimed to improve funding,...
Concerns exist that performance-based financing (PBF) may erode intrinsic motivation by emphasizing financial incentives, though it could also enhance morale through improved conditions. Using six national pilot evaluations across Cameroon, Kyrgyz Republic, Nigeria,...
Internal migration in the Netherlands from 1998 to 2018 altered regional healthcare cost disparities by concentrating younger, healthier individuals in prosperous provinces and older, sicker individuals in disadvantaged ones. Using a novel framework that adjusts for...
This study examines healthcare access and the factors contributing to unmet needs among migrants in Phuket Province, Thailand. The findings reveal that unmet needs are primarily linked to undocumented status, financial barriers, and language difficulties. Employment...
This study examines the renewed push for a Universal Health Coverage (UHC) bill in Lebanon, analyzing its emergence on the policy agenda through Kingdon’s framework. Findings show that public pressure, a dedicated parliamentary committee, and political receptiveness...
This study explored the contextual factors affecting Iran’s basic universal health insurance program for Afghan refugees using the PESTEL framework. Through interviews with 22 stakeholders, researchers identified 61 factors across six main themes: political, economic,...
This study examined catastrophic health expenditures (CHEs) among low-income households in South Korea using machine learning methods on 2019 Korea Health Panel data. Results showed a 26.2% incidence of CHE, with AdaBoost performing best in prediction, highlighting...
This study analyzed the financing system for communicable disease (CD) management in Afghanistan through qualitative research using interpretative phenomenological analysis with 49 health system experts. It identified 12 strengths, 16 weaknesses, 9 opportunities, 21...
This study explored administrative stakeholders’ perspectives on Nigeria’s state-supported health insurance schemes (SSHIS) across six states. While the schemes improved health indices, infrastructure, equity, and financing, they face challenges including low...
This study explored how public financial management (PFM) processes influenced the implementation of Kenya’s 2019 Universal Health Coverage (UHC) pilot in four counties through qualitative interviews and focus group discussions. Findings revealed that while a hybrid...
Health taxes on products like tobacco, alcohol, and sugary drinks are a highly effective yet underused tool in Africa for reducing disease and premature death, while simultaneously generating domestic revenue. These taxes can help governments save lives, lessen...
This study compared health financing schemes for low-income populations across six East Asian societies, analyzing eligibility, coverage, and benefits. Results showed Taiwan, Hong Kong, and South Korea provide stronger financial protection, while mainland China lags...
This study used a discrete choice experiment in Switzerland to examine consumer preferences for value-based insurance design (VBID). Findings showed a strong status quo bias and resistance to higher cost-sharing or limiting low-value care, with preferences varying by...
Strengthening primary health care (PHC) is crucial for universal health coverage in South-East Asia, but sustainable public financing remains a challenge in Bangladesh, Indonesia, Maldives, and Nepal. This study, based on extensive document review and interviews,...
