Journal ArticleDOI
Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993–1998
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Two threshold approaches to measuring the fairness of health care payments are presented, one requiring that payments do not exceed a pre-specified proportion of pre-payment income, the other that they do not drive households into poverty, and the incidence and intensity of 'catastrophe' payments were reduced and became less concentrated among the poor.Abstract:
This paper presents and compares two threshold approaches to measuring the fairness of health care payments, one requiring that payments do not exceed a pre-specified proportion of pre-payment income, the other that they do not drive households into poverty. We develop indices for 'catastrophe' that capture the intensity of catastrophe as well as its incidence and also allow the analyst to capture the degree to which catastrophic payments occur disproportionately among poor households. Measures of poverty impact capturing both intensity and incidence are also developed. The arguments and methods are empirically illustrated with data on out-of-pocket payments from Vietnam in 1993 and 1998. This is not an uninteresting application given that 80% of health spending in that country was paid out-of-pocket in 1998. We find that the incidence and intensity of 'catastrophic' payments - both in terms of pre-payment income as well as ability to pay - were reduced between 1993 and 1998, and that both incidence and intensity of 'catastrophe' became less concentrated among the poor. We also find that the incidence and intensity of the poverty impact of out-of-pocket payments diminished over the period in question. Finally, we find that the poverty impact of out-of-pocket payments is primarily due to poor people becoming even poorer rather than the non-poor being made poor, and that it was not expenses associated with inpatient care that increased poverty but rather non-hospital expenditures.read more
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Journal ArticleDOI
Effect of payments for health care on poverty estimates in 11 countries in Asia: an analysis of household survey data.
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Journal ArticleDOI
Catastrophic payments for health care in Asia
Eddy van Doorslaer,Owen O'Donnell,R.P. Rannan-Eliya,Aparnaa Somanathan,Shiva Raj Adhikari,Charu C. Garg,Deni Harbianto,Alejandro N. Herrin,Mohammed N. Huq,Shamsia Ibragimova,Anup Karan,Tae-jin Lee,Gabriel M. Leung,Jui-fen Rachel Lu,Chiu Wan Ng,Badri Raj Pande,Rachel H. Racelis,Sihai Tao,Keith Y.K. Tin,Kanjana Tisayaticom,Laksono Trisnantoro,Chitpranee Vasavid,Yuxin Zhao +22 more
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Journal ArticleDOI
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References
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World development report 2000/2001 : attacking poverty
Ravi Kanbur,Christina Malmberg Calvo,Monica Das Gupta,Christiaan Grootaert,Victoria Kwakwa,Nora Lustig +5 more
TL;DR: In this paper, the authors focus on the dimensions of poverty and how to create a better world, free of poverty, and explore the nature, and evolution of poverty to present a framework for action.
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The world health report 2000 - Health systems: improving performance
Uwe E. Reinhardt,Tsung-mei Cheng +1 more
TL;DR: The chief virtue of the WHO report lies in the challenges it poses for its critics within the health services research community, and it is fair to query whether, on balance, so precarious an undertaking does more good than harm.
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Socioeconomic inequalities in health: Measurement, computation, and statistical inference
TL;DR: In this article, the relationship between two widely used indices of health inequality and explain why these are superior to others indices used in the literature is explained and the role that demographic standardization plays in the analysis of socioeconomic inequalities in health.
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Guidelines for Constructing Consumption Aggregates for Welfare Analysis
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