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Article: Catastrophic payments for health care in Asia

TitleCatastrophic payments for health care in Asia
Authors
Issue Date2007
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5749
Citation
Health Economics, 2007, v. 16 n. 11, p. 1159-1184 How to Cite?
AbstractOut-of-pocket (OOP) payments are the principal means of financing health care throughout much of Asia. We estimate the magnitude and distribution of OOP payments for health care in fourteen countries and territories accounting for 81% of the Asian population. We focus on payments that are catastrophic, in the sense of severely disrupting household living standards, and approximate such payments by those absorbing a large fraction of household resources. Bangladesh, China, India, Nepal and Vietnam rely most heavily on OOP financing and have the highest incidence of catastrophic payments. Sri Lanka, Thailand and Malaysia stand out as low to middle income countries that have constrained both the OOP share of health financing and the catastrophic impact of direct payments. In most low/middle-income countries, the better-off are more likely to spend a large fraction of total household resources on health care. This may reflect the inability of the poorest of the poor to divert resources from other basic needs and possibly the protection of the poor from user charges offered in some countries. But in China, Kyrgyz and Vietnam, where there are no exemptions of the poor from charges, they are as, or even more, likely to incur catastrophic payments. Copyright © 2007 John Wiley & Sons, Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/86918
ISSN
2015 Impact Factor: 2.151
2015 SCImago Journal Rankings: 1.364
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorVan Doorslaer, Een_HK
dc.contributor.authorO'Donnell, Oen_HK
dc.contributor.authorRannanEliya, RPen_HK
dc.contributor.authorSomanathan, Aen_HK
dc.contributor.authorAdhikari, SRen_HK
dc.contributor.authorGarg, CCen_HK
dc.contributor.authorHarbianto, Den_HK
dc.contributor.authorHerrin, ANen_HK
dc.contributor.authorHuq, MNen_HK
dc.contributor.authorIbragimova, Sen_HK
dc.contributor.authorKaran, Aen_HK
dc.contributor.authorLee, TJen_HK
dc.contributor.authorLeung, GMen_HK
dc.contributor.authorLu, JFRen_HK
dc.contributor.authorNg, CWen_HK
dc.contributor.authorPande, BRen_HK
dc.contributor.authorRacelis, Ren_HK
dc.contributor.authorTao, Sen_HK
dc.contributor.authorTin, Ken_HK
dc.contributor.authorTisayaticom, Ken_HK
dc.contributor.authorTrisnantoro, Len_HK
dc.contributor.authorVasavid, Cen_HK
dc.contributor.authorZhao, Yen_HK
dc.date.accessioned2010-09-06T09:22:56Z-
dc.date.available2010-09-06T09:22:56Z-
dc.date.issued2007en_HK
dc.identifier.citationHealth Economics, 2007, v. 16 n. 11, p. 1159-1184en_HK
dc.identifier.issn1057-9230en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86918-
dc.description.abstractOut-of-pocket (OOP) payments are the principal means of financing health care throughout much of Asia. We estimate the magnitude and distribution of OOP payments for health care in fourteen countries and territories accounting for 81% of the Asian population. We focus on payments that are catastrophic, in the sense of severely disrupting household living standards, and approximate such payments by those absorbing a large fraction of household resources. Bangladesh, China, India, Nepal and Vietnam rely most heavily on OOP financing and have the highest incidence of catastrophic payments. Sri Lanka, Thailand and Malaysia stand out as low to middle income countries that have constrained both the OOP share of health financing and the catastrophic impact of direct payments. In most low/middle-income countries, the better-off are more likely to spend a large fraction of total household resources on health care. This may reflect the inability of the poorest of the poor to divert resources from other basic needs and possibly the protection of the poor from user charges offered in some countries. But in China, Kyrgyz and Vietnam, where there are no exemptions of the poor from charges, they are as, or even more, likely to incur catastrophic payments. Copyright © 2007 John Wiley & Sons, Ltd.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www3.interscience.wiley.com/cgi-bin/jhome/5749en_HK
dc.relation.ispartofHealth Economicsen_HK
dc.rightsHealth economics. Copyright © John Wiley & Sons Ltd.en_HK
dc.subject.meshAsiaen_HK
dc.subject.meshBudgetsen_HK
dc.subject.meshCatastrophic Illness - economicsen_HK
dc.subject.meshFamily Characteristicsen_HK
dc.subject.meshFinancing, Personal - economics - statistics & numerical dataen_HK
dc.subject.meshHumansen_HK
dc.titleCatastrophic payments for health care in Asiaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1057-9230&volume=16&issue=11&spage=1159&epage=1184&date=2007&atitle=Catastrophic+payments+for+health+care+in+Asiaen_HK
dc.identifier.emailLeung, GM:gmleung@hku.hken_HK
dc.identifier.emailTin, K:tinyiuke@hku.hken_HK
dc.identifier.authorityLeung, GM=rp00460en_HK
dc.identifier.authorityTin, K=rp00494en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1002/hec.1209en_HK
dc.identifier.pmid17311356-
dc.identifier.scopuseid_2-s2.0-35948994134en_HK
dc.identifier.hkuros139154en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-35948994134&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume16en_HK
dc.identifier.issue11en_HK
dc.identifier.spage1159en_HK
dc.identifier.epage1184en_HK
dc.identifier.isiWOS:000250661400003-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridVan Doorslaer, E=7006272913en_HK
dc.identifier.scopusauthoridO'Donnell, O=6601988937en_HK
dc.identifier.scopusauthoridRannanEliya, RP=14919790700en_HK
dc.identifier.scopusauthoridSomanathan, A=14919648800en_HK
dc.identifier.scopusauthoridAdhikari, SR=14919146200en_HK
dc.identifier.scopusauthoridGarg, CC=14919150300en_HK
dc.identifier.scopusauthoridHarbianto, D=14919344500en_HK
dc.identifier.scopusauthoridHerrin, AN=6603659021en_HK
dc.identifier.scopusauthoridHuq, MN=14919585400en_HK
dc.identifier.scopusauthoridIbragimova, S=14919401500en_HK
dc.identifier.scopusauthoridKaran, A=14919490100en_HK
dc.identifier.scopusauthoridLee, TJ=36524677600en_HK
dc.identifier.scopusauthoridLeung, GM=7007159841en_HK
dc.identifier.scopusauthoridLu, JFR=8957442200en_HK
dc.identifier.scopusauthoridNg, CW=7401705512en_HK
dc.identifier.scopusauthoridPande, BR=14919966800en_HK
dc.identifier.scopusauthoridRacelis, R=6506891315en_HK
dc.identifier.scopusauthoridTao, S=14919877100en_HK
dc.identifier.scopusauthoridTin, K=7003796897en_HK
dc.identifier.scopusauthoridTisayaticom, K=14919793800en_HK
dc.identifier.scopusauthoridTrisnantoro, L=14919935900en_HK
dc.identifier.scopusauthoridVasavid, C=14919985500en_HK
dc.identifier.scopusauthoridZhao, Y=37030238400en_HK

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