Background Patients with Hemophilia are continually monitored at treatment centers to avoid and control bleeding episodes. This study estimated the direct and indirect costs per patient with hemophilia A in Brazil and evaluated the cost variability across different age groups. Methods A...

Innovation is considered essential to the quality and sustainability of healthcare systems. However, the path from innovative idea to adopted reality is complex and fraught with barriers. The way in which healthcare innovations are financed is often mentioned as a major stumbling block, but a...

We analyze the effect of adverse health shocks on households' expenditure shares in different good categories using a fixed-effects approach and a structural approach based on microeconomic theory. We find that, on average, households substitute health and food expenditure in response to adverse...

Introduction The annual increase in emergency department (ED) visits in Taiwan has led to overcrowding in major hospitals and extended patient stays in the ED. International studies suggest that prolonged ED stays may influence healthcare costs and clinical outcomes for hospitalized patients....

Background Out-of-pocket payment remains one of the ways to finance health care in Ethiopia accounting 31%. These out-of-pocket health expense leads citizens' face catastrophic and impoverishing expenditure. The most recent survey-based study of catastrophic and impoverishing health expenditure...

Background Adjusting the health insurance reimbursement rate is essential to optimize the allocation of medical resources. This paper investigates the effect of health insurance reimbursement rates on middle-aged and elderly people's choice of hospitals in China. Methods This study is conducted...

Background Individuals receiving geriatric care are often frail and afflicted with multiple chronic conditions demanding care from several medical disciplines, and from several different care providing units across the health systems. Objective To explore the six-month service utilization and...

Background Cancer patients face a costly trade-off between medical care and basic necessities including food. This study aims to explore whether catastrophic health expenditures lead to food insecurity among older cancer survivors in the US. Methods Longitudinal study of individuals aged 50 or...

We estimate the difference in direct healthcare costs of individuals diagnosed with diabetes depending on their glucose level, considering different timespans and subgroups. Using data from administrative registers of 285,450 individuals in Catalonia from 2013 to 2017, we used a fuzzy regression...

Background The diagnosis-intervention packet (DIP) payment reform, utilizing big data for patient classification and payment standardization, was initially developed and piloted in China. Guangzhou, the pilot mega-city, rolled out DIP payment reform in 2018 to regulate medical expenditures. We...

The Colombian Ministry of Health's decision to increase the health insurance premium (Capitation Payment Unit) by 5.36% for 2025, close to the inflation rate, has sparked controversy. This adjustment disregards factors that contribute to rising healthcare costs, leading to concerns over the...

This article aims to develop the theoretical overlapping generation models with the unstable healthcare system due to the problem of missing trading markets between young and old generations. The main healthcare system in Thailand is Universal Coverage (UC) which covers around 48 million Thai...

The study aims to analyze the economic effects of population ageing in Japan, Spain, Italy, the United States, South Korea, Germany, France, the United Kingdom, and Canada using the panel ARDL (Autoregressive Distributed Lag) model. GDP per capita was adopted as the dependent variable, while the...

This study builds on the analysis on fiscal space for health in Uganda that was conducted by the World Bank in 2010. The previous study by Okwero et al. (2010) showed that there was low and inefficient health spending, limited scope for domestic revenue mobilization, high dependence on external...

Evidence suggests that smokers' responsiveness to cessation medication depends on genotypes. Whether personalized treatment based on genotypes is cost effec- tive compared to standard treatments, however, has been unexplored. We thus construct a lifecycle model with endogenous health evolution...

Greenhouse gas emissions, primarily carbon dioxide (Co₂), influence climate change and have a significant impact on public health. The relationship is a subject of interest to many researchers. However, the situation of Central and Eastern European (CEE) countries is not sufficiently explored...

The gas price explosion during the 2021/22 European energy crisis prompted a shift from gas- to coal-fired electricity production. Empirical evidence on the environmental and health consequences of such a fuel-price shock - as opposed to policy reforms - is scarce. We fill this gap by...

In this paper, we utilize the 2019/20 Uganda National Household Survey data to answer three related questions: (i) To what extent did out-of-pocket payments (OOPs) for health care services exceed the threshold for household financial catastrophe amidst COVID-19? (ii) What is the impoverishing...

Unequal access to healthcare and inadequate financing have highlighted the need for healthcare reform to increase efficiency while ensuring equity in healthcare financing worldwide. Our study evaluates the capacity of Kazakhstan’s healthcare system reform, transitioning from a tax-financed...

Green finance influences both health expenditures and environmental quality. Focussing on SDGs 3, 7, and 8, this study investigates the nexus between ecological footprint, green finance, health expenditures, renewable energy consumption, and economic growth using data from 2000 Q1-2020 Q4....

Using high-quality Finnish register data and a regression discontinuity approach, we study the health effects of reaching the legal drinking ages of 18 and 20. Our results show that at age 18, when beer, wine, and car driving become legal, mortality and hospitalizations increase discontinuously,...

Using high-quality Finnish register data and a regression discontinuity approach, we study the health effects of reaching the legal drinking ages of 18 and 20. Our results show that at age 18, when beer, wine, and car driving become legal, mortality and hospitalizations increase discontinuously,...

Historic underinvestment, coupled with a growing and ageing population, has led to capacity constraints in public acute hospitals in Ireland. This is evidenced by ageing infrastructure, large waiting lists and long waiting times for elective treatment, as well as pressure on unscheduled care...

The modern world is confronting interconnected challenges, such as achieving sustainable health system financing for poverty reduction, amid limited guidance for stakeholders. Adhering to SDG-3 guidelines for good health and well-being could aid in accomplishing SDG-1 for eradicating poverty....

This study aims to analyze the impact of government and external health spending on OOPHE across 30 SSA countries from 1995 to 2021. Using advanced econometric techniques, including the cross-sectionally augmented autoregressive distributed Lags (CS-ARDL) model and the dynamic common correlated...

In this study, we provide the first estimates of the effect of COVID-19 (COVID-19 legal restrictions) on catastrophic medical expenditure and forgone medical care in Africa. Data for this study were drawn from the 2018/19 Nigeria General Household Survey (NGHS) panel and the 2020/21 Nigeria...

The empirical findings of this study suggest a significant long-term relationship between the probability of mortality due to non-communicable diseases (NCDs) among individuals aged 30-70 in Azerbaijan and key economic and social indicators, including Gross Domestic Product per Capita, Waged...

The 2024 update also aligns with the World Bank's renewed strategic priorities for Health, Nutrition, and Population, including the goal to support countries in delivering affordable, quality health services to 1.5 billion people by 2030 and the World Bank's Human Capital Project. This 2024...

This study evaluates the influence of healthcare expenditures and globalization on health outcomes in BRICS nations from 2000 to 2023. Employing a fixed effects model (FEM), we analyze the impact of current health costs (CHC) and out-of-pocket expenditures (OPC) on good health (GH), while...

Background Evidence on the cost effectiveness of deprescribing in multimorbidity is limited. Objective To investigate the cost effectiveness of a general practitioner (GP) delivered, individualised medication review to reduce polypharmacy and potentially inappropriate prescribing in older...

A common approach to markets with adverse selection is to regulate competition to minimize inefficiencies, while preserving consumer choice among firms. We study the role of procurement auctions - leading to sole provision by the winning firm - as an alternative market design. Relative to...

Handwashing is one of the recommended measures during the COVID-19 period to limit the spread of the disease and also contributes to the prevention of WASH-related illnesses. The objective of this study is to analyze the impact of using a handwashing device on household healthcare expenditures...

This study assesses the effects of the COVID-19 pandemic on catastrophic health expenditures and income inequality in Benin. A microsimulation was calibrated to estimate the impact of the pandemic under three different shock scenarios: low, moderate, and severe. The analysis relies on secondary...