Financial hardship on the path to Universal Health Coverage in the Gulf States

Alshamsan, Riyadh; Leslie, Hannah H.; Majeed, Azeem; Kruk, Margaret E

doi:10.1016/j.healthpol.2016.12.012

Cited by 21 publications

(13 citation statements)

References 19 publications

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“…Several characteristics of the household's head and the household were included in the analysis as potential confounders (Saksena et al 2010;Kim et al 2011;Knaul et al 2011;Brinda et al 2014;Kimman et al 2015;Masood et al 2015;Ozgen Narci et al 2015;Alshamsan et al 2017;Mohanty et al 2017). Relevant characteristics of the head of household were sex, age (18-24, 35-44, 45-64, 65-74, 75+ years), marital status (single, married and formerly married), education (none, primary, secondary and higher) and employment status (whether the household's head was in paid employment in the past two weeks).…”

Section: Variablesmentioning

confidence: 99%

“…Measuring CHE helps policy planners monitoring reductions in OOP payments reported in national health accounts, and characterising sub-groups of the population that are more vulnerable to financial hardship and potential impoverishment (WHO/World Bank 2015; Sweeney et al 2016). Previous studies have shown that CHE is more common among poorer and more unequal countries Xu et al 2007) as well as in rural, smaller and poorer households, those with older adults and/or young children and those with no health insurance (Knaul et al 2011;Kimman et al 2015;Alshamsan et al 2017;Mohanty et al 2017). In addition, the use of specific healthcare services, such as inpatient care, prescription drugs, dental services, and visits to traditional healers, may lead to CHE (Saksena et al 2010;Kim et al 2011;Brinda et al 2014;Masood et al 2015;Ozgen Narci et al 2015).…”

Section: Introductionmentioning

confidence: 99%

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Determinants of catastrophic healthcare expenditure in Peru

Falconí

Bernabé

2018

Int J Health Econ Manag.

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The aims of this study were to assess factors associated with catastrophic healthcare expenditure (CHE) and the burden of out-of-pocket (OOP) payments for specific healthcare services in Peru. We used data from 30,966 households that participated in the 2016 National Household Survey (Encuesta Nacional de Hogares, ENAHO). Participants reported household characteristics and expenditure on ten healthcare services. CHE was defined as healthcare spending equal to or higher than 40% of the household's capacity to pay. The associations of various household characteristics and OOP payments for specific healthcare services with CHE were assessed in logistic regression models. Poorer, rural and smaller households as well as those with older adults and individuals with chronic conditions had greater odds of facing CHE. According to the estimates from the adjusted regression model, healthcare services could be grouped into three groups. Medical tests, surgery and medication were in the first group with odds ratios (ORs) between 6.43 and 4.72. Hospitalisation, outpatient, dental and eye care were in the second group with ORs between 2.61 and 1.46. Child care, maternity care and other healthcare services (such as contraceptives, rehabilitation, etc.) were in the third group with non-significant ORs. Many Peruvian households are forced to finance their healthcare through OOP payments, burdening their finances to the extent of affecting their living standards.

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Section: Variablesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Determinants of catastrophic healthcare expenditure in Peru

Falconí

Bernabé

2018

Int J Health Econ Manag.

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“…The UAE government has chosen to present price control mechanisms for health services and medicines (The National, 2014) to safeguard that the eventual recipients of the health care services are not experiencing extremely higher costs. In addition, the UAE government is transitioning towards universal health coverage for the population (Alshamsan et al, 2017) to reduce out-of-pocket health care expenses.…”

Section: Discussionmentioning

confidence: 99%

“…[1] The Federal Insurance Authority also plays a key role in the UAE health care sector, as the UAE government is transitioning towards universal health coverage for all residents in the UAE (Alshamsan, Leslie, Majeed, & Kruk, 2017). The UAE health care industry is dominated by a handful of private health care providers.…”

Section: Background Of Health Care In the United Arab Emiratesmentioning

confidence: 99%

Determinants of Customer Satisfaction in the United Arab Emirates Health Care Industry

Sayani

Moonesar

Zakzak

et al. 2020

Preprint

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Background: The United Arab Emirates is aiming to provide ‘world-class healthcare’ to its citizens. This study aims to study the association between overall satisfaction and various aspects of health care services in the United Arab Emirates on a country level. Methods: The data was collected from 5,855 respondents on affordability, quality, accessibility, and responsiveness dimensions of health care. Besides frequency tables and descriptive statistics, statistical methods, such as Principal Component Analysis and Multiple Regression were used for dimension reduction and model the association between dependent (overall satisfaction) and independent (affordability, quality, accessibility, and responsiveness) variables. Results: The findings indicated higher levels of satisfaction with quality and accessibility and lower levels of satisfaction with affordability and responsiveness. Recommendations are provided to address the latter two factors. Conclusions: The study identifies issues in health care service provision in the United Arab Emirates and offers recommendations about enhancing affordability and responsiveness.

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“…The population of Saudi Arabia is mostly young (median age = 27.2 compared to world median = 30.1 years) [ 7 ], with high prevalence of caries [ 8 ] and periodontal disease [ 9 ] and this may increase the need for prosthodontic care as time passes. Saudis have access to free health care, including dental treatment in governmental facilities under universal coverage [ 10 ]. Health insurance is provided by some employers to cover the cost of care in the private sector.…”

Section: Introductionmentioning

confidence: 99%

Normative prosthodontic care need: does it impact the daily life of young Saudis with high level of oral diseases? A cross sectional study

Tantawi

2017

BMC Oral Health

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BackgroundAssessing the need for prosthodontic care previously included older age groups. There is less information about younger populations who may need this care because of high disease levels. The aim of this study was to assess the normative need for prosthodontic care in a young Saudi population with high oral disease levels, the associated factors and its impact on daily life.MethodsA cross sectional study included Saudi adults in the Eastern Province in 2016. A questionnaire was used to assess personal background (confounders), risk factors affecting oral diseases (exposures) and the impact of oral problems on daily life. A clinical examination assessed tooth loss, the presence of prosthodontic appliances, the presence of untreated decay and need for periodontal care. Directed acyclic graphs identified the confounders to be included in regression models with separate outcomes: normative need for prosthodontic care (binary logistic model) and impact on 6 daily life aspects (ordinal regression models).ResultsComplete data were available for 574/ 700 = 82% and 46.7% needed prosthodontic care with 2 lost teeth on average among adults of mean age = 33.2 years. The confounders controlled for the need for prosthodontic care included socioeconomic status (SES), dental visits last year and health insurance. The confounders for the impact on daily life included age and SES. In adjusted models, normative need for prosthodontic care was significantly associated with untreated decay (OR = 2.09, 95% C.I. = 1.37, 3.19). The impact on daily life was not significantly associated with prosthodontic care need but with untreated decay, especially sleeplessness (regression coefficient = 0.53, 95% C.I. = 0.02, 1.04) and dropping daily activities (regression coefficient = 0.79, 95% C.I. = 0.13, 1.46). In addition, the need for periodontal care was associated with food avoidance (regression coefficient = 0.73, 95% C.I. = 0.28, 1.18).ConclusionsIn Saudi adults in the Eastern Province, there was a considerable normative need for prosthodontic care due to untreated decay. The impact on daily life was related to the underlying oral diseases rather than the need for prosthodontic care itself.Electronic supplementary materialThe online version of this article (10.1186/s12903-017-0418-x) contains supplementary material, which is available to authorized users.

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Financial hardship on the path to Universal Health Coverage in the Gulf States

Cited by 21 publications

References 19 publications

Determinants of catastrophic healthcare expenditure in Peru

Determinants of catastrophic healthcare expenditure in Peru

Determinants of Customer Satisfaction in the United Arab Emirates Health Care Industry

Normative prosthodontic care need: does it impact the daily life of young Saudis with high level of oral diseases? A cross sectional study

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