2010
DOI: 10.1186/1475-9276-9-11
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Health equity in Lebanon: a microeconomic analysis

Abstract: BackgroundThe health sector in Lebanon suffers from high levels of spending and is acknowledged to be a source of fiscal waste. Lebanon initiated a series of health sector reforms which aim at containing the fiscal waste caused by high and inefficient public health expenditures. Yet these reforms do not address the issues of health equity in use and coverage of healthcare services, which appear to be acute. This paper takes a closer look at the micro-level inequities in the use of healthcare, in access, in abi… Show more

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Cited by 38 publications
(35 citation statements)
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“…The probability of catastrophic expenditure was then 4.4 times higher among households having incurred expenses for treating chronically ill persons in Georgia, and up to 7.8 times higher in Burkina-Faso [17,56]. Similar results were found in West Bengal (India), in Lebanon and in China [15,40,57,58]. Up to 11.6% of households in Western and Central China were pushed under the US$ 1.08 poverty line after incurring outpatient expenses associated with chronic diseases [42].…”
Section: Resultsmentioning
confidence: 73%
“…The probability of catastrophic expenditure was then 4.4 times higher among households having incurred expenses for treating chronically ill persons in Georgia, and up to 7.8 times higher in Burkina-Faso [17,56]. Similar results were found in West Bengal (India), in Lebanon and in China [15,40,57,58]. Up to 11.6% of households in Western and Central China were pushed under the US$ 1.08 poverty line after incurring outpatient expenses associated with chronic diseases [42].…”
Section: Resultsmentioning
confidence: 73%
“…The health system savings on hospitalization costs are calculated for each quintile by multiplying the deaths averted by the average cost of a smoking-related hospitalization and the utilization rates by quintile and by disease. Subsequently, we derive the savings in OOP health expenditures using the share of healthcare costs paid out of pocket by expenditure quintile, reported in Table 1 (Salti et al., 2010). OOP health expenditures averted are calculated keeping in mind that insurance plans cover acute health expenditures associated with hospitalizations due to tobacco-related illnesses, and patients without insurance coverage pay out of pocket.…”
Section: Methodsmentioning
confidence: 99%
“…The multiplicity and ambiguity shrouding the health insurance schemes in Lebanon, in addition to the relatively high OOP health expenditures, and lack of coverage of outpatient services generated a sense of public dissatisfaction with the current state of the health care system . The health care system in Lebanon also adversely affected the most low‐income population; in that, the lowest quintiles had lower rates of insurance coverage and had to pay more frequent catastrophic payments, increasing their vulnerability . Over the past 10 years, almost every minister of health and several parliamentarians have attempted to pass laws to merge the health insurance schemes, create a single funding pool, and standardize the package of services, but none of these laws were passed due to conflicting stakeholder interests .…”
Section: Introductionmentioning
confidence: 99%