The Effect of Catastrophic Health Expenditure on Work After Retirement

Rad, Enayatollah Homaie; Rashidian, Arash; Asgari, Mohammad; Souri, Ali

doi:10.1177/0091415016677971

Cited by 14 publications

(11 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Rahman(2018) [ 31 ] suggested to reform health financing systems of Bangladesh to avoid high dependency on out-of-pocket spending, otherwise the incidence of CHE would increase from 17% to 20% in 5 years by estimation of Bayesian regression model. Rad(2017) [ 32 ], Rezapour(2018)[ 33 ] considered there was a high degree of CHE in Iran especially caused by chronic non-communicable diseases or in retirees based on sample survey. Aji(2017) [ 34 ] affirmed positive effect of Indonesian Health Care Financing System on incidence of CHE.…”

Section: Conclusion and Discussionmentioning

confidence: 99%

Improvement of the reduction in catastrophic health expenditure in China’s public health insurance

Fang

Nie

2018

PLoS ONE

View full text Add to dashboard Cite

This study aimed to locate the contributing factors of Catastrophic Health Expenditure (CHE), evaluate their impacts, and try to propose strategies for reducing the possibilities of CHE in the context of China’s current public health insurance system. The financial data of all hospitalization cases from a sample hospital in 2013 were gathered and used to determine the pattern of household medical costs. A simulation model was constructed based on China’s current public health insurance system to evaluate the financial burden for medical service on Chinese patients, as well as to calculate the possibilities of CHE. Then, by adjusting several parameters, suggestions were made for China’s health insurance system in order to reduce CHE. It’s found with China’s current public health insurance system, the financial aid that a patient may receive depends on whether he is from an urban or rural area and whether he is employed. Due to the different insurance policies and the wide income gap between urban and rural areas, rural residents are much more financially vulnerable during health crisis. The possibility of CHE can be more than 50% for low-income rural families. The CHE ratio can be dramatically lowered by applying different policies for different household income groups. It’s concluded the financial burden for medical services of Chinese patients is quite large currently, especially for those from rural areas. By referencing different healthcare policies in the world, applying different health insurance policies for different income groups can dramatically reduce the possibility of CHE in China.

show abstract

Section: Conclusion and Discussionmentioning

confidence: 99%

Improvement of the reduction in catastrophic health expenditure in China’s public health insurance

Fang

Nie

2018

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…Using stratified methods for inhabitants of urban and rural regions for each province, households were selected as the study sample. The questionnaire used in this survey was based on Classification of Individual Consumption by Purpose [ 13 ]. All expenditures data were converted to US dollars after adjusting for the inflation rate.…”

Section: Methodsmentioning

confidence: 99%

Pros and cons of the health transformation program in Iran: evidence from financial outcomes at the household level

et al. 2017

Self Cite

View full text Add to dashboard Cite

OBJECTIVESThe health transformation program was a recent reform in the health system of Iran that was implemented in early 2014. Some of the program’s important goals were to improve the equity of payments and to reduce out-of-pocket (OOP) payments and catastrophic health expenditures (CHE). In this study, these goals were evaluated using a before-and-after analysis.METHODSData on household income and expenditures in Guilan Province were gathered for the years 2013 and 2015. OOP payments for outpatient, inpatient, and drug services were calculated, and the results were compared using the propensity score matching technique after adjusting for confounding variables. Concentration indices and curves were added to quantify changes in inequity before and after the reform. The incidence of catastrophic expenditures was then calculated.RESULTSOverall and outpatient service OOP payments increased by approximately 10 dollars, while for other types of services, no significant changes were found. Inequity and utilization of services did not change after the reform. However, a significant reduction was observed in CHE incidence (5.75 to 3.82%).CONCLUSIONSThe reform was successful in decreasing the incidence of CHE, but not in reducing the monetary amount of OOP payments or affecting the frequency of health service utilization.

show abstract

“…Several factors can change the prevalence of early retirement. Health, job satisfaction, age, income, wealth and facing with catastrophic expenditures are some of them 2 , 3 , 4 ) . Assume that U w is utility derived from work which is affected by income ( i ) and health( h ), with the assumption having other variables constant, three conditions may occur for the worker:

…”

Section: Introductionmentioning

confidence: 99%

Comparison the effects of poor health and low income on early retirement: a systematic review and meta-analysis

et al. 2017

Self Cite

View full text Add to dashboard Cite

The main aim of this study was to estimate the effects of poor health and low income on early retirement. For this purpose systematic review and meta-analysis were conducted. Web of Science, PUBMED and Scopus databases were searched systematically. Finally 17 surveys were added in meta-analysis. These studies were conducted in 13 countries. At the end a Meta regression was done to show the effects of welfare system type on effect sizes of poor health and low income. The results of this study showed that poor health had effect on the risk of early retirement. (Poor health pooled effect sizes: 1.279 CI: (1.15 1.41), low income pooled effect sizes: 1.042 CI: (0.92 1.17), (poor health pooled marginal effects: 0.046 CI: (−0.03 0.12), low income pooled marginal effects: −0.002 CI: (−0.003 0.000). The results of this study showed that association between poor health and early retirement was stronger in comparison with low income and early retirement.

show abstract

The Effect of Catastrophic Health Expenditure on Work After Retirement

Cited by 14 publications

References 21 publications

Improvement of the reduction in catastrophic health expenditure in China’s public health insurance

Improvement of the reduction in catastrophic health expenditure in China’s public health insurance

Pros and cons of the health transformation program in Iran: evidence from financial outcomes at the household level

Comparison the effects of poor health and low income on early retirement: a systematic review and meta-analysis

Contact Info

Product

Resources

About