Progress on Impoverishing Health Spending in 122 Countries : A Retrospective Observational Study

The goal of universal health coverage (UHC) requires that families who get needed health care do not suffer financial hardship as a result. This can be measured by instances of impoverishment, when a household's consumption including out-of-pocket spending on health is more than the poverty lin...

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Main Authors:	Wagstaff, Adam, Flores, Gabriela, Smitz, Marc-François, Hsu, Justine, Chepynoga, Kateryna, Eozenou, Patrick
Format:	Journal Article
Published:	Elsevier 2018
Subjects:	UNIVERSAL HEALTH COVERAGE POVERTY MEASUREMENT IMPOVERISHMENT HEALTH CARE OUT-OF-POCKET HEALTH COSTS POVERTY LINE
Online Access:	http://hdl.handle.net/10986/29130

id	okr-10986-29130
recordtype	oai_dc
spelling	okr-10986-291302021-05-25T10:54:42Z Progress on Impoverishing Health Spending in 122 Countries : A Retrospective Observational Study Wagstaff, Adam Flores, Gabriela Smitz, Marc-François Hsu, Justine Chepynoga, Kateryna Eozenou, Patrick UNIVERSAL HEALTH COVERAGE POVERTY MEASUREMENT IMPOVERISHMENT HEALTH CARE OUT-OF-POCKET HEALTH COSTS POVERTY LINE The goal of universal health coverage (UHC) requires that families who get needed health care do not suffer financial hardship as a result. This can be measured by instances of impoverishment, when a household's consumption including out-of-pocket spending on health is more than the poverty line but its consumption, excluding out-of-pocket spending, is less than the poverty line. This links UHC directly to the policy goal of reducing poverty. We find impoverishment due to out-of-pocket spending even in countries where the entire population is officially covered by a health insurance scheme or by national or subnational health services. Incidence is negatively correlated with the share of total health spending channelled through social security funds and other government agencies. Out-of-pocket spending on health can add to the poverty head count and the depth of poverty by diverting household spending from non-health budget items. The scale of such impoverishment varies between countries and depends on the poverty line but might in some low-income countries account for as much as four percentage points of the poverty head count. Increasing the share of total health expenditure that is prepaid, especially through taxes and mandatory contributions, can help reduce impoverishment. 2018-01-09T17:32:54Z 2018-01-09T17:32:54Z 2017-12-13 Journal Article The Lancet Global Health 2214-109X http://hdl.handle.net/10986/29130 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Elsevier Publications & Research :: Journal Article Publications & Research
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	UNIVERSAL HEALTH COVERAGE POVERTY MEASUREMENT IMPOVERISHMENT HEALTH CARE OUT-OF-POCKET HEALTH COSTS POVERTY LINE
spellingShingle	UNIVERSAL HEALTH COVERAGE POVERTY MEASUREMENT IMPOVERISHMENT HEALTH CARE OUT-OF-POCKET HEALTH COSTS POVERTY LINE Wagstaff, Adam Flores, Gabriela Smitz, Marc-François Hsu, Justine Chepynoga, Kateryna Eozenou, Patrick Progress on Impoverishing Health Spending in 122 Countries : A Retrospective Observational Study
description	The goal of universal health coverage (UHC) requires that families who get needed health care do not suffer financial hardship as a result. This can be measured by instances of impoverishment, when a household's consumption including out-of-pocket spending on health is more than the poverty line but its consumption, excluding out-of-pocket spending, is less than the poverty line. This links UHC directly to the policy goal of reducing poverty. We find impoverishment due to out-of-pocket spending even in countries where the entire population is officially covered by a health insurance scheme or by national or subnational health services. Incidence is negatively correlated with the share of total health spending channelled through social security funds and other government agencies. Out-of-pocket spending on health can add to the poverty head count and the depth of poverty by diverting household spending from non-health budget items. The scale of such impoverishment varies between countries and depends on the poverty line but might in some low-income countries account for as much as four percentage points of the poverty head count. Increasing the share of total health expenditure that is prepaid, especially through taxes and mandatory contributions, can help reduce impoverishment.
format	Journal Article
author	Wagstaff, Adam Flores, Gabriela Smitz, Marc-François Hsu, Justine Chepynoga, Kateryna Eozenou, Patrick
author_facet	Wagstaff, Adam Flores, Gabriela Smitz, Marc-François Hsu, Justine Chepynoga, Kateryna Eozenou, Patrick
author_sort	Wagstaff, Adam
title	Progress on Impoverishing Health Spending in 122 Countries : A Retrospective Observational Study
title_short	Progress on Impoverishing Health Spending in 122 Countries : A Retrospective Observational Study
title_full	Progress on Impoverishing Health Spending in 122 Countries : A Retrospective Observational Study
title_fullStr	Progress on Impoverishing Health Spending in 122 Countries : A Retrospective Observational Study
title_full_unstemmed	Progress on Impoverishing Health Spending in 122 Countries : A Retrospective Observational Study
title_sort	progress on impoverishing health spending in 122 countries : a retrospective observational study
publisher	Elsevier
publishDate	2018
url	http://hdl.handle.net/10986/29130
_version_	1764468569106546688

Progress on Impoverishing Health Spending in 122 Countries : A Retrospective Observational Study

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