Abstract Background In India, Out-of-pocket expenses accounts for about 62.6% of total health expenditure - one the highest in world. Lack insurance coverage and inadequate are important reasons high out-of-pocket expenditures. There many Public Health Insurance Programs offered by Government that cover cost hospitalization people below poverty line (BPL), but their is still not complete. The objective this research to examine effect Poor on hospitalizations inpatient Out-of-Pocket costs....

Background Caesarean section (CS) has been on the rise worldwide and Bangladesh is no exception. In Bangladesh, CS rate, which includes both institutional community-based deliveries, increased from about 3% in 2000 to 24% 2014. This study examines association of reported complications around delivery socio-demographic, healthcare spatial characteristics mothers with CS, using data latest Demographic Health Survey (BDHS). Methods The based 2014 BDHS. BDHS a nationally representative survey...

It is now more than 2 years since the Ministry of Health and Family Welfare Government Bangladesh implemented Maternal Voucher Scheme, a specialized form demand-side financing programme. To analyse early lessons from scheme, information was obtained through semi-structured interviews with stakeholders at sub-district level. The analysis identified number factors affecting efficiency performance scheme in program area: delay release voucher funds, selection criteria used for enrolling...

This study aimed to examine the determinants of life satisfaction older adults in Turkey. The sample consisted 2,959 over 65 years. effects psychological, daily and instrumental activity, physical health status, other important variables on were analyzed. lessening for included poverty, a lower self-reported decline health, ability chew, do household activities, an increase feelings depression feeling social withdrawn. In contrast, being married, having higher education level,...

Background Cesarean Section (CS) delivery has been increasing rapidly worldwide and Bangladesh is no exception. In Bangladesh, the CS rate increased from about 3% in 2000 to 24% 2014. This study examines trend over last fifteen years implications of this rates on health care expenditures. Methods Birth data Demographic Health Survey (BDHS) for 2000–2014 have used analysis 2010 Maternal Mortality (BMMS) were estimating expenditure associated with CS. Results Although share institutional...

Utilization of Antenatal Care (ANC) is very low in Nigeria. Self-reported patient satisfaction may be useful to identify provider- and facility-specific factors that can improved increase ANC utilization. Exit interview data collected from users facility assessment survey 534 systematically selected facilities four northern Nigerian states were used. Associations between (satisfied, not-satisfied) ratings the provider’s interactions, care processes, out-of-pocket costs, quality...

Abstract Background With economic development, aging of the population, improved insurance coverage, and absence a formal referral system, bypassing primary healthcare facilities appear to have become more common. Chinese patients tend visit secondary or tertiary directly leading overcrowding at higher-level facilities. This study attempts analyze factors associated with care among age 45 years older in China. Methods Random effects logistic models were used examine health rural-urban...

Portal use has been studied among outpatients, but its utility and impact on inpatients is unclear. This study describes portal adoption hospitalized cancer patients investigates associations with selected safety, utilization, satisfaction measures. A retrospective review of 4594 adult was conducted between 2012 2014 at Mayo Clinic in Jacksonville, Florida, comparing adopters, who registered for a account prior to hospitalization, nonadopters. Adopters were classified by their activity...

Background Despite remarkable progress in maternal and child health, inequity persists care utilization Bangladesh. Government of Bangladesh (GOB) with technical assistance from United Nation Population Fund (UNFPA), Children's (UNICEF) World Health Organization (WHO) started implementing Maternal Neonatal Initiatives selected districts (MNHIB) 2007 an aim to reduce healthcare utilization. This study examines the effect MNHIB on Method Two surveys were carried out four Bangladesh- baseline...

Previous studies have consistently found an inverse relationship between household-level poverty and health status. However, what is not well understood whether how the average economic status at community level plays a role in poverty–health relationship. The purpose of this study to investigate concentration Tanzania its association with availability quality primary care services, utilization outcomes among household categories defined by wealth scores. A principal component method has...

The Government of Turkey has initiated a series major health reforms in 2003 with an objective increasing access to care services and improving efficiency public private hospitals. This study attempts understand the technical hospitals better guide hospital reform.We use data from 1079 translog stochastic production frontier was adopted estimate inefficiency hospitals.Results indicate that there is no statistically significant difference degree by geographic location or its level economic...

Endomyocardial biopsy is the mainstay for monitoring cardiac allograft rejection. A noninvasive strategy--peripheral blood gene expression profiling of circulating leukocytes--is an alternative with proven benefits, but unclear economic implications. Financial data were obtained from five transplant centers. An evaluation was conducted to compare costs outpatient those a approach Hospital averaged 3297 US dollars, excluding reimbursement professional fees. Costs Medicare and private payers...

SUMMARY This paper illustrates the importance of collecting facility‐based data through regular surveys to supplement administrative data, especially for developing countries world. In Bangladesh, measures based on facility survey indicate that only 70% very basic medical instruments and 35% essential drugs were available in health facilities. Less than 2% officially designated obstetric care facilities actually had required drugs, injections personnel on‐site. Majority (80%) referral...

The scale and scope of medical tourism have expanded rapidly over the last few decades. Turkey is becoming an important player in this market because its relatively better service quality large comparative cost advantage. This paper compares cost, effectiveness in-vitro fertilization (IVF) USA Turkey. data from were obtained a hospital specializing IVF services US came secondary sources. Package price offered by dominant IVF-service provider to international patients was used as measure for...

Background.More than 90% of all low birthweight (LBW) babies are born in developing countries, and half the population nations uses solid fuels as their primary source energy for cooking. An association between household use biomass reduced newborn weight has been found a number countries. Bangladesh high prevalence LBW (22%), 88% cooking.Objectives.This study aims to explore whether indoor air pollution is associated with Bangladesh, an important determinant infant mortality...

Introduction The Affordable Care Act (ACA) expanded the coverage of Medicaid to include entire population with income below 138% federal poverty line. It remains unclear whether this policy change has improved access and utilization health care, particularly use mammography Pap tests among poor women. Methods We used a difference-in-difference (DID) design estimate impact expansion on low-income Expansion states are treatment group non-expansion control group. years 2012–13 pre-expansion...

Trust between the parties is essential for efficient functioning of healthcare market. Physician-patient relationship represents an asymmetric information situation and trust in physicians critical improving health wellbeing patients. In China, appears to be quite low creating conflicts This study aims identify some general factors associated with using a nationally representative survey.A cross-sectional analysis data from 2018 China Family Panel Study (CFPS). Survey responses individuals...

Background/Objectives: Poisoning represents a significant global public health challenge, particularly with its complex manifestations in adult populations. Understanding regional epidemiology through digital systems is crucial for developing evidence-based prevention and management strategies. This nationwide study analyzes hospital-based toxicology teleconsultation data from the Toxicology Consultation Service-Saudi Medical Appointments Referrals Center (TCS-SMARC) platform to characterize...