Protecting households from catastrophic health spending
Protecting households from catastrophic health spending
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DOI：
10.1377/hlthaff.26.4.972
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发表时间：
2007-07-01
期刊：
影响因子：
9.7
通讯作者：
Evans, Timothy
中科院分区：
文献类型：
--
作者：
Xu, Ke;Evans, David B.;Evans, Timothy
许多国家严重依赖患者向提供者支付的自付费用来资助其卫生保健系统。这使一些人无法寻求护理，并导致其他获得护理的人陷入财务灾难和困境。在89个国家进行的调查覆盖了世界89%的人口，调查显示，全球每年有1.5亿人因为支付医疗服务而遭受财务灾难。预付机制保护人们免受金融灾难的影响，但没有强有力的证据表明社会医疗保险制度提供的保护比税收制度更好或更差。
Many countries rely heavily on patients' out-of-pocket payments to providers to finance their health care systems. This prevents some people from seeking care and results in financial catastrophe and impoverishment for others who do obtain care. Surveys in eighty-nine countries covering 89 percent of the world's population suggest that 150 million people globally suffer financial catastrophe annually because they pay for health services. Prepayment mechanisms protect people from financial catastrophe, but there is no strong evidence that social health insurance systems offer better or worse protection than tax-based systems do.