Comparative Health Systems Analysis of Differences in Catastrophic Health Expenditure
2022
The growing burden of non-communicable diseases (NCDs) in low- and middle-income countries may have implications for health system performance in the area of financial risk protection, as measured by catastrophic health expenditure (CHE). This article compares non-communicable diseases catastrophic health expenditure to the CHE cases caused by communicable diseases across health systems to examine whether: (1) disease burden and catastrophic health expenditure are linked, (2) Catastrophic health expenditures secondary to NCDs disproportionately affect wealthier households and (3) whether the drivers of Catastrophic health expenditures secondary to NCDs differ from the drivers of those caused by communicable diseases.
Health system attributes play a key mediating factor in how disease burden translates into catastrophic health expenditure by disease. Health systems must target the specific characteristics of catastrophic health expenditure by disease area to bolster financial risk protection as the epidemiological transition proceeds.
Comparative Health Systems Analysis of Differences in Catastrophic Health Expenditure
Source:
Haakenstad A, Coates AM, Bukhman G et al. Comparative Health Systems Analysis of Differences in the Catastrophic Health Expenditure Associated with Non-Communicable vs Communicable Diseases Among Adults in Six Countries. Health Policy and Planning 2022; 37 (9): 1107-1115. https://doi.org/10.1093/heapol/czac053