Financial Protection in Health among the Elderly – A Global Stocktake

Universal Health Coverage is one of the key targets of the Sustainable Development Goals and it implies that everyone can access the healthcare they need without suffering financial hardship. In this paper, we use a large set of household surveys to examine if older populations are facing different...

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Main Authors: Patrick Hoang-Vu Eozenou, Sven Neelsen, Marc-Francois Smitz
Format: Article
Language:English
Published: Taylor & Francis Group 2021-07-01
Series:Health Systems & Reform
Subjects:
Online Access:http://dx.doi.org/10.1080/23288604.2021.1911067
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author Patrick Hoang-Vu Eozenou
Sven Neelsen
Marc-Francois Smitz
author_facet Patrick Hoang-Vu Eozenou
Sven Neelsen
Marc-Francois Smitz
author_sort Patrick Hoang-Vu Eozenou
collection DOAJ
description Universal Health Coverage is one of the key targets of the Sustainable Development Goals and it implies that everyone can access the healthcare they need without suffering financial hardship. In this paper, we use a large set of household surveys to examine if older populations are facing different degrees of financial hardship compared to younger populations. We find that while differences in average age structures between countries are not systematically associated with higher financial risk related to out-of-pocket health expenditures, there are large differences in financial hardship between younger and older households within countries. Households with more elderly members are more likely to face catastrophic and impoverishing out-of-pocket health payments compared to younger households, and this age gradient is stronger for the poorest segments of the population. Making progress toward Universal Health Coverage will require extension and improved targeting of benefit packages and financial protection to meet the health needs of older adults, and especially the poorest and most vulnerable segments of elderly populations.
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spelling doaj.art-d63658bc3f8f439a89a350272d8cfa992022-12-21T21:48:54ZengTaylor & Francis GroupHealth Systems & Reform2328-86042328-86202021-07-017210.1080/23288604.2021.19110671911067Financial Protection in Health among the Elderly – A Global StocktakePatrick Hoang-Vu Eozenou0Sven Neelsen1Marc-Francois Smitz2The World BankThe World BankThe World BankUniversal Health Coverage is one of the key targets of the Sustainable Development Goals and it implies that everyone can access the healthcare they need without suffering financial hardship. In this paper, we use a large set of household surveys to examine if older populations are facing different degrees of financial hardship compared to younger populations. We find that while differences in average age structures between countries are not systematically associated with higher financial risk related to out-of-pocket health expenditures, there are large differences in financial hardship between younger and older households within countries. Households with more elderly members are more likely to face catastrophic and impoverishing out-of-pocket health payments compared to younger households, and this age gradient is stronger for the poorest segments of the population. Making progress toward Universal Health Coverage will require extension and improved targeting of benefit packages and financial protection to meet the health needs of older adults, and especially the poorest and most vulnerable segments of elderly populations.http://dx.doi.org/10.1080/23288604.2021.1911067universal health coveragefinancial protectionout-of-pocket expenditurecatastrophic health spendingaging
spellingShingle Patrick Hoang-Vu Eozenou
Sven Neelsen
Marc-Francois Smitz
Financial Protection in Health among the Elderly – A Global Stocktake
Health Systems & Reform
universal health coverage
financial protection
out-of-pocket expenditure
catastrophic health spending
aging
title Financial Protection in Health among the Elderly – A Global Stocktake
title_full Financial Protection in Health among the Elderly – A Global Stocktake
title_fullStr Financial Protection in Health among the Elderly – A Global Stocktake
title_full_unstemmed Financial Protection in Health among the Elderly – A Global Stocktake
title_short Financial Protection in Health among the Elderly – A Global Stocktake
title_sort financial protection in health among the elderly a global stocktake
topic universal health coverage
financial protection
out-of-pocket expenditure
catastrophic health spending
aging
url http://dx.doi.org/10.1080/23288604.2021.1911067
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