Burden of out‐of‐pocket health expenditure
Financial protection through public or private health insurance substantially reduces the amount that people pay directly for medical care, yet in some countries the burden of out‐of‐pocket spending can still create barriers to health care access and use. Households that have difficulties paying medical bills may delay or forgo needed health care (Hoffman et al., 2005; May and Cunningham, in Banthin et al., 2008). On average across OECD countries, 18% of health spending is paid directly by patients (see Indicator 7.6 "Financing of health care").
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Document Type: Review Article
Publication date: 01 December 2009