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Financial Protection - Importance and Indicators

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Financial protection means access to all essential health services without financial constraints and is a crucial part of universal health coverage.

Written by

Dr. Afsha Mirza

Medically reviewed by

Dr. Kaushal Bhavsar

Published At December 21, 2023
Reviewed AtDecember 21, 2023

Introduction:

Health systems have evolved to permit individuals to use the health services they require while being protected against any adverse economic effects of paying for healthcare. The burden of out-of-pocket health expenses (a patient spends money on medical expenditures not covered by a health insurance scheme) always results in economic difficulty for millions globally.

Universal health coverage was instituted to deal with thefinancial problems due to out-of-pocket payments. The expenditure on hospitalizations has an adverse effect on the individuals' lives affecting all the other spheres of their life like housing, quality of food, clothing, education, etc. Families have been pushed to poverty or face issues with accessing basic medical services due to the burden of healthcare costs. Universal health coverage policy has been provided as a security so that individuals will not suffer economic problems while accessing the benefits is essential health services required by them. Health systems have been constituted to not only enhance health but also enhance the factors that promote good health.

What Is Financial Protection?

Financial protection is a safety net against financial problems and empowers the health systems to not place any burden on individuals in the form of financial hardships associated with spending on health benefits. There are numerous methods of calculating financial risks, security, and the arrangements individuals have to make between spending for the health services they require and other needs such as food and primary education. The term refers to various insurance policies that pay out under specific events. These instruments provide relief from the financial drain or burden that may arise suddenly. The individuals are free to choose the various coverage that they feel is suitable for their situation, both economically and otherwise. The most common types of policies are as follows:

  • Life Insurance: Life insurance pays out the amount on an individual’s death. In some cases, if an individual is diagnosed with a chronic disease, it also provides financial reassurance for the loved ones during this time of hardship. It is left up to the individuals to specify the level or type of security that they require to meet their requirements.
  • Income Protection: If an individual is rendered unemployed or not able to continue to work in the same capacity, a safety net in the form of an income security policy will help out by making recurring monthly payments. It aids with economic commitments. The normal payout practice is the payment of a portion of the regular earnings. The premium on financial security is determined by the providers, the lifestyle of the insured, as well as medical fitness.

What Is Universal Health Coverage?

Universal health coverage denotes that all individuals receive the health benefits they require (equity in benefits) and that these benefits are of adequate quality to be helpful. Universal health coverage strives to decrease the gap in a country’s population between the requirement for help and the use of that assistance, which indicates that all individuals who require intervention are conscious of their necessities and that all individuals who are aware of their conditions can employ the help necessary.

What Are the Indicators of Financial Protection?

These indicators are linked with the main proposition for instituting the coverage, i.e., mitigating financial trouble due to out-of-pocket payments and avoiding any financial deficiency due to health expenses resulting in impoverishment.

1. Fatal Expenses Due to Out-Of-Pocket Payments:

  • Fatal health expense is when a family's out-of-pocket costs are so high compared to its available aids that the family is forced to withhold consumption of other essential goods and services. The incidence of health expenses is estimated as the ratio of households in a community whose health expenses overreach the crucial point.

  • The second is the debilitating overshooting of expenses, which then causes the expenses to surpass the ability to pay. A fatal expense or catastrophic expense is one where the expenditure goes beyond 40 % of the capacity to pay or otherwise more than 10 % of the annual income. The main benefit of concentrating on the idea of disaster is that its proportions are across the whole community, on which financial difficulty can occur.

2. Impoverishment Because of Out-Of-Pocket Health Payments:

Out-of-pocket payments can weigh families down or push them down the poverty line. Out-of-pocket costs can impoverished families as the expenses before completing health expenditures were above the poverty line but then dropped under the poverty line due to health expenses. This is a crucial point as it is a vital benchmark exhibiting the ratio of families going below the poverty line due to out-of-pocket costs and growing poverty. It also helps estimate the number of deficient families driven to poverty because of out-of-pocket payments.

What Are the Inequalities in Financial Protection?

The incidence of the economic problem among individuals in the most inadequate percentile is lower than in the remaining populations because these are incapable of utilizing health benefits or living in deprivation. The incidence of financial disaster can occasionally be more elevated in the higher earnings population because these individuals prefer to pay more for specific health assistance. The location of residence (rural or urban), home size or composition (female breadwinner, the ratio of children or older adults), and the existence of chronic diseases have been linked with raised incidences of financial difficulty in various settings.

What Is the Importance of Financial Protection?

1. Provides Relaxation of Mind: Proper financial security can provide an individual with security and peace of mind as the assurance of something to count on if required is provided. Choosing a suitable policy can help support an individual financially in the worst of circumstances. It is a measure that relieves worry and allows an individual to concentrate on what is necessary.

2. Provides Safety: When something unpredictable occurs, it can leave an individual financially helpless. It is always advisable and considered good practice to have an emergency reserve. Additional backup in the form of financial security is helpful. If an individual loses earnings over a long time, security needs to be there so that the individual does not have additional stress regarding payment for the requirements during the tough time.

3. Provides Time for Recovery: If an individual is unable to work due to disease, income security or critical disease coverage can reduce stress and enable an individual to rest and recover from the condition without any mental pressure. With appropriate financial protection in place, a person is in a situation to initiate designing other areas. Financial security can ensure a person can stay on the path even if the unpredictable occurs.

Conclusion:

Calculating financial risk protection delivers a helpful understanding of the financial difficulty induced by accessing required health assistance. Frequent monitoring of the inequalities in fundamental financial security indicators is necessary for sound policymaking. Routine calculation of the incidence of economic disaster and impoverishment and imbalances is linked to understanding if the problem is improving.

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Dr. Kaushal Bhavsar
Dr. Kaushal Bhavsar

Pulmonology (Asthma Doctors)

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