Out-of-pocket payments, vertical equity and unmet medical needs in France: A national multicenter prospective study on lymphedema.

ABSTRACT: Out-of-pocket payments might threaten the vertical equity of financing and generate unmet medical needs. The main objective was to assess the vertical equity of outpatient out-of-pocket payments for lymphedema patients in France. Twenty-seven centres, among which 11 secondary care hospitals and 16 primary care practices participated in this prospective national multicenter study. We measured the lymphedema-specific outpatient out-of-pocket payments over 6 months. The vertical equity of out-of-pocket payments was examined using concentration curves, the Gini coefficient for income, the Kakwani index, and the Reynolds-Smolensky index. We included 231 lymphedema patients aged 7 years or more, living in metropolitan France, and being able to use Internet and email. After voluntary health insur

SUBMITTER: Mercier G 

PROVIDER: S-EPMC6506146 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature