For cancer, out-of-pocket payment is a double-edged sword.
就癌症而言，自费支付费用是一把双刃剑。
It also subtracts payroll and income taxes, child care costs and out-of-pocket medical expenses.
同时减去了工资总额，所得税，儿童保育成本和预算外的医疗支出。
Out-of-pocket spending was high, costing poor families more than 9% of household income on average.
家庭自费支出很高，平均占贫困家庭总收入的9%以上。
But when taking into account out-of-pocket medical expenses and other factors, that number rises to 16.1 percent.
但是当考虑进现金支付医疗成本和其他因素时，数字升至16.1%。
One national survey has shown that caregivers typically spend more than $5, 000 a year on out-of-pocket expenses.
一项全国调查显示，护理者每年实际花费的开支一般在5000美元以上。
Most care for these diseases is covered through out-of-pocket payments, leading to catastrophic medical expenditures.
这些疾病的医护大都属于自费支付，从而导致灾难性医疗支出。
Many Regional Committees addressed the severe problem of reliance on out-of-pocket payment to cover health care costs.
多个区域委员会讨论了依赖自掏腰包支付卫生保健费用这个严重的问题。
First, direct out-of-pocket payments at the time of care are identified as the single biggest barrier to universal coverage.
首先，在接受医疗服务时直接自掏腰包付费是影响全民覆盖的最大障碍。
This is especially true in low - and middle-income countries, where most people rely on out-of-pocket payments for health care.
在中低收入国家尤其如此，因为那里多数的人自费支付卫生保健费用。
Descriptive statistics and log-linear models were used to identify factors associated with out-of-pocket expenditure on delivery.
描述性统计和对数线性模型用来识别与自费分娩费用相关的因素。
When the additional out-of-pocket costs are taken into account, a healthy advertising budget is needed before any revenue can be assumed.
考虑到非预算支出（out-of-pocket）成本，需要在产生收入之前制定合理的广告预算。
In 2007, out-of-pocket expenditure on a facility-based delivery equalled 13% of the mean annual household income for low-income households.
2007年，在医疗机构分娩的自费医疗费用相当于低收入家庭年均家庭总收入的13%。
She paid out-of-pocket for treatment and medications, fearing that someone at work would find out about her condition through her insurance.
她的治疗和药品全部是自掏腰包的，因为她怕单位的人通过她与保险公司的联系发现她有这个病。
Call your insurance company and see what smoking-cessation programs and medications it will pay for, thus saving on your out-of-pocket costs.
打电话咨询保险公司有关戒烟产品，以及赔付标准，这样也能节省下口袋里的钱。
You may need to pay out-of-pocket for any fees associated with elective breast implants, including follow-up screening and corrective surgery.
一切与该手术有关的费用您都需要自费，包括后续的常规扫描检查和矫形手术。
Though this is a problem in many OECD countries, in America the proportion of out-of-pocket spending has declined sharply in the past few decades.
尽管这是很多经济合作与发展组织国家的共同问题，但在美国，现金支付比例在过去几十年间显著下降。
Patients like Ms Ahlstrand use e-mail because it is free and convenient, whereas a personal visit can involve hassle and an out-of-pocket payment.
像阿斯特兰这样的患者使用电邮是因为电邮是免费的而且很方便，但是当面单独会诊可能会带来一些麻烦和一些支付费用。
Providing coverage to all is a financial challenge, but most systems now rely on out-of-pocket payments which is the least fair and effective method.
提供全民保健在财政方面是一项挑战，但多数体制现在依靠自费支付费用，而这是公平性和有效性最差的方法。
As they face huge out-of-pocket expenses, deductibles and “co-payments” for operations, they are increasingly heading overseas to cheaper facilities.
当为了一个手术而需要面对巨额的现款支付，或部分付现，或共同支付时，他们逐渐转向海外低廉的医疗设施。
While the private sector attracts most out-of-pocket spending, user fees remain a barrier to access to public services for people on very low incomes.
尽管私营部门吸纳了最多的医疗开支，但是使用税仍然是极低收入人群获得公共医疗服务的障碍。
Having examined insurance and out-of-pocket spending for several health risks, it concludes that Americans are generally "over-insured and under-saved".
在针于多项健康风险的保险与现金消费进行的研究后，该报告指出美国人民总体上保险过度而储蓄不足。
In addition, many health plans have limited coverage for mental health and substance use disorders, which increases out-of-pocket costs for our patients.
另外，许多保健计划对心理健康和物质使用有诸多限制，从而增加了病人的支出。
Two-thirds of total health expenditure consists of patients’ out-of-pocket spending at the time of care, mainly for self-medication and private services.
医疗总开支的三分之二由患者就诊时的医疗支出构成，主要用于自我药疗和私人服务。
They are charged higher premiums for health insurance yet still have greater out-of-pocket expenses for things as basic as contraception and maternity care.
女性要承担更贵的健康保险费，在一些基本开销上，例如节育和妇保，却需花费更多现金。
Consider options for reducing or removing out-of-pocket payments for people with disabilities who do not have other means of financing health care services.
考虑减少或取消在医疗保健资金方面束手无策的残疾人需要自理的费用。
Out-of-pocket expenditure at the point of service is the least efficient, and the most impoverishing - already pushing millions below the poverty line each year.
在服务站点自费支付效率最低，而且最可能导致贫穷——这种办法已经每年将数百万人推至贫困线以下。
To investigate the effect of survey design, specifically the number of items and recall period, on estimates of household out-of-pocket and catastrophic expenditure on health.
研究家庭预算外健康开支和大病治疗开支的估算调查设计(尤其是项目数量和回忆期)的效果。
More money spent on food means less money available for health care, especially for the many millions of poor households who rely on out-of-pocket payments when they fall ill.
食品支出越高，意味着可用于健康保健的钱越少，特别是那些亿万个贫困家庭，一旦生病，要自己负担费用。
More money spent on food means less money available for health care, especially for the many millions of poor households who rely on out-of-pocket payments when they fall ill.
食品支出越高，意味着可用于健康保健的钱越少，特别是那些亿万个贫困家庭，一旦生病，要自己负担费用。
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