Evidence map›Paper›PMID 39820597›Full record

ArticlePloS one2025

Multidimensional vulnerability and financial risk protection in health in contexts of protracted conflict: Evidence from the Occupied Palestinian Territory.

Julia Hatamyar, Sally Shayeb, Akseer Hussain, Weeam Hammoudeh, Sumit Mazumdar, Rodrigo Moreno-Serra

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Julia HatamyarCentre for Health Economics, University of York, Yorkshire, United Kingdom.ORCID 0000-0003-4145-1265
Sally ShayebInstitute of Community and Public Health, Birzeit University, West Bank, Palestine.ORCID 0009-0002-6030-9053
Akseer HussainCentre for Health Economics, University of York, Yorkshire, United Kingdom.
Weeam HammoudehInstitute of Community and Public Health, Birzeit University, West Bank, Palestine.
Sumit MazumdarCentre for Health Economics, University of York, Yorkshire, United Kingdom.
Rodrigo Moreno-SerraCentre for Health Economics, University of York, Yorkshire, United Kingdom.ORCID 0000-0002-6619-4560

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper proposes a multidimensional vulnerability index for a setting of protracted conflict, which is applied to study the relationship between financial vulnerability and catastrophic healthcare expenditure (CHE) incidence in the Occupied Palestinian Territory in 2018. We find that our index better captures the extent of financial risk protection in health compared to conventional measures of financial welfare. Results indicate that the most vulnerable groups experience a significantly higher likelihood of incurring CHE, and this likelihood is increased for those living in the West Bank compared to the Gaza Strip. We also find a lack of protection from existing health insurance types against the risk of CHE. Our analysis provides valuable insights about key aspects, such as health financing and insurance bottlenecks, that will deserve careful policy attention in efforts to rebuild the Palestinian health system, following the Israel-Hamas war.

Indexed as

Armed ConflictsHealth ExpendituresVulnerable PopulationsArabsHumansInsurance, HealthIsraelMiddle East

Identifiers

PMID39820597
PMCPMC11737783

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.