What question did this study set out to answer?

To review literature on out-of-pocket expenses (OOPE) for medicines in India, highlighting the influence of government health policies.

February 26, 2026Discover Health SystemsOpen Access

Systematic review of Government Health Policies and out-of-pocket medicine spending in India

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Systematic review analyzes the impact of health policies on medicine spending in India, suggesting reforms could reduce financial burdens.

To review literature on out-of-pocket expenses (OOPE) for medicines in India, highlighting the influence of government health policies.
Conducted a systematic review of literature from multiple databases
Used PICO framework for literature search
Extracted data using two authors and quality appraised articles
Included studies were published between 2006 and 2022
Only 10 out of 1597 screened articles met inclusion criteria
OOPE on medicines constitutes about 70% of healthcare expenditure in India
Public policies significantly affect OOPE burdens, especially for lower socioeconomic groups
The evidence indicates a critical need for effective healthcare policy reforms

Arumugam et al. (2026) studied this question.

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Systematic review analyzes the impact of health policies on medicine spending in India, suggesting reforms could reduce financial burdens.