Financing Health Services Through User Fees And Insurance
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Financing Health Services Through User Fees and Insurance by R. Paul Shaw,Martha Ainsworth Pdf
World Bank Discussion Paper No. 294. Presents case studies that focus on user fees and self-financing health insurance as a means of contributing to efficiency, equity, and sustainable financing in the health sector. User fees are emphasized as a form of cost-sharing because private, out-of-pocket expenditures for health account for nearly one-half of total expenditures in Africa. Evidence presented in this report suggests that self-financing insurance is more prevalent in many countries than had been previously thought.
Author : Kurian, Oommen C. Publisher : Centre for Enquiry into Health and Allied Themes Page : 14 pages File Size : 46,6 Mb Release : 2011-06-01 Category : Medical ISBN : 8210379456XXX
Punishing the Poor? A Look at Evidence and Action Regarding User Fees in Health Care by Kurian, Oommen C. Pdf
“There’s now just overwhelming evidence that those user fees actually worsened health outcomes. There’s no question about it. So did the bank get it wrong before? Yeah. I think the bank was ideological” - Dr Jim Yong Kim, World Bank Head. (2014) User fees for health care were put forward as a way to recover costs and discourage the excessive use of health services and the over- consumption of care. This did not happen. Instead, user fees punished the poor. -Dr. Margaret Chan, Director-General, WHO. (2009) The history of user fees imposed on the poor is a history of the poor being excluded from basic services. – Jeffrey Sachs, Director, Earth Institute, End of Poverty (2005) Pricing helps reduce excessive or unwarranted demand for a service and brings supply capacity more in line with willingness and ability to pay. Put differently, when a service costs money, people will think twice about demanding it. - World Bank, Financing health care in sub-Saharan Africa through user fees and insurance. (1995)
Benefit design: the perspective from health financing policy by Anonim Pdf
Given the central importance of public financing to make progress towards universal health coverage (UHC), government policy on benefit design, including both service entitlements and conditions of access, significantly influences health system performance. Benefit design considers how all public funds are used and should be based on evidence and developed through a systematic process involving key stakeholders. Reducing uncertainty over entitlements and conditions of access, in particular co-payments, both reduces barriers to accessing services and improves financial protection. Finally, aligning benefit design with a range of health financing policies, as well as service with delivery objectives, provides a powerful way through which policy makers can drive positive change in their health systems.
Health Financing Revisited by Pablo Enrique Gottret,George Schieber Pdf
This overview of health financing tools, policies and trends--with a particular focus on challenges facing developing countries--provides the basis for effective policy-making. Analyzing the current global environment, the book discusses health financing goals in the context of both the underlying health, demographic, social, economic, political and demographic analytics as well as the institutional realities faced by developing countries, and assesses policy options in the context of global evidence, the international aid architecture, cross-sectoral interactions, and countries' macroeconomic frameworks and overall development plans.
Author : John S. Akin,Nancy Birdsall,David M. De Ferranti Publisher : World Bank Publications Page : 104 pages File Size : 44,7 Mb Release : 1987-01-01 Category : Business & Economics ISBN : 0821309005
Financing Health Services in Developing Countries by John S. Akin,Nancy Birdsall,David M. De Ferranti Pdf
This report discusses several different approaches that support reforming health care services in developing countries. For some time now, health care services have been supported by government funds. As demands for improving health care services continue to increase additional demands will be placed on governments to respond. This, however, will not be easy. Slow economic growth and record budget deficits in the 1980's have forced reductions in public spending. Alternative approaches to finance health care services are needed. Such possible changes could involve: decentralization of federal government involvement; the promotion of nongovernment involvement; the imposition of user fees; and, establishing health insurance. Finally, the role of the Bank in pursuing new financing strategies is discussed.
Author : WHO Regional Office for the Western Pacific Publisher : WHO Page : 64 pages File Size : 46,5 Mb Release : 2006 Category : Medical ISBN : IND:30000124966247
Health Financing by WHO Regional Office for the Western Pacific Pdf
This publication reviews the main issues relating to health economics and financing, and is divided into five sections: i) key health and development issues; ii) health care financing including the public-private mix, privatisation, the role of governments as purchasers of health services, and financing alternatives such as tax-based financing, external funding, financing through efficiency gains and user charges; iii) health insurance concepts and issues, such as private insurance, medical savings accounts, social health insurance and provider payment options; iv) resource allocation and prioritisation; and v) national health accounts (NHAs).
WHO Study Group on the Evaluation of Recent Changes in the Financing of Health Services
Author : WHO Study Group on the Evaluation of Recent Changes in the Financing of Health Services Publisher : Unknown Page : 92 pages File Size : 44,7 Mb Release : 1993 Category : Medical ISBN : UOM:39015032940242
Evaluation of Recent Changes in the Financing of Health Services by WHO Study Group on the Evaluation of Recent Changes in the Financing of Health Services Pdf
"During the past decade, fundamental developments have occurred in the financing of health services, coinciding with economic, political and social changes in many parts of the world. The role of government in the funding and provision of health care is being reconsidered, often with far-reaching consequences for the relation between health care providers and consumers, access to health facilities, and the health status of populations. This report presents the conclusions and recommendations of a WHO Study Group that met to review recent changes in health financing and to evaluate their effects on the provision and utilization of health services. Drawing on specific examples from both developing and developed countries, the report identifies trends in sources of finance, payment mechanisms, and the roles of health care consumers, purchasers and providers, and emphasizes that too little is known about the impact of these changes on health status. In discussing the implications of recent developments, the Study Group stresses the responsibilities of governments in policy-making, regulation, and information gathering and dissemination, and the need to evaluate options for health financing in the context of national policy objectives, with the ultimate aim of improving the performance of health systems."--
Author : World Health Organization Publisher : World Health Organization Page : 132 pages File Size : 50,7 Mb Release : 2010 Category : Business & Economics ISBN : 9789241564021
Health Systems Financing by World Health Organization Pdf
"This World Health Report was produced under the overall direction of Carissa Etienne ... and Anarfi Asamoa Baah ... The principal writers were David B. Evans ... [et al] -- t.p. verso.
Financing Health Care in East Asia and the Pacific by John C. Langenbrunner,Jack Langenbrunner,Aparnaa Somanathan Pdf
East Asian and Pacific countries are growing rapidly. They need high quality, well-funded health systems to underpin their population growth and assure continued productivity and economic growth. But countries will need to spend wisely, using modern techniques of insurance and strategic contracting with providers.
Health Financing in the Developing World by Guy Carrin Pdf
A collection of peer-reviewed articles and contributions to books, this overview of the finance of health insurance concentrates on developing countries. The material covers various financing strategies and explains how each can--or cannot--help improve the transition toward universal coverage. The model plans shown here are particularly useful for policy-makers and technical advisers who have to decide upon health financing policies--or are engaged in a debate about them--and the sample forms can be adjusted to the particular economic and political context of the developing countries involved. In addition, there are reminders that this process varies: in some countries, universal coverage may take time and require a step-by-step approach. In other developing countries, a swift transition to universal coverage may be quite feasible.
Innovations in Health Care Financing in Low and Middle Income Countries by Kara Hanson,Dov Chernichovsky Pdf
Low- and middle-income countries face major challenges to their health systems. These include a high burden of communicable disease and an emerging non-communicable disease burden. This work deals with the elements of health care financing, focusing on middle- and low-income settings.
Making Health Financing Work for Poor People in Tanzania by Dominic Haazen Pdf
Tanzania is currently developing a Health Financing Strategy to provide a medium to long-term road map for a sustainable and integrated health financing system. This book is designed to inform this discussion by providing an analytical basis for the discussion of options, a series of policy options which could be considered in moving forward, and the economic and financial implications of these options. In doing so, it is hoped that this book will help stimulate the discussion of options and help Tanzania develop a health financing strategy which meets its long-term needs. Health financing in Tanzania is currently highly fragmented, with many different sources of funds and programs directed at specific population groups. Despite this, many people still do not access health services because of financial barriers, and this burden falls disproportionately on the poor. This book looks at the current situation with respect to health financing as well as the experience in other countries to address health financing for the poor and the population generally, using a common analytical framework. The book then explores a number of options in the areas of revenue generation, pooling of funds, purchasing and service provision, and also looks at the regulatory and political environment, making specific recommendations which can be considered in each of these areas. The focus of these recommendations is particularly on improving financial health protection for the poor. The economic, financial and service delivery implications are then examined, using several different scenarios for extending pre-paid health insurance coverage to the population. Making Health Financing Work for the Poor in Tanzania will be of interest to readers working in the areas of health care and public health, social protection, and social analysis and policy, in Tanzania and in other countries aiming for improvements in their health financing systems.
Innovations in Health Care Financing by George Schieber Pdf
Spanish edition. World Bank Technical Paper No. 345S. This report examines specific policies for achieving sustainable development of the mining industry in the countries of Latin America and the Caribbean. The report highlights the importance of the mining sector to national economies of the region and discusses World Bank assistance in formulating policy. Also available in English: (ISBN 0-8213-3816-1) Stock no. 13816.
