The Impact Of Health Insurance In Low And Middle Income Countries

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The Impact of Health Insurance in Low- and Middle-Income Countries

Author : Maria-Luisa Escobar,Charles C. Griffin,R. Paul Shaw
Publisher : Rowman & Littlefield
Page : 239 pages
File Size : 41,7 Mb
Release : 2011-01-01
Category : Social Science
ISBN : 9780815705611

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The Impact of Health Insurance in Low- and Middle-Income Countries by Maria-Luisa Escobar,Charles C. Griffin,R. Paul Shaw Pdf

Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Colombia embarked in 1993 on a fifteen-year effort to cover its entire population with insurance, in combination with greater freedom to choose among providers. A decade later Mexico followed suit with a program tailored to its federal system. Several African nations have introduced new programs in the past decade, and many are testing options for reform. For the past twenty years, Eastern Europe has been shifting from government-run care to insurance-based competitive systems, and both China and India have experimental programs to expand coverage. These nations are betting that insurance-based health care financing can increase the accessibility of services, increase providers' productivity, and change the population's health care use patterns, mirroring the development of health systems in most OECD countries. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance–based care is key to the public policy debate of whether to extend insurance to low-income populations—and if so, how to do it—or to serve them through other means. Using recent household data, this book presents evidence of the impact of insurance programs in China, Colombia, Costa Rica, Ghana, Indonesia, Namibia, and Peru. The contributors also discuss potential design improvements that could increase impact. They provide innovative insights on improving the evaluation of health insurance reforms and on building a robust knowledge base to guide policy as other countries tackle the health insurance challenge.

Impact of Health Insurance in Low- and Middle-income Countries

Author : Maria-Luisa Escobar,Charles C. Griffin,R. Paul Shaw
Publisher : Brookings Institution Press
Page : 239 pages
File Size : 40,6 Mb
Release : 2010
Category : Social Science
ISBN : 9780815705468

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Impact of Health Insurance in Low- and Middle-income Countries by Maria-Luisa Escobar,Charles C. Griffin,R. Paul Shaw Pdf

Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance-based care is key to the public policy debate of whether to extend insurance to low-income populationsand if so, how to do itor to serve them through other means.

Care Without Coverage

Author : Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance
Publisher : National Academies Press
Page : 213 pages
File Size : 47,8 Mb
Release : 2002-06-20
Category : Medical
ISBN : 9780309083430

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Care Without Coverage by Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance Pdf

Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Health Systems in Low- and Middle-Income Countries

Author : Richard D. Smith,Kara Hanson
Publisher : Oxford University Press
Page : 310 pages
File Size : 44,6 Mb
Release : 2012
Category : Health & Fitness
ISBN : 9780199566761

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Health Systems in Low- and Middle-Income Countries by Richard D. Smith,Kara Hanson Pdf

Outlines the key aspects & issues concerning health systems of low- & middle-income countries, recognising the current global context within which these systems operate & the dynamics of this context. It brings together a set of renowned authors to tackle the issues that face population health & health care in the twenty-first century

Crossing the Global Quality Chasm

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Global Health,Committee on Improving the Quality of Health Care Globally
Publisher : National Academies Press
Page : 399 pages
File Size : 52,9 Mb
Release : 2019-01-27
Category : Medical
ISBN : 9780309477895

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Crossing the Global Quality Chasm by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Board on Global Health,Committee on Improving the Quality of Health Care Globally Pdf

In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.

Health Financing and Spending in Low- and Middle-Income Countries

Author : Mihajlo (Michael) Jakovljevic,Zafer Çaliskan,Paula Odete Fernandes,Sulaiman Mouselli,Michael Ekubu Otim
Publisher : Frontiers Media SA
Page : 101 pages
File Size : 40,9 Mb
Release : 2022-02-09
Category : Medical
ISBN : 9782889743049

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Health Financing and Spending in Low- and Middle-Income Countries by Mihajlo (Michael) Jakovljevic,Zafer Çaliskan,Paula Odete Fernandes,Sulaiman Mouselli,Michael Ekubu Otim Pdf

Disease Control Priorities, Third Edition (Volume 9)

Author : Dean T. Jamison,Hellen Gelband,Susan Horton,Prabhat Jha,Charles N. Mock,Rachel Nugent
Publisher : World Bank Publications
Page : 426 pages
File Size : 46,7 Mb
Release : 2017-12-06
Category : Medical
ISBN : 9781464805288

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Disease Control Priorities, Third Edition (Volume 9) by Dean T. Jamison,Hellen Gelband,Susan Horton,Prabhat Jha,Charles N. Mock,Rachel Nugent Pdf

As the culminating volume in the DCP3 series, volume 9 will provide an overview of DCP3 findings and methods, a summary of messages and substantive lessons to be taken from DCP3, and a further discussion of cross-cutting and synthesizing topics across the first eight volumes. The introductory chapters (1-3) in this volume take as their starting point the elements of the Essential Packages presented in the overview chapters of each volume. First, the chapter on intersectoral policy priorities for health includes fiscal and intersectoral policies and assembles a subset of the population policies and applies strict criteria for a low-income setting in order to propose a "highest-priority" essential package. Second, the chapter on packages of care and delivery platforms for universal health coverage (UHC) includes health sector interventions, primarily clinical and public health services, and uses the same approach to propose a highest priority package of interventions and policies that meet similar criteria, provides cost estimates, and describes a pathway to UHC.

Impact of National Health Insurance for the Poor and Informal Sector in Low- and Middle-income Countries

Author : Arnab Acharya,University of London. Social Science Research Unit. Evidence for Policy and Practice Information and Co-ordinating Centre
Publisher : Unknown
Page : 108 pages
File Size : 44,8 Mb
Release : 2012
Category : Electronic
ISBN : 1907345345

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Impact of National Health Insurance for the Poor and Informal Sector in Low- and Middle-income Countries by Arnab Acharya,University of London. Social Science Research Unit. Evidence for Policy and Practice Information and Co-ordinating Centre Pdf

Social Health Insurance for Developing Nations

Author : R. Paul Shaw
Publisher : World Bank Publications
Page : 188 pages
File Size : 41,5 Mb
Release : 2007-01-01
Category : Business & Economics
ISBN : 9780821369500

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Social Health Insurance for Developing Nations by R. Paul Shaw Pdf

Specialist groups have often advised health ministers and other decision makers in developing countries on the use of social health insurance (SHI) as a way of mobilizing revenue for health, reforming health sector performance, and providing universal coverage. This book reviews the specific design and implementation challenges facing SHI in low- and middle-income countries and presents case studies on Ghana, Kenya, Philippines, Colombia, and Thailand.

Explaining Divergent Levels of Longevity in High-Income Countries

Author : National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Understanding Divergent Trends in Longevity in High-Income Countries
Publisher : National Academies Press
Page : 194 pages
File Size : 44,9 Mb
Release : 2011-06-27
Category : Social Science
ISBN : 9780309217101

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Explaining Divergent Levels of Longevity in High-Income Countries by National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Understanding Divergent Trends in Longevity in High-Income Countries Pdf

During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages -- cancer and cardiovascular disease -- available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which -- unlike randomized controlled trials -- are subject to many biases.

The Problem of Private Health Insurance

Author : Susan F. Murray
Publisher : Unknown
Page : 96 pages
File Size : 54,5 Mb
Release : 2024-05-14
Category : Social Science
ISBN : 9781009208208

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The Problem of Private Health Insurance by Susan F. Murray Pdf

Financial markets, actors, institutions and technologies are increasingly determining which kinds of services and 'welfare' are available, how these are narrated, and what comes to represent the 'common sense' in the policy world and in everyday life. This Element problematises the rationale and operation of one such financial technology, private health insurance, and the industry it inhabits. It offers a cross-disciplinary overview of the various drivers of these markets in middle-income countries and their appeal for development institutions and for governments. Using a range of illustrative case examples and drawing on critical scholarship it considers how new markets are pursued and how states are entangled with market development. It reflects on how the private health insurance sector in turn is shaping and segmenting health systems, and also our ideas about rights, fairness and responsibility.

Innovations in Health Care Financing in Low and Middle Income Countries

Author : Kara Hanson,Dov Chernichovsky
Publisher : Emerald Group Publishing
Page : 361 pages
File Size : 46,7 Mb
Release : 2009-06-26
Category : Health & Fitness
ISBN : 9781848556645

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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.

Oxford Textbook of Global Public Health

Author : Roger Detels,Martin Gulliford,Quarraisha Abdool Karim,Chorh Chuan Tan
Publisher : Oxford University Press
Page : 1717 pages
File Size : 41,9 Mb
Release : 2017
Category : Medical
ISBN : 9780198810131

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Oxford Textbook of Global Public Health by Roger Detels,Martin Gulliford,Quarraisha Abdool Karim,Chorh Chuan Tan Pdf

Sixth edition of the hugely successful, internationally recognised textbook on global public health and epidemiology, with 3 volumes comprehensively covering the scope, methods, and practice of the discipline

Health Insurance Across Worldwide Health Systems

Author : Aida Isabel Tavares
Publisher : BoD – Books on Demand
Page : 208 pages
File Size : 55,6 Mb
Release : 2024-03-13
Category : Medical
ISBN : 9780854662128

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Health Insurance Across Worldwide Health Systems by Aida Isabel Tavares Pdf

Health insurance is the mechanism used to respond to uncertainty and risk aversion to illness. Health insurance, whether private, public, or mixed, serves as the main structural foundation for health systems across countries. Its objectives are to minimize the financial burden of medical expenses on people and to enhance population health. Globally, there is a great diversity of health systems and even greater variation among them. There are substantial differences in health systems and health insurance between low- and middle-income nations. The primary explanation for this could be the disparities in the resources available to fund the health system. High-income countries have the financing ability to fund the provision of health care, whereas low- and medium-income countries have a harder time funding health care. Another challenge health systems face nowadays is the achievement of the United Nations Sustainable Development Goal 3: healthy lives and promoting well-being for all. To create resilient and sustainable health systems that guarantee healthy lives and foster well-being for people of all ages, many countries are redesigning their healthcare systems by improving financing, access, and coverage. This book discusses these issues in different health systems around the world, in low-, middle-, and high-income countries.

Health-Care Utilization as a Proxy in Disability Determination

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities
Publisher : National Academies Press
Page : 161 pages
File Size : 51,6 Mb
Release : 2018-04-02
Category : Medical
ISBN : 9780309469210

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Health-Care Utilization as a Proxy in Disability Determination by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Health Care Utilization and Adults with Disabilities Pdf

The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.