MonographDOI
Health financing for poor people : resource mobilization and risk sharing
Alexander S. Preker,Guy Carrin +1 more
TLDR
The authors conclude by proposing concrete public policy measures that governments can introduce to strengthen and improve the effectiveness of community involvement in health care financing.Abstract:
Most community financing schemes have evolved in the context of severe economic constraints, political instability, and lack of good governance. Usually government taxation capacity is weak, formal mechanisms of social protection for vulnerable populations absent, and government oversight of the informal health sector lacking. In this context of extreme public sector failure, community involvement in the financing of health care provides a critical albeit insufficient first step in the long march towards improved access to health care by the poor and social protection against the cost of illness. Health Financing for Poor People stresses that community financing schemes are no panacea for the problems that low-income countries face in resource mobilization. They should be regarded as a complement to - not as a substitute for - strong government involvement in health care financing and risk management related to the cost of illness. Based on an extensive survey of the literature, the main strengths of community financing schemes are the extent of outreach penetration achieved through community participation, their contribution to financial protection against illness, and increase in access to health care by low-income rural and informal sector workers. Their main weaknesses are the low volume of revenues that can be mobilized from poor communities, the frequent exclusion of the very poorest from participation in such schemes without some form of subsidy, the small size of the risk pool, the limited management capacity that exists in rural and low-income contexts, and their isolation from the more comprehensive benefits that are often available through more formal health financing mechanisms and provider networks. The authors conclude by proposing concrete public policy measures that governments can introduce to strengthen and improve the effectiveness of community involvement in health care financing.read more
Citations
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Journal ArticleDOI
Bureaucracy: What Government Agencies Do And Why They Do It
TL;DR: In 2018, Kohler Riessman et al. as discussed by the authors proposed a solution manual for Statistical Theory Solution Manual for Environmental Engineering andStructural And Stress Analysis Solution Manual with C G Jung.
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Can insurance increase financial risk ? The curious case of health insurance in China
Adam Wagstaff,Magnus Lindelow +1 more
TL;DR: In this paper, the authors analyzed the effect of insurance on the probability of an individual incurring "high" annual health expenses using data from three household surveys from China, a country where providers are paid fee-for-service according to a schedule that encourages the overprovision of high-tech care and who are only lightly regulated.
Journal ArticleDOI
Do Community-based Health Insurance Schemes Improve Poor People’s Access to Health Care? Evidence From Rural Senegal
TL;DR: The results show that in poor environments, insurance programs can work: Members of mutuelles de sant e (mutual health organizations) have a higher probability of using hospitalization services than nonmembers and pay substantially less when they need care.
Journal ArticleDOI
Equity in financing and use of health care in Ghana, South Africa, and Tanzania: implications for paths to universal coverage
Anne Mills,John E. Ataguba,James Akazili,Jo Borghi,Bertha Garshong,Suzan Makawia,Gemini Mtei,Bronwyn Harris,Jane Macha,Filip Meheus,Filip Meheus,Di McIntyre +11 more
TL;DR: A whole-system analysis--integrating both public and private sectors-- of the equity of health-system financing and service use in Ghana, South Africa, and Tanzania finds overall health-care financing was progressive in all three countries, as were direct taxes.
Journal ArticleDOI
To retain or remove user fees?: reflections on the current debate in low- and middle-income countries.
Chris James,Kara Hanson,Barbara McPake,Dina Balabanova,Davidson R. Gwatkin,Ian Hopwood,Christina Kirunga,Rudolph Knippenberg,Bruno Meessen,Saul S. Morris,Alexander S. Preker,Yves Souteyrand,Abdelmajid Tibouti,Abdelmajid Tibouti,Pascal Villeneuve,Ke Xu +15 more
TL;DR: Reflections on the recent user fees debate are provided, drawing from the evidence presented and subsequent discussions at a recent UNICEF consultation on user fees in the health sector, and relates the debate to the wider issue of access to adequate healthcare.
References
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Limited-Dependent and Qualitative Variables in Econometrics
TL;DR: In this article, the authors present a survey of the use of truncated distributions in the context of unions and wages, and some results on truncated distribution Bibliography Index and references therein.
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A Model for Technical Inefficiency Effects in a Stochastic Frontier Production Function for Panel Data
George E. Battese,Tim Coelli +1 more
TL;DR: In this paper, a stochastic frontier production function is defined for panel data on firms, in which the nonnegative technical inefficiency effects are assumed to be a function of firm-specific variables and time.
World development report 2000/2001 : attacking poverty
Ravi Kanbur,Christina Malmberg Calvo,Monica Das Gupta,Christiaan Grootaert,Victoria Kwakwa,Nora Lustig +5 more
TL;DR: In this paper, the authors focus on the dimensions of poverty and how to create a better world, free of poverty, and explore the nature, and evolution of poverty to present a framework for action.
Posted Content
Health insurance and the demand for medical care: evidence from a randomized experiment.
Willard G. Manning,Joseph P. Newhouse,Naihua Duan,Emmett B. Keeler,Arleen Leibowitz,M S Marquis +5 more
TL;DR: This work estimates how cost sharing, the portion of the bill the patient pays, affects the demand for medical services and rejects the hypothesis that less favorable coverage of outpatient services increases total expenditure.