In 2005, the Member States of WHO adopted a resolution encouraging countries to develop health financing systems capable of achieving and/or maintaining universal coverage of health services - where all people have access to needed health services without the risk of severe financial consequences. In doing this, a major challenge for many countries will be to move away from out-of-pocket payments, which are often used as an important source of fund collection. Prepayment methods will need to be developed or expanded but, in addition to questions of revenue collection, specific attention will also have to be paid to pooling funds to spread risks and to enable their efficient and equitable use. Developing prepayment mechanisms may take time, depending on countries' economic, social and political contexts. Specific rules for health financing policy will need to be developed and implementing organizations will need to be tailored to the level that countries can support and sustain. In this paper we propose a comprehensive framework focusing on health financing rules and organizations that can be used to support countries in developing their health financing systems in the search for universal coverage.
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http://dx.doi.org/10.2471/blt.07.049387 | DOI Listing |
J Glob Health
January 2025
SingHealth Duke-NUS Global Health Institute, National University of Singapore, Singapore.
In this viewpoint, we explore Vietnam's health system vulnerabilities and its national response to the COVID-19 pandemic, as well as critical areas of health system resilience, including health financing, workforce distribution, information systems, and governance. While Vietnam achieved early success through strong governance and mass vaccination campaigns, the pandemic revealed weaknesses in resource procurement, workforce imbalance, and limitations of its health information system. There are challenges in ensuring the rapid disbursement of financial resources and reliance on imported medical supplies, which delayed response times.
View Article and Find Full Text PDFHealth Syst Reform
December 2024
Results for Development, USA.
The promise of contributory health insurance to generate additional, self-sustaining funding for the health sector has not been achieved in many low- and lower-middle-income countries. Instead, contributory health insurance has been found to exacerbate inequities in access to health care because entitlements are linked to contributions. For these countries with contributory health insurance schemes, with separate institutional arrangements for revenue collection and purchasing, that operate alongside budget-funded and other health financing schemes, it is usually not politically or technically feasible to reverse or eliminate these arrangements even when they fragment the health system.
View Article and Find Full Text PDFMatern Child Health J
January 2025
Department of Economics, Pondicherry University, Puducherry, India.
Background: Out-of-pocket expenditure (OOPE) and catastrophic health expenditure (CHE) on institutional deliveries in India impose significant financial burdens, disproportionately affecting socio-economically vulnerable populations and regions despite various policy interventions.
Purpose: This study evaluates the extent of OOPE and CHE associated with institutional deliveries across Indian states and analyse regional variations using data from National Family Health Survey -5 (2019-21).
Results: The findings reveal substantial inter-state and regional disparities in mean OOPE and CHE incidence, with socioeconomic and healthcare system factors significantly influencing these outcomes.
Front Public Health
January 2025
College of Business Administration, Chongqing Vocational and Technical University of Mechatronics, Chongqing, China.
Purpose: This study aims to examine how government fiscal and tax incentives facilitate the development and application of green technologies, promoting corporate environmental responsibility and improving public health and hygiene.
Methods: The study utilizes empirical data from listed enterprises in the new energy automobile industry between 2018 and 2023. A multiple regression model is used to assess the effects of government subsidies and tax incentives on green technological innovation and enterprise growth, controlling for various factors such as enterprise size and R&D investment.
Health Aff (Millwood)
January 2025
Len M. Nichols, Urban Institute, Washington, D.C.
Health care in the United States is among the most technologically advanced in the world, but it is largely failing to meet the needs of the nation. The US can claim international excellence in important areas of care, such as cancer treatment, and it leads the world in biomedical innovation and building a well-prepared and dedicated clinical workforce. The Affordable Care Act was a major step forward in expanding access to health care in the US.
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