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Paying for Health Services in Developing Countries
David M. De Ferranti
其他書名
An Overview
出版World Bank, 1985
主題Medical / Health Care DeliveryMedical / Practice Management & ReimbursementPolitical Science / Public Policy / Health Care
ISBN08213050269780821305027
URLhttp://books.google.com.hk/books?id=iG-JBCXmXCoC&hl=&source=gbs_api
註釋This paper presents an overview of the principal issues, problems, and policy options in financing health services in developing countries. The shortcomings of existing policies, which finance health care to a significant extent from public revenue sources, are reviewed. Alternative approaches are identified and examined, with particular attention to: (i) opportunities for greater cost recovery from users, through fees for services and/or fees for health care "coverage", (ii) the potential role of risk-sharing arrangements, which can range from large, formal insurance plans to small, informal community-based cooperatives, (iii) the public/private mix in both providing and financing care, and (iv) the structuring of subsidies and their incentive effects. Issues relating to these options are discussed concerning efficiency, equity, financial viability (and chronic underfunding "crises"), ability and willingness to pay (and demand elasticities), externalities, users' lack of complete information or understanding of health problems and service benefits, and "merit good" and "public good" arguments, along with several other considerations.