Good practices in health financing: lessons from reforms in low and middle-income countries
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Washington, DC
World Bank
2008
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index |
| Beschreibung: | xxiv, 504 S. graph. Darst. |
| ISBN: | 9780821375112 |
Internformat
MARC
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| 245 | 1 | 0 | |a Good practices in health financing |b lessons from reforms in low and middle-income countries |c Pablo Gottret ..., eds. |
| 264 | 1 | |a Washington, DC |b World Bank |c 2008 | |
| 300 | |a xxiv, 504 S. |b graph. Darst. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
| 338 | |b nc |2 rdacarrier | ||
| 500 | |a Includes bibliographical references and index | ||
| 650 | 4 | |a Medical care / Developing countries / Finance | |
| 650 | 4 | |a Health care reform / Economic aspects / Developing countries | |
| 650 | 4 | |a Medical policy / Economic aspects / Developing countries | |
| 650 | 4 | |a Medical care, Cost of / Developing countries | |
| 650 | 4 | |a Health status indicators / Developing countries | |
| 650 | 4 | |a Health Care Reform / economics / Statistics | |
| 650 | 4 | |a Health Care Reform / standards / Statistics | |
| 650 | 4 | |a Delivery of Health Care / economics / Statistics | |
| 650 | 4 | |a Developing Countries / Statistics | |
| 650 | 4 | |a Health Care Costs / Statistics | |
| 650 | 4 | |a Health Expenditures / Statistics | |
| 650 | 4 | |a Entwicklungsländer | |
| 650 | 4 | |a Statistik | |
| 650 | 4 | |a Delivery of Health Care |x economics |v Statistics | |
| 650 | 4 | |a Developing Countries |v Statistics | |
| 650 | 4 | |a Health Care Costs |v Statistics | |
| 650 | 4 | |a Health Care Reform |x economics |v Statistics | |
| 650 | 4 | |a Health Care Reform |x standards |v Statistics | |
| 650 | 4 | |a Health Expenditures |v Statistics | |
| 650 | 4 | |a Health care reform |x Economic aspects |z Developing countries | |
| 650 | 4 | |a Health status indicators |z Developing countries | |
| 650 | 4 | |a Medical care |z Developing countries |x Finance | |
| 650 | 4 | |a Medical care, Cost of |z Developing countries | |
| 650 | 4 | |a Medical policy |x Economic aspects |z Developing countries | |
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| 700 | 1 | |a Gottret, Pablo Enrique |e Sonstige |4 oth | |
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Datensatz im Suchindex
| _version_ | 1804138041419235328 |
|---|---|
| adam_text | Contents
Foreword xv
Acknowledgments xvii
Executive Summary : xix
Acronyms and Abbreviations xxiii
Part 1 Assessing Good Practice in Health
Financing Reform
1 Introduction 3
2 Health Financing Functions 9
3 Criteria for Defining Good Practice and Choosing
Country Cases 15
4 Summaries of Country Cases 27
5 Enabling Factors for Expanding Coverage 57
References for Part I 76
Part 2 Nine Case Studies of Good Practice in
Health Financing Reform
6 Chile: Good Practice in Expanding Health Care Coverage
Lessons from Reforms 89
Ricardo D. Bitrdn and Gonzalo C. Urcullo
7 Colombia: Good Practices in Expanding Health Care Coverage 137
Diana Masis Pinto
8 Costa Rica: Good Practice in Expanding Health Care Coverage
Lessons from Reforms in Low- and Middle-Income Countries 183
James Cercone and Jose Pacheco Jimenez
9 Estonia: Good Practice in Expanding Health Care Coverage 227
Triin Habicht andjarno Habicht
10 The Kyrgyz Republic: Good Practices in Expanding Health Care
Coverage, 1991-2006 269
Melitta Jakab and Elina Manjieva
v
vi Contents
11 Sri Lanka: Good Practice in Expanding Health Care Coverage 311
Ravi P. Rannan-Eliya and Lankani Sikurajapathy
12 Thailand: Good Practice in Expanding Health Coverage
Lessons from the Thai Health Care Reforms 355
Suwit Wibulpolprasert and Suriwan Thaiprayoon
13 Tunisia: Good Practice in Expanding Health Care Coverage
Lessons from Reforms in a Country in Transition 385
Chokri Arfa and Hedi Achouri
14 Vietnam: Good Practice in Expanding Health Care Coverage
Lessons from Reform in Low- and Middle-Income Countries 439
Bjorn Ekman and Sarah Bales
AppendixA 479
Index 487
Boxes
2 A Measures of Financial Protection in Tunisia 12
6.1 Chile: Key Political Milestones 99
8.1 Costa Rica: Cooperatives as Health Care Providers 217
10.1 The Kyrgyz Republic: The Manas National Health
Care Reform Program 298
12.1 Thailand: Minimum CUP Requirements 370
Figures
1.1 Determinants of Health, Nutrition, and Population Outcomes 5
2 A. 1 Payments as Share of Total and Nonfood Expenditure
in Tunisia, 2003 13
3.1 Population Health Indicators Relative to Income and
Spending 20
3.2 Health Service Delivery Indicators Relative to Income and
Spending u. .21
3.3 Total Health Spending Relative to Income 21
3.4 Health Spending as Share of GDP and per Capita vs. Income 22
3.5 Revenue to GDP Ratio vs. Income 23
3.6 Government Share of Health vs. Income 23
3.7 Out-of-Pocket Spending Relative to Income 24
3.8 Hospital Bed and Physician Capacity vs. Income 25
3.9 Literacy vs. Income 25
5.1 Real GDP Trends per Capita, 1960-2005 60
5.2 Political Freedom Trends in Case Countries, 1900-2004 64
Contents vii
6.1 Chile: Economic Growth, 1810-2005 90
6.2 Chile: Growth of Real GDP, 1997-2005 91
6.3 Chile: GDP per Capita, 2004 91
6.4 Chile: External Debt, 1996-2005 92
6.5 Chile: Composition of External Debt, 2004 93
6.6 Chile: Population Structure, 1990,2005, and 2020 95
6.7 Chile: Infant Mortality, 1960-2002 97
6.8 Chile: Life Expectancy, by Historical Period and Gender,
1950-2025 97
6.9 Chile: Poverty Compared with Other Latin American Countries,
1999 98
6.10 Chile: Infant Mortality and Life Expectancy Compared with
Other Latin American Countries, 2004 99
6.11 Chile: The Mandatory Health Insurance System, 2006 101
6.12 Chile: Structure of Health Spending, by Source, 1998-2004 103
6.13 Chile: Coverage of Social Security System, 1984-2005 107
6.14 Chile: Coverage of Open ISAPREs, 2006 107
6.15 Chile: Structure of Financing for Public Health Spending 110
6.16 Chile: Social Security System Beneficiaries, by Income Decile
and Insurance Type, 2000 Ill
6.17 Chile: FONASA and ISAPRE Beneficiaries, by Age,
1990 and 2005 113
6.18 Chile: Available Beds in the SNSS System, 1990-2002 115
6.19 Chile: Chronology of Health Reforms, 1917-2006 119
6.20 Chile: Cumulative Cost of the 56 GES-Covered
Health Conditions, estimates for 2007 126
7.1 Colombia: Age-Specific Fertility Rates 140
7.2 Colombia: Population Pyramid, 2005 140
7.3 Colombia: Flow of Funds in the Solidarity and
Guarantees Fund 144
7.4 Colombia: Funding for the Subsidized Regime, by Source, 2005 145
7.5 Colombia: Main Reasons for Not Using Health Care Services,
by Income Quintile, 1992 and 1997 154
7.6 Colombia: Reported Sources of Payment for Consultations
and Hospitalizations, by Insurance Status, 2000 154
7.7 Colombia: Respondents with a Health Problem and Seen by a
Doctor, by Insurance Status and Location, 2000 and 2003 156
7.8 Colombia: Population Reporting Use of Preventive Services,
by Insurance Status, 1997 and 2003 156
7.9 Colombia: Population Reporting Hospitalization in Last Year,
by Insurance Status, 1997 and 2003 157
7.10 Colombia: Total Enrollees, by Type of Health Plan
and Regime, 2005 158
7.11 Colombia: Expansion of CR and SR Insurance Coverage,
1992-2006 164
viii Contents
7.12 Colombia: Total CR enrollment, Contributors, and Beneficiaries,
1993-2005 165
7.13 Colombia: Employment of SR Contributors, 1993-2006 165
7.14 Colombia: Insurance Coverage, by Income Quintile, 1992-2003 166
7.15 Colombia: Growth of Insurance Coverage, by Regime and by
Residence, 1993-2003 167
7.16 Colombia: National Health Spending Distribution and Trends,
1993-2003 168
7.17 Colombia: Balance of FOSYGA Compensation Fund, 1996-2005 .... 169
7.18 Colombia: Unemployment, GDP Real Growth, and Percentage
of Population in Poverty, 1991-2005 170
7.19 Colombia: SR Projected Resources versus Actual Expenditures,
1994-2000 171
7.20 Colombia: SR Projected Resources versus Actual Expenditures
of Solidarity Funding Sources, 2000 172
7.21 Colombia: Projections for Universal Health Insurance,
2005-2010 176
8.1 Costa Rica: Population Pyramids, 1990, 2005, and 2020 185
8.2 Costa Rica: Basic Demographic Indicators 187
8.3 Costa Rica: National Distribution of Public Spending on Health,
by Income Category, 2001 190
8.4 Costa Rica: Outpatient Consultations per Inhabitant,
by Income Decile, 1998 and 2001 195
8.5 Costa Rica: Income and Social Expense Distribution
by Function, 2000 198
8.6 Costa Rica: Distribution of Public Spending on
Health Nationally and Regionally, by Income Group, 2001 199
8.7 Costa Rica: Health Expenditures and Contributions to CCSS,
by Income Decile 199
8.8 Costa Rica: Health Insurance Coverage, of Economically Active
Population 1990-2004 212
8.9 Costa Rica: Primary Health Care Program Coverage, 1990-2003 215
9.1 Estonia: Population Pyramids, 2004 and 2025 230
9.2 Estonia: Burden of Disease 231
9.3 Estonia: Average Life Expectancy at Birth Compared with
EU Countries, 2003 232
9.4 Estonia: Distribution of Funding Sources, 1999 and 2004 234
9.5 Estonia: Out-of-Pocket Payments Compared with
European Union, 2004 236
9.6 Estonia: Overview of the Health Financing System, 2004 237
9.7 Estonia: The EHIF Contracting Process 238
9.8 Estonia: Payment Methods for Inpatient and Outpatient
Specialist Care, 2005 240
9.9 Estonia: Payment Methods for Family Physicians, 2005 241
Contents ix
9.10 Estonia: Number of Family Physicians, 1993-2004 245
9.11 Estonia: Number of Hospitals and Acute Care Admissions,
1985-2003 248
9.12 Estonia: Access to Medical Care, by Residence 249
9.13 Estonia: Number of Doctors and Nurses per 100,000 Inhabitants,
1998-2004 250
9.14 Estonia: Cumulative Increase in EHIF Pharmaceutical and
Health Care Services Expenditures, 1993-2006 251
9.15 Estonia: Use of Cardiovascular Medicines, by Groups,
1994-2005 252
9.16 Estonia: Milestones in Health Sector Reform, 1992-2003 253
10.1 The Kyrgyz Republic: Key Economic Indicators, 1990-2004 271
10.2 The Kyrgyz Republic: Population Pyramids, 1990 and 2005 273
10.3 The Kyrgyz Republic: Leading Causes of Infant Mortality, 2004 274
10.4 The Kyrgyz Republic: Health Expenditures as
Share of the State Budget, 1995-2003 278
10.5 The Kyrgyz Republic: Access to Health Services,
by Income Level, 2000 287
10.6 The Kyrgyz Republic: Comparative Indicators of
Hospital Efficiency, 1995 288
10.7 The Kyrgyz Republic: Reallocation of Public Expenditures
in the Single-Payer System from Fixed Costs to Variable Costs 293
10.8 The Kyrgyz Republic: Trends in Out-of-Pocket Payments,
2000-03 (KGS) 299
10.9 The Kyrgyz Republic: Access to Outpatient Care and
Hospital Care, 2000 and 2003 301
10.10 The Kyrgyz Republic: Mean Payment by a Public
Hospital Patient, 2000 and 2003 (KGS) 302
11.1 Sri Lanka: Population Pyramids 1991,2006,2026, and 2051 316
11.2 Sri Lanka: Government Recurrent Health Spending, 1927-2005 324
11.3 Sri Lanka: Differentials in Infant Mortality Rate,
by Asset Quintile, 1987-2000 327
11.4 Sri Lanka: Differentials in Medical Attendance at Childbirth,
by Asset Quintile, 1987-2000 327
11.5 Sri Lanka: Differentials in Use of Modern Methods of
Contraception by Currently Married Women, 1987-2000 328
11.6 Sri Lanka: Trends in Infant Mortality Rates, Country and
Nuwara Eliya District, 1920-2003 330
11.7 Sri Lanka: Government Hospital Provision, 1920-2000 335
12.1 Thailand: Population Pyramids, 2005, 2010, and 2020 357
12.2 Thailand: Shift in Budget Allocations, 1982-89 360
12.3 Thailand: Health Service Delivery Indicators Relative to
Income and Spending, 1977-2003 361
x Contents
12.4 Thailand: The Health Insurance Model, 2007 365
12.5 Thailand: Health Care Providers Satisfaction with the UCS,
2003-07 371
12.6 Thailand: Number of Doctor Resignations from MOPH
Rural Facilities, 1995-2006 372
12.7 Thailand: Proposed and Approved Capitation, 2002-08 373
12.8 Thailand: Number of Financially Constrained Hospitals
Receiving Contingency Fund Support, 2002-04 374
12.9 Thailand: The Triangle That Moves the Mountain Strategy 378
13.1 Tunisia: Population Pyramids, 1990, 2005, and 2020 389
13.2 Tunisia: Trends in Life Expectancy, Men and Women, 1966-2004 390
13.3 Tunisia: Coverage Rates by Health Insurance Scheme 395
13.4 Tunisia: Trends in Health Care Spending, by Financing Agent,
1980-2004 400
13.5 Tunisia: Shifts in Sources of MSP Financing, 1990-2003 403
13.6 Tunisia: Annual Health Care Expenditure, per Capita, 1975-2005 408
13.7 Tunisia: Average Growth in the Number of Physicians, Dentists,
Pharmacists, and Paramedical Personnel, Selected Periods 412
14.1 Vietnam: Population Pyramids, 1990,2005, and 2020 444
Tables
2A. 1 Catastrophic Impact of Out-of-Pocket Payments in Threshold
Expenditure Shares in Tunisia, 2003 14
3.1 Income and Health Spending, 2004 18
3.2 Health Outcome and Delivery Indicators, 2005 19
3.3 Correlations between Population Health Outcomes and Income,
Health Spending, and Literacy Levels 26
6.1 Chile: Net Tax Revenue Structure, 1996-2004 92
6.2 Chile: Macroeconomic Performance, 2000-05 93
6.3 Chile: Disease Burden, 1993 (DALYs lost) 96
6.4 Chile: Key Health Spending Indicators, 1998-2004 102
6.5 Chile: Health Spending as a Percentage of GDP, 2004 103
6.6 Chile: Composition of Spending on Social Welfare Programs,
2000-05 104
6.7 Chile: Health Problems Covered under the GES, 2005-07 105
6.8 Chile: Health Coverage Provided by Social Security System, 2005 106
6.9 Chile: Services Provided by the FONASA and Average
Annual Spending per Beneficiary, 2004 108
6.10 Chile: Average Number of Health Services Provided by
ISAPRES per Beneficiary, 1996-2004 108
6.11 Chile: Number of Hospital Admissions, 2001-03 109
Contents xi
6.12 Chile: Contributions, Benefits, and Subsidies within the
FONASA, 1995 112
6.13 Chile: Global Health Indicators: 1960 and 1995 124
7.1 Colombia: Selected Economic Indicators 138
7.2 Colombia: Demographic Profile 139
7.3 Colombia: Main Causes of Mortality, by Age Group and
Gender, 2002 141
7.4 Colombia: Top Five Health Conditions, by Burden of Disease
and Cause, 2002 (DALYs) 141
7.5 Colombia: Burden of Disease, by Disease Category and
Cause, 2002 (DALYs) 141
7.6 Colombia: Total Population, by SISBEN category, 2003 145
7.7 Colombia: UPC Premium Value, 2006 146
7.8 Colombia: Summary of NSHI Schemes, December 2005 148
7.9 Colombia: Classification of Medical Care Types, by Complexity 149
7.10 Colombia: Comparison of Breadth of CR, SR, and
PS Benefits Packages 150
7.11 Colombia: CR and SR Enrollment Rules, Copayments,
and Choice, 2006 151
7.12 Colombia: Coverage of Services to Supplement the
Benefits Packages 152
7.13 Colombia: Coverage of Minimum Interventions to Address
2002 Burden of Disease 153
7.14 Colombia: Selected Health Expenditure Indicators, 2003 153
7.15 Colombia: Households Experiencing Catastrophic Payments
or Impoverishment due to Ambulatory or Hospital Health Shock,
by Insurance Status, 2003 155
7.16 Colombia: Services Offered by Health Care Facilities,
by Type, 2004 160
7.17 Colombia: Milestones toward Achievement of Universal
Health Insurance Coverage 161
7.18 Colombia: Selected Determinants of FOSYGA Balance,
1998-2002 171
7.19 Colombia: SR Funding Sources, 1995-2005 172
8.1 Costa Rica: Economic Indicators, 1990-2004 184
8.2 Costa Rica: Population Growth Rates and Projections,
1990-2020 186
8.3 Costa Rica: Basic Health Information 187
8.4 Costa Rica: Leading Causes of Morbidity and Mortality, 2002 187
8.5 Costa Rica: Health Expenditure Indicators 1998,2000, and 2003 189
8.6 Costa Rica: Payroll Fees, by Insurance Scheme 191
8.7 Costa Rica: Health Indicators, 1990-2004 193
8.8 Costa Rica: Health Insurance Coverage, by Income Group, 2005 195
8.9 Costa Rica: Child and Infant Mortality, by Health Region 196
xii Contents
8.10 Costa Rica: Health Spending, by Level of Care 197
8.11 Costa Rica: Sources of Health Financing 197
8.12 Costa Rica: Estimated Health Insurance Financial Balance
in 2050 under Different Scenarios 201
8.13 Costa Rica: Health System Inputs, 1995-2002 205
8.14 Costa Rica: Major Strengths and Weaknesses of the
Health Sector 208
9.1 Estonia: Total Health Expenditure, by Source, 2004 233
10.1 The Kyrgyz Republic: Leading Causes of Mortality
and Disability, 2002 273
10.2 The Kyrgyz Republic: IMR from Respiratory Infections,
1997-2004 275
10.3 The Kyrgyz Republic: Key Health Financing Indicators,
2000-03 277
10.4 The Kyrgyz Republic: Coverage in Phase-1 (1997-2001):
Population Groups, Sources of Financing, and Benefits 280
10.5 The Kyrgyz Republic: Copayment Rates for Surgery,
2004 (KGS) 282
10.6 The Kyrgyz Republic: Copayments for Treatment
without Surgery, Diagnosis, Minor Surgery, 2004 (KGS) 282
11.1 Sri Lanka: Economic Indicators 1930-2005 313
11.2 Sri Lanka: Social Indicators 1930-2005 313
11.3 Sri Lanka :Demographic and Health Indicators, 1930-2003 315
11.4 Sri Lanka: Leading Causes of Mortality, 2001 317
11.5 Sri Lanka: Patient Morbidity, Inpatients and Outpatients 317
11.6 Sri Lanka: Trends in Health Care Spending, 1953-2005 319
11.7 Sri Lanka: Incidence of Public Health Expenditures, 1979-2004 320
11.8 Sri Lanka: Progressivity in Health Financing Compared
with Selected Asian Countries 321
11.9 Sri Lanka: Proportion of Population Pushed below the
PPP$1.08 Poverty Line by Household Health Spending,
Compared with Selected Asian Countries 322
11.10 Sri Lanka: Infant Mortality Rates in Different Social Groups,
1920-22 325
11.11 Sri Lanka: Infant Mortality Rate, Selected Districts, 1921-2000 326
11.12 Sri Lanka: Health Services Use and Spending, Compared with
Selected Comparable Countries 331
11.13 Sri Lanka: Technical Efficiency in Public Hospitals, Compared
with Selected Countries 332
11.14 Sri Lanka: Proportion of MOH Expenditures Devoted
to Hospitals 33*3
11.15 Sri Lanka: Provision of Health Service Inputs and Activities, 2003 ... .334
11.16 Sri Lanka: Trends in Treatment Sources Used by Sick Persons,
1978-2004 334
Contents xiii
11.17 Sri Lanka: The Chronology of Scaling-Up Health Reforms 338
11.18 Sri Lanka: Expansion of Health Service Coverage, 1931-51 345
12.1 Thailand: Top 10 Causes of Disease Burden, by Gender, 2004 358
12.2 Thailand: Evolution of Health Insurance Coverage 362
12.3 Thailand: Health Expenditure, by Source, 1995-2005 363
12.4 Thailand: Characteristics of Health Insurance Schemes, 2007 364
12.5 Thailand: UCS Inclusion and Exclusion List of Expensive
Health Care Interventions, 2001 367
12.6 Thailand: The 13 Elements for UCS Budget Allocation,
2002-08 369
12.7 Thailand: Utilization by UCS Beneficiaries, 2002-07 371
12.8 Thailand: Progress in Health Insurance Coverage 375
12.9 Thailand: Catastrophic Health Care Expenditure by
Households, 2000-06 375
12.10 Thailand: Consumer Satisfaction 376
13.1 Tunisia: Economic Indicators 386
13.2 Tunisia: Government-Sponsored Benefits 387
13.3 Tunisia: Poverty Trends, by Area, 1975-2000 388
13.4 Tunisia: Selected Demographic Indicators 391
13.5 Tunisia: Global Burden of Disease, 2002 Estimates 392
13.6 Tunisia: Top Five Burden of Disease Causes, 2002 Estimates 393
13.7 Tunisia: CSS Insurance Coverage Rates 396
13.8 Tunisia: Health Expenditure, as a Share of GDP and Per Capita,
1980-2004 398
13.9 Tunisia: Health Expenditure Indicators, 1995-2004 399
13.10 Tunisia: Health Care Coverage and Financing 402
13.11 Tunisia: Health Care Provider Payment Methods,
by Type of Coverage 404
13.12 Tunisia: Provision for NFSPS Affiliates 406
13.13 Tunisia: Provision for NFSS Affiliates 407
13.14 Tunisia: Household Consumption, 1975-2000 407
13.15 Tunisia: Household Expenditures, by Service Category, 2000 408
13.16 Tunisia: Health Care Provision, by Facility Type, 2004 409
13.17 Tunisia: Number of Beds in MSP Facilities 410
13.18 Tunisia: Private Health Facilities 411
13.19 Tunisia: Number of Public and Private Hospital Beds, 1985-2004 411
13.20 Tunisia: The Physician Workforce, 1981-2004 411
13.21 Tunisia: Medical Personnel, 1990-2004 412
13.22 Tunisia: Large-Scale Medical Equipment, 1995-2004 414
13.23 Tunisia: Life Expectancy and Infant Mortality Compared
with MENA Region, 1960-2004 417
13.24 Tunisia: Coverage with Primary Health Care Services, 2005 418
13.25 Tunisia: Health Outcomes Compared with Similar Countries 419
13.26 Tunisia: Inequity of Financial Contribution Indicators
Compared with Similar Countries 420
xiv Contents
13.27 Tunisia: Health Inequalities Compared with Similar Countries 421
13.28 Tunisia: Stakeholder Analysis for Health Insurance Reform 428
13.29 Tunisia: Contribution Rates for Health Insurance Scheme 431
14.1 Vietnam: Economic Indicators, 1990-2004 441
14.2 Vietnam: Selected Population and Social Indicators, 1990-2004 443
14.3 Vietnam: Estimated Burden of Disease, 2002 445
14.4 Vietnam: Per Capita Total Expenditure on Health, 1999-2003 448
14.5 Vietnam: Health Spending, by Type of Service 449
14.6 Vietnam: Sources of Funding, by Type of Service, 2003 449
14.7 Vietnam: Health Insurance Coverage, by Program Type,
1998-2004 450
14.8 Vietnam: Human Resources for Health, Selected Indicators 459
14.9 Vietnam: Selected Health Care Coverage and Health
Outcome Indicators, 1990-2004 460
14.10 Vietnam: Chronology of Health Reforms, 1989-2006 464
|
| adam_txt |
Contents
Foreword xv
Acknowledgments xvii
Executive Summary : xix
Acronyms and Abbreviations xxiii
Part 1 Assessing Good Practice in Health
Financing Reform
1 Introduction 3
2 Health Financing Functions 9
3 Criteria for Defining "Good Practice" and Choosing
Country Cases 15
4 Summaries of Country Cases 27
5 Enabling Factors for Expanding Coverage 57
References for Part I 76
Part 2 Nine Case Studies of Good Practice in
Health Financing Reform
6 Chile: Good Practice in Expanding Health Care Coverage
Lessons from Reforms 89
Ricardo D. Bitrdn and Gonzalo C. Urcullo
7 Colombia: Good Practices in Expanding Health Care Coverage 137
Diana Masis Pinto
8 Costa Rica: "Good Practice" in Expanding Health Care Coverage
Lessons from Reforms in Low- and Middle-Income Countries 183
James Cercone and Jose Pacheco Jimenez
9 Estonia: "Good Practice" in Expanding Health Care Coverage 227
Triin Habicht andjarno Habicht
10 The Kyrgyz Republic: Good Practices in Expanding Health Care
Coverage, 1991-2006 269
Melitta Jakab and Elina Manjieva
v
vi Contents
11 Sri Lanka: "Good Practice" in Expanding Health Care Coverage 311
Ravi P. Rannan-Eliya and Lankani Sikurajapathy
12 Thailand: Good Practice in Expanding Health Coverage
Lessons from the Thai Health Care Reforms 355
Suwit Wibulpolprasert and Suriwan Thaiprayoon
13 Tunisia: "Good Practice" in Expanding Health Care Coverage
Lessons from Reforms in a Country in Transition 385
Chokri Arfa and Hedi Achouri
14 Vietnam: "Good Practice" in Expanding Health Care Coverage
Lessons from Reform in Low- and Middle-Income Countries 439
Bjorn Ekman and Sarah Bales
AppendixA 479
Index 487
Boxes
2 A Measures of Financial Protection in Tunisia 12
6.1 Chile: Key Political Milestones 99
8.1 Costa Rica: Cooperatives as Health Care Providers 217
10.1 The Kyrgyz Republic: The Manas National Health
Care Reform Program 298
12.1 Thailand: Minimum CUP Requirements 370
Figures
1.1 Determinants of Health, Nutrition, and Population Outcomes 5
2 A. 1 Payments as Share of Total and Nonfood Expenditure
in Tunisia, 2003 13
3.1 Population Health Indicators Relative to Income and
Spending 20
3.2 Health Service Delivery Indicators Relative to Income and
Spending u. .21
3.3 Total Health Spending Relative to Income 21
3.4 Health Spending as Share of GDP and per Capita vs. Income 22
3.5 Revenue to GDP Ratio vs. Income 23
3.6 Government Share of Health vs. Income 23
3.7 Out-of-Pocket Spending Relative to Income 24
3.8 Hospital Bed and Physician Capacity vs. Income 25
3.9 Literacy vs. Income 25
5.1 Real GDP Trends per Capita, 1960-2005 60
5.2 Political Freedom Trends in Case Countries, 1900-2004 64
Contents vii
6.1 Chile: Economic Growth, 1810-2005 90
6.2 Chile: Growth of Real GDP, 1997-2005 91
6.3 Chile: GDP per Capita, 2004 91
6.4 Chile: External Debt, 1996-2005 92
6.5 Chile: Composition of External Debt, 2004 93
6.6 Chile: Population Structure, 1990,2005, and 2020 95
6.7 Chile: Infant Mortality, 1960-2002 97
6.8 Chile: Life Expectancy, by Historical Period and Gender,
1950-2025 97
6.9 Chile: Poverty Compared with Other Latin American Countries,
1999 98
6.10 Chile: Infant Mortality and Life Expectancy Compared with
Other Latin American Countries, 2004 99
6.11 Chile: The Mandatory Health Insurance System, 2006 101
6.12 Chile: Structure of Health Spending, by Source, 1998-2004 103
6.13 Chile: Coverage of Social Security System, 1984-2005 107
6.14 Chile: Coverage of Open ISAPREs, 2006 107
6.15 Chile: Structure of Financing for Public Health Spending 110
6.16 Chile: Social Security System Beneficiaries, by Income Decile
and Insurance Type, 2000 Ill
6.17 Chile: FONASA and ISAPRE Beneficiaries, by Age,
1990 and 2005 113
6.18 Chile: Available Beds in the SNSS System, 1990-2002 115
6.19 Chile: Chronology of Health Reforms, 1917-2006 119
6.20 Chile: Cumulative Cost of the 56 GES-Covered
Health Conditions, estimates for 2007 126
7.1 Colombia: Age-Specific Fertility Rates 140
7.2 Colombia: Population Pyramid, 2005 140
7.3 Colombia: Flow of Funds in the Solidarity and
Guarantees Fund 144
7.4 Colombia: Funding for the Subsidized Regime, by Source, 2005 145
7.5 Colombia: Main Reasons for Not Using Health Care Services,
by Income Quintile, 1992 and 1997 154
7.6 Colombia: Reported Sources of Payment for Consultations
and Hospitalizations, by Insurance Status, 2000 154
7.7 Colombia: Respondents with a Health Problem and Seen by a
Doctor, by Insurance Status and Location, 2000 and 2003 156
7.8 Colombia: Population Reporting Use of Preventive Services,
by Insurance Status, 1997 and 2003 156
7.9 Colombia: Population Reporting Hospitalization in Last Year,
by Insurance Status, 1997 and 2003 157
7.10 Colombia: Total Enrollees, by Type of Health Plan
and Regime, 2005 158
7.11 Colombia: Expansion of CR and SR Insurance Coverage,
1992-2006 164
viii Contents
7.12 Colombia: Total CR enrollment, Contributors, and Beneficiaries,
1993-2005 165
7.13 Colombia: Employment of SR Contributors, 1993-2006 165
7.14 Colombia: Insurance Coverage, by Income Quintile, 1992-2003 166
7.15 Colombia: Growth of Insurance Coverage, by Regime and by
Residence, 1993-2003 167
7.16 Colombia: National Health Spending Distribution and Trends,
1993-2003 168
7.17 Colombia: Balance of FOSYGA Compensation Fund, 1996-2005 . 169
7.18 Colombia: Unemployment, GDP Real Growth, and Percentage
of Population in Poverty, 1991-2005 170
7.19 Colombia: SR Projected Resources versus Actual Expenditures,
1994-2000 171
7.20 Colombia: SR Projected Resources versus Actual Expenditures
of Solidarity Funding Sources, 2000 172
7.21 Colombia: Projections for Universal Health Insurance,
2005-2010 176
8.1 Costa Rica: Population Pyramids, 1990, 2005, and 2020 185
8.2 Costa Rica: Basic Demographic Indicators 187
8.3 Costa Rica: National Distribution of Public Spending on Health,
by Income Category, 2001 190
8.4 Costa Rica: Outpatient Consultations per Inhabitant,
by Income Decile, 1998 and 2001 195
8.5 Costa Rica: Income and Social Expense Distribution
by Function, 2000 198
8.6 Costa Rica: Distribution of Public Spending on
Health Nationally and Regionally, by Income Group, 2001 199
8.7 Costa Rica: Health Expenditures and Contributions to CCSS,
by Income Decile 199
8.8 Costa Rica: Health Insurance Coverage, of Economically Active
Population 1990-2004 212
8.9 Costa Rica: Primary Health Care Program Coverage, 1990-2003 215
9.1 Estonia: Population Pyramids, 2004 and 2025 230
9.2 Estonia: Burden of Disease 231
9.3 Estonia: Average Life Expectancy at Birth Compared with
EU Countries, 2003 232
9.4 Estonia: Distribution of Funding Sources, 1999 and 2004 234
9.5 Estonia: Out-of-Pocket Payments Compared with
European Union, 2004 236
9.6 Estonia: Overview of the Health Financing System, 2004 237
9.7 Estonia: The EHIF Contracting Process 238
9.8 Estonia: Payment Methods for Inpatient and Outpatient
Specialist Care, 2005 240
9.9 Estonia: Payment Methods for Family Physicians, 2005 241
Contents ix
9.10 Estonia: Number of Family Physicians, 1993-2004 245
9.11 Estonia: Number of Hospitals and Acute Care Admissions,
1985-2003 248
9.12 Estonia: Access to Medical Care, by Residence 249
9.13 Estonia: Number of Doctors and Nurses per 100,000 Inhabitants,
1998-2004 250
9.14 Estonia: Cumulative Increase in EHIF Pharmaceutical and
Health Care Services Expenditures, 1993-2006 251
9.15 Estonia: Use of Cardiovascular Medicines, by Groups,
1994-2005 252
9.16 Estonia: Milestones in Health Sector Reform, 1992-2003 253
10.1 The Kyrgyz Republic: Key Economic Indicators, 1990-2004 271
10.2 The Kyrgyz Republic: Population Pyramids, 1990 and 2005 273
10.3 The Kyrgyz Republic: Leading Causes of Infant Mortality, 2004 274
10.4 The Kyrgyz Republic: Health Expenditures as
Share of the State Budget, 1995-2003 278
10.5 The Kyrgyz Republic: Access to Health Services,
by Income Level, 2000 287
10.6 The Kyrgyz Republic: Comparative Indicators of
Hospital Efficiency, 1995 288
10.7 The Kyrgyz Republic: Reallocation of Public Expenditures
in the Single-Payer System from Fixed Costs to Variable Costs 293
10.8 The Kyrgyz Republic: Trends in Out-of-Pocket Payments,
2000-03 (KGS) 299
10.9 The Kyrgyz Republic: Access to Outpatient Care and
Hospital Care, 2000 and 2003 301
10.10 The Kyrgyz Republic: Mean Payment by a Public
Hospital Patient, 2000 and 2003 (KGS) 302
11.1 Sri Lanka: Population Pyramids 1991,2006,2026, and 2051 316
11.2 Sri Lanka: Government Recurrent Health Spending, 1927-2005 324
11.3 Sri Lanka: Differentials in Infant Mortality Rate,
by Asset Quintile, 1987-2000 327
11.4 Sri Lanka: Differentials in Medical Attendance at Childbirth,
by Asset Quintile, 1987-2000 327
11.5 Sri Lanka: Differentials in Use of Modern Methods of
Contraception by Currently Married Women, 1987-2000 328
11.6 Sri Lanka: Trends in Infant Mortality Rates, Country and
Nuwara Eliya District, 1920-2003 330
11.7 Sri Lanka: Government Hospital Provision, 1920-2000 335
12.1 Thailand: Population Pyramids, 2005, 2010, and 2020 357
12.2 Thailand: Shift in Budget Allocations, 1982-89 360
12.3 Thailand: Health Service Delivery Indicators Relative to
Income and Spending, 1977-2003 361
x Contents
12.4 Thailand: The Health Insurance Model, 2007 365
12.5 Thailand: Health Care Providers' Satisfaction with the UCS,
2003-07 371
12.6 Thailand: Number of Doctor Resignations from MOPH
Rural Facilities, 1995-2006 372
12.7 Thailand: Proposed and Approved Capitation, 2002-08 373
12.8 Thailand: Number of Financially Constrained Hospitals
Receiving Contingency Fund Support, 2002-04 374
12.9 Thailand: The "Triangle That Moves the Mountain" Strategy 378
13.1 Tunisia: Population Pyramids, 1990, 2005, and 2020 389
13.2 Tunisia: Trends in Life Expectancy, Men and Women, 1966-2004 390
13.3 Tunisia: Coverage Rates by Health Insurance Scheme 395
13.4 Tunisia: Trends in Health Care Spending, by Financing Agent,
1980-2004 400
13.5 Tunisia: Shifts in Sources of MSP Financing, 1990-2003 403
13.6 Tunisia: Annual Health Care Expenditure, per Capita, 1975-2005 408
13.7 Tunisia: Average Growth in the Number of Physicians, Dentists,
Pharmacists, and Paramedical Personnel, Selected Periods 412
14.1 Vietnam: Population Pyramids, 1990,2005, and 2020 444
Tables
2A. 1 Catastrophic Impact of Out-of-Pocket Payments in Threshold
Expenditure Shares in Tunisia, 2003 14
3.1 Income and Health Spending, 2004 18
3.2 Health Outcome and Delivery Indicators, 2005 19
3.3 Correlations between Population Health Outcomes and Income,
Health Spending, and Literacy Levels 26
6.1 Chile: Net Tax Revenue Structure, 1996-2004 92
6.2 Chile: Macroeconomic Performance, 2000-05 93
6.3 Chile: Disease Burden, 1993 (DALYs lost) 96
6.4 Chile: Key Health Spending Indicators, 1998-2004 102
6.5 Chile: Health Spending as a Percentage of GDP, 2004 103
6.6 Chile: Composition of Spending on Social Welfare Programs,
2000-05 104
6.7 Chile: Health Problems Covered under the GES, 2005-07 105
6.8 Chile: Health Coverage Provided by Social Security System, 2005 106
6.9 Chile: Services Provided by the FONASA and Average
Annual Spending per Beneficiary, 2004 108
6.10 Chile: Average Number of Health Services Provided by
ISAPRES per Beneficiary, 1996-2004 108
6.11 Chile: Number of Hospital Admissions, 2001-03 109
Contents xi
6.12 Chile: Contributions, Benefits, and Subsidies within the
FONASA, 1995 112
6.13 Chile: Global Health Indicators: 1960 and 1995 124
7.1 Colombia: Selected Economic Indicators 138
7.2 Colombia: Demographic Profile 139
7.3 Colombia: Main Causes of Mortality, by Age Group and
Gender, 2002 141
7.4 Colombia: Top Five Health Conditions, by Burden of Disease
and Cause, 2002 (DALYs) 141
7.5 Colombia: Burden of Disease, by Disease Category and
Cause, 2002 (DALYs) 141
7.6 Colombia: Total Population, by SISBEN category, 2003 145
7.7 Colombia: UPC Premium Value, 2006 146
7.8 Colombia: Summary of NSHI Schemes, December 2005 148
7.9 Colombia: Classification of Medical Care Types, by Complexity 149
7.10 Colombia: Comparison of Breadth of CR, SR, and
PS Benefits Packages 150
7.11 Colombia: CR and SR Enrollment Rules, Copayments,
and Choice, 2006 151
7.12 Colombia: Coverage of Services to Supplement the
Benefits Packages 152
7.13 Colombia: Coverage of Minimum Interventions to Address
2002 Burden of Disease 153
7.14 Colombia: Selected Health Expenditure Indicators, 2003 153
7.15 Colombia: Households Experiencing Catastrophic Payments
or Impoverishment due to Ambulatory or Hospital Health Shock,
by Insurance Status, 2003 155
7.16 Colombia: Services Offered by Health Care Facilities,
by Type, 2004 160
7.17 Colombia: Milestones toward Achievement of Universal
Health Insurance Coverage 161
7.18 Colombia: Selected Determinants of FOSYGA Balance,
1998-2002 171
7.19 Colombia: SR Funding Sources, 1995-2005 172
8.1 Costa Rica: Economic Indicators, 1990-2004 184
8.2 Costa Rica: Population Growth Rates and Projections,
1990-2020 186
8.3 Costa Rica: Basic Health Information 187
8.4 Costa Rica: Leading Causes of Morbidity and Mortality, 2002 187
8.5 Costa Rica: Health Expenditure Indicators 1998,2000, and 2003 189
8.6 Costa Rica: Payroll Fees, by Insurance Scheme 191
8.7 Costa Rica: Health Indicators, 1990-2004 193
8.8 Costa Rica: Health Insurance Coverage, by Income Group, 2005 195
8.9 Costa Rica: Child and Infant Mortality, by Health Region 196
xii Contents
8.10 Costa Rica: Health Spending, by Level of Care 197
8.11 Costa Rica: Sources of Health Financing 197
8.12 Costa Rica: Estimated Health Insurance Financial Balance
in 2050 under Different Scenarios 201
8.13 Costa Rica: Health System Inputs, 1995-2002 205
8.14 Costa Rica: Major Strengths and Weaknesses of the
Health Sector 208
9.1 Estonia: Total Health Expenditure, by Source, 2004 233
10.1 The Kyrgyz Republic: Leading Causes of Mortality
and Disability, 2002 273
10.2 The Kyrgyz Republic: IMR from Respiratory Infections,
1997-2004 275
10.3 The Kyrgyz Republic: Key Health Financing Indicators,
2000-03 277
10.4 The Kyrgyz Republic: Coverage in Phase-1 (1997-2001):
Population Groups, Sources of Financing, and Benefits 280
10.5 The Kyrgyz Republic: Copayment Rates for Surgery,
2004 (KGS) 282
10.6 The Kyrgyz Republic: Copayments for Treatment
without Surgery, Diagnosis, Minor Surgery, 2004 (KGS) 282
11.1 Sri Lanka: Economic Indicators 1930-2005 313
11.2 Sri Lanka: Social Indicators 1930-2005 313
11.3 Sri Lanka :Demographic and Health Indicators, 1930-2003 315
11.4 Sri Lanka: Leading Causes of Mortality, 2001 317
11.5 Sri Lanka: Patient Morbidity, Inpatients and Outpatients 317
11.6 Sri Lanka: Trends in Health Care Spending, 1953-2005 319
11.7 Sri Lanka: Incidence of Public Health Expenditures, 1979-2004 320
11.8 Sri Lanka: Progressivity in Health Financing Compared
with Selected Asian Countries 321
11.9 Sri Lanka: Proportion of Population Pushed below the
PPP$1.08 Poverty Line by Household Health Spending,
Compared with Selected Asian Countries 322
11.10 Sri Lanka: Infant Mortality Rates in Different Social Groups,
1920-22 325
11.11 Sri Lanka: Infant Mortality Rate, Selected Districts, 1921-2000 326
11.12 Sri Lanka: Health Services Use and Spending, Compared with
Selected Comparable Countries 331
11.13 Sri Lanka: Technical Efficiency in Public Hospitals, Compared
with Selected Countries 332
11.14 Sri Lanka: Proportion of MOH Expenditures Devoted
to Hospitals 33*3
11.15 Sri Lanka: Provision of Health Service Inputs and Activities, 2003 . .334
11.16 Sri Lanka: Trends in Treatment Sources Used by Sick Persons,
1978-2004 334
Contents xiii
11.17 Sri Lanka: The Chronology of Scaling-Up Health Reforms 338
11.18 Sri Lanka: Expansion of Health Service Coverage, 1931-51 345
12.1 Thailand: Top 10 Causes of Disease Burden, by Gender, 2004 358
12.2 Thailand: Evolution of Health Insurance Coverage 362
12.3 Thailand: Health Expenditure, by Source, 1995-2005 363
12.4 Thailand: Characteristics of Health Insurance Schemes, 2007 364
12.5 Thailand: UCS Inclusion and Exclusion List of Expensive
Health Care Interventions, 2001 367
12.6 Thailand: The 13 Elements for UCS Budget Allocation,
2002-08 369
12.7 Thailand: Utilization by UCS Beneficiaries, 2002-07 371
12.8 Thailand: Progress in Health Insurance Coverage 375
12.9 Thailand: Catastrophic Health Care Expenditure by
Households, 2000-06 375
12.10 Thailand: Consumer Satisfaction 376
13.1 Tunisia: Economic Indicators 386
13.2 Tunisia: Government-Sponsored Benefits 387
13.3 Tunisia: Poverty Trends, by Area, 1975-2000 388
13.4 Tunisia: Selected Demographic Indicators 391
13.5 Tunisia: Global Burden of Disease, 2002 Estimates 392
13.6 Tunisia: Top Five Burden of Disease Causes, 2002 Estimates 393
13.7 Tunisia: CSS Insurance Coverage Rates 396
13.8 Tunisia: Health Expenditure, as a Share of GDP and Per Capita,
1980-2004 398
13.9 Tunisia: Health Expenditure Indicators, 1995-2004 399
13.10 Tunisia: Health Care Coverage and Financing 402
13.11 Tunisia: Health Care Provider Payment Methods,
by Type of Coverage 404
13.12 Tunisia: Provision for NFSPS Affiliates 406
13.13 Tunisia: Provision for NFSS Affiliates 407
13.14 Tunisia: Household Consumption, 1975-2000 407
13.15 Tunisia: Household Expenditures, by Service Category, 2000 408
13.16 Tunisia: Health Care Provision, by Facility Type, 2004 409
13.17 Tunisia: Number of Beds in MSP Facilities 410
13.18 Tunisia: Private Health Facilities 411
13.19 Tunisia: Number of Public and Private Hospital Beds, 1985-2004 411
13.20 Tunisia: The Physician Workforce, 1981-2004 411
13.21 Tunisia: Medical Personnel, 1990-2004 412
13.22 Tunisia: Large-Scale Medical Equipment, 1995-2004 414
13.23 Tunisia: Life Expectancy and Infant Mortality Compared
with MENA Region, 1960-2004 417
13.24 Tunisia: Coverage with Primary Health Care Services, 2005 418
13.25 Tunisia: Health Outcomes Compared with Similar Countries 419
13.26 Tunisia: Inequity of Financial Contribution Indicators
Compared with Similar Countries 420
xiv Contents
13.27 Tunisia: Health Inequalities Compared with Similar Countries 421
13.28 Tunisia: Stakeholder Analysis for Health Insurance Reform 428
13.29 Tunisia: Contribution Rates for Health Insurance Scheme 431
14.1 Vietnam: Economic Indicators, 1990-2004 441
14.2 Vietnam: Selected Population and Social Indicators, 1990-2004 443
14.3 Vietnam: Estimated Burden of Disease, 2002 445
14.4 Vietnam: Per Capita Total Expenditure on Health, 1999-2003 448
14.5 Vietnam: Health Spending, by Type of Service 449
14.6 Vietnam: Sources of Funding, by Type of Service, 2003 449
14.7 Vietnam: Health Insurance Coverage, by Program Type,
1998-2004 450
14.8 Vietnam: Human Resources for Health, Selected Indicators 459
14.9 Vietnam: Selected Health Care Coverage and Health
Outcome Indicators, 1990-2004 460
14.10 Vietnam: Chronology of Health Reforms, 1989-2006 464 |
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| illustrated | Illustrated |
| index_date | 2024-07-02T22:09:05Z |
| indexdate | 2024-07-09T21:21:53Z |
| institution | BVB |
| isbn | 9780821375112 |
| language | English |
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| publisher | World Bank |
| record_format | marc |
| spelling | Good practices in health financing lessons from reforms in low and middle-income countries Pablo Gottret ..., eds. Washington, DC World Bank 2008 xxiv, 504 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index Medical care / Developing countries / Finance Health care reform / Economic aspects / Developing countries Medical policy / Economic aspects / Developing countries Medical care, Cost of / Developing countries Health status indicators / Developing countries Health Care Reform / economics / Statistics Health Care Reform / standards / Statistics Delivery of Health Care / economics / Statistics Developing Countries / Statistics Health Care Costs / Statistics Health Expenditures / Statistics Entwicklungsländer Statistik Delivery of Health Care economics Statistics Developing Countries Statistics Health Care Costs Statistics Health Care Reform economics Statistics Health Care Reform standards Statistics Health Expenditures Statistics Health care reform Economic aspects Developing countries Health status indicators Developing countries Medical care Developing countries Finance Medical care, Cost of Developing countries Medical policy Economic aspects Developing countries Finanzierung (DE-588)4017182-6 gnd rswk-swf Nachhaltigkeit (DE-588)4326464-5 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Entwicklungsländer (DE-588)4014954-7 gnd rswk-swf Entwicklungsländer (DE-588)4014954-7 g Gesundheitswesen (DE-588)4020775-4 s Finanzierung (DE-588)4017182-6 s Nachhaltigkeit (DE-588)4326464-5 s b DE-604 Gottret, Pablo Enrique Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016754667&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Good practices in health financing lessons from reforms in low and middle-income countries Medical care / Developing countries / Finance Health care reform / Economic aspects / Developing countries Medical policy / Economic aspects / Developing countries Medical care, Cost of / Developing countries Health status indicators / Developing countries Health Care Reform / economics / Statistics Health Care Reform / standards / Statistics Delivery of Health Care / economics / Statistics Developing Countries / Statistics Health Care Costs / Statistics Health Expenditures / Statistics Entwicklungsländer Statistik Delivery of Health Care economics Statistics Developing Countries Statistics Health Care Costs Statistics Health Care Reform economics Statistics Health Care Reform standards Statistics Health Expenditures Statistics Health care reform Economic aspects Developing countries Health status indicators Developing countries Medical care Developing countries Finance Medical care, Cost of Developing countries Medical policy Economic aspects Developing countries Finanzierung (DE-588)4017182-6 gnd Nachhaltigkeit (DE-588)4326464-5 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| subject_GND | (DE-588)4017182-6 (DE-588)4326464-5 (DE-588)4020775-4 (DE-588)4014954-7 |
| title | Good practices in health financing lessons from reforms in low and middle-income countries |
| title_auth | Good practices in health financing lessons from reforms in low and middle-income countries |
| title_exact_search | Good practices in health financing lessons from reforms in low and middle-income countries |
| title_exact_search_txtP | Good practices in health financing lessons from reforms in low and middle-income countries |
| title_full | Good practices in health financing lessons from reforms in low and middle-income countries Pablo Gottret ..., eds. |
| title_fullStr | Good practices in health financing lessons from reforms in low and middle-income countries Pablo Gottret ..., eds. |
| title_full_unstemmed | Good practices in health financing lessons from reforms in low and middle-income countries Pablo Gottret ..., eds. |
| title_short | Good practices in health financing |
| title_sort | good practices in health financing lessons from reforms in low and middle income countries |
| title_sub | lessons from reforms in low and middle-income countries |
| topic | Medical care / Developing countries / Finance Health care reform / Economic aspects / Developing countries Medical policy / Economic aspects / Developing countries Medical care, Cost of / Developing countries Health status indicators / Developing countries Health Care Reform / economics / Statistics Health Care Reform / standards / Statistics Delivery of Health Care / economics / Statistics Developing Countries / Statistics Health Care Costs / Statistics Health Expenditures / Statistics Entwicklungsländer Statistik Delivery of Health Care economics Statistics Developing Countries Statistics Health Care Costs Statistics Health Care Reform economics Statistics Health Care Reform standards Statistics Health Expenditures Statistics Health care reform Economic aspects Developing countries Health status indicators Developing countries Medical care Developing countries Finance Medical care, Cost of Developing countries Medical policy Economic aspects Developing countries Finanzierung (DE-588)4017182-6 gnd Nachhaltigkeit (DE-588)4326464-5 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Medical care / Developing countries / Finance Health care reform / Economic aspects / Developing countries Medical policy / Economic aspects / Developing countries Medical care, Cost of / Developing countries Health status indicators / Developing countries Health Care Reform / economics / Statistics Health Care Reform / standards / Statistics Delivery of Health Care / economics / Statistics Developing Countries / Statistics Health Care Costs / Statistics Health Expenditures / Statistics Entwicklungsländer Statistik Delivery of Health Care economics Statistics Developing Countries Statistics Health Care Costs Statistics Health Care Reform economics Statistics Health Care Reform standards Statistics Health Expenditures Statistics Health care reform Economic aspects Developing countries Health status indicators Developing countries Medical care Developing countries Finance Medical care, Cost of Developing countries Medical policy Economic aspects Developing countries Finanzierung Nachhaltigkeit Gesundheitswesen |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016754667&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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