Health Financing Revisited: A Practitioner's Guide

Health Financing Revisited: A Practitioner's Guide

by Pablo Gottret, George Schieber
     
 

ISBN-10: 0821365851

ISBN-13: 9780821365854

Pub. Date: 03/30/2006

Publisher: World Bank Publications

This overview of health financing tools, policies and trends—with a particular focus on challenges facing developing countries—provides the basis for effective policy-making. Analyzing the current global environment, the book discusses health financing goals in the context of both the underlying health, demographic, social, economic, political and…  See more details below

Overview

This overview of health financing tools, policies and trends—with a particular focus on challenges facing developing countries—provides the basis for effective policy-making. Analyzing the current global environment, the book discusses health financing goals in the context of both the underlying health, demographic, social, economic, political and demographic analytics as well as the institutional realities faced by developing countries, and assesses policy options in the context of global evidence, the international aid architecture, cross-sectoral interactions, and countries' macroeconomic frameworks and overall development plans.

Product Details

ISBN-13:
9780821365854
Publisher:
World Bank Publications
Publication date:
03/30/2006
Series:
Stand Alones Series
Edition description:
New Edition
Pages:
336
Product dimensions:
5.90(w) x 8.90(h) x 0.80(d)

Table of Contents

Foreword
Acknowledgments
Acronyms and Abbreviations
Overview1
The numbers2
Patterns and effectiveness of current health spending3
Health financing functions and sources of revenues4
Risk pooling mechanisms7
Development assistance for health12
Realities of government spending and policy levers14
Health financing challenges in low-income countries15
Health financing challenges in middle-income countries18
Learning from high-income countries20
1Health transitions, disease burdens, and health expenditure patterns23
Demographic dynamics24
The epidemiological transition and health spending28
Implications of demographic and epidemiological transitions for health financing32
Global distribution of health expenditures34
Sources of health spending36
Annex 1.1Population pyramids and global health expenditures by region and income group39
2Collecting revenue, pooling risk, and purchasing services45
Health financing functions: definitions and implications46
Revenue collection and government financing of health services49
Risk pooling, financial protection, and equality54
Risk pooling and prepayment58
Purchasing61
Health financing policies and fiscal space to increase health spending63
Annex 2.1Classifications of health financing systems66
3Risk pooling mechanisms73
State-funded health care systems75
Social health insurance82
Community-based health insurance96
Voluntary health insurance103
Annex 3.1The four types of financial risk in voluntary/private health insurance115
4External assistance for health123
Trends in official development assistance125
Trends in private financial flows131
Trends in health aid133
The effectiveness of aid138
Recent efforts to revamp aid150
5Improving health outcomes161
Government health expenditures163
Reaching the Millennium Development Goals for health164
Annex 5.1Government health expenditures, donor funding, and health outcomes: data and methods170
6Increasing the efficiency of government spending185
Institutions and policies at the country level187
Policy instruments to improve public sector management189
Targeting health expenditures198
Decentralizing health care201
7Financing health in low-income countries209
Health spending by region211
The cost of the Millennium Development Goals214
Public sources of revenue for health218
Private sources of revenue for health227
Equity and efficiency of health spending in low-income countries236
Annex 7.1Four models to estimate the cost of the Millennium Development Goals for health at the country level244
8Financing health in middle-income countries249
Commonality and variations in health systems250
Common health financing challenges252
Revenue mobilization254
Risk pooling259
Purchasing services265
Other considerations272
Annex 8.1Summary of recent health reforms in middle-income countries273
9Financing health in high-income countries279
Main reform trends in high-income countries280
Coverage decisions and benefit entitlements282
Collection of funds290
Pooling of funds298
Purchasing and remuneration of providers302
Index311

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