Health financing revisited : a practitioner's guide / Pablo Gottret, George Schieber.

Format:

Book

Author/Creator:

Gottret, Pablo E. (Pablo Enrique), 1959-

Contributor:

Schieber, George.

Language:

English

Subjects (All):

Medical care--Finance.

Medical care.

Medical care, Cost of.

Medical policy.

World health.

Physical Description:

xvii, 318 pages : illustrations ; 23 cm

Place of Publication:

Washington, DC : World Bank, [2006]

Summary:

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.

Contents:

The numbers 2

Patterns and effectiveness of current health spending 3

Health financing functions and sources of revenues 4

Risk pooling mechanisms 7

Development assistance for health 12

Realities of government spending and policy levers 14

Health financing challenges in low-income countries 15

Health financing challenges in middle-income countries 18

Learning from high-income countries 20

1 Health transitions, disease burdens, and health expenditure patterns 23

Demographic dynamics 24

The epidemiological transition and health spending 28

Implications of demographic and epidemiological transitions for health financing 32

Global distribution of health expenditures 34

Sources of health spending 36

Annex 1.1 Population pyramids and global health expenditures by region and income group 39

2 Collecting revenue, pooling risk, and purchasing services 45

Health financing functions: definitions and implications 46

Revenue collection and government financing of health services 49

Risk pooling, financial protection, and equality 54

Risk pooling and prepayment 58

Purchasing 61

Health financing policies and fiscal space to increase health spending 63

Annex 2.1 Classifications of health financing systems 66

3 Risk pooling mechanisms 73

State-funded health care systems 75

Social health insurance 82

Community-based health insurance 96

Voluntary health insurance 103

Annex 3.1 The four types of financial risk in voluntary/private health insurance 115

4 External assistance for health 123

Trends in official development assistance 125

Trends in private financial flows 131

Trends in health aid 133

The effectiveness of aid 138

Recent efforts to revamp aid 150

5 Improving health outcomes 161

Government health expenditures 163

Reaching the Millennium Development Goals for health 164

Annex 5.1 Government health expenditures, donor funding, and health outcomes: data and methods 170

6 Increasing the efficiency of government spending 185

Institutions and policies at the country level 187

Policy instruments to improve public sector management 189

Targeting health expenditures 198

Decentralizing health care 201

7 Financing health in low-income countries 209

Health spending by region 211

The cost of the Millennium Development Goals 214

Public sources of revenue for health 218

Private sources of revenue for health 227

Equity and efficiency of health spending in low-income countries 236

Annex 7.1 Four models to estimate the cost of the Millennium Development Goals for health at the country level 244

8 Financing health in middle-income countries 249

Commonality and variations in health systems 250

Common health financing challenges 252

Revenue mobilization 254

Risk pooling 259

Purchasing services 265

Annex 8.1 Summary of recent health reforms in middle-income countries 273

9 Financing health in high-income countries 279

Main reform trends in high-income countries 280

Coverage decisions and benefit entitlements 282

Collection of funds 290

Pooling of funds 298

Purchasing and remuneration of providers 302.

Notes:

Includes bibliographical references and index.

Other Format:

Gottret, Pablo E. (Pablo Enrique, 1959- Health financing revisited

ISBN:

0821365851

OCLC:

65400784

Publisher Number:

9780821365854