Health financing for universal coverage and health system performance: Concepts and implications for policy;Financement des soins de santé pour une couverture santé universelle et résultats du système de santé: Concepts et implications politiques

Bulletin of the World Health Organization

Volumn 91, Issue 8, 2013, Pages 602-611

  Kutzin, Joseph ^a  

^a WORLD HEALTH ORGANIZATION   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

FINANCE; HEALTH POLICY; HEALTH SERVICES; POLICY ANALYSIS; WORLD HEALTH ORGANIZATION;

ARTICLE; HEALTH CARE; HEALTH CARE DISPARITY; HEALTH CARE FINANCING; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HUMAN; UNIVERSAL HEALTH COVERAGE; WORLD HEALTH ORGANIZATION;

DELIVERY OF HEALTH CARE; FINANCING, GOVERNMENT; HEALTH POLICY; HUMANS; INTERNATIONALITY; UNIVERSAL COVERAGE;

EID: 84880968303     PISSN: 00429686     EISSN: 15640604     Source Type: Journal    
DOI: 10.2471/BLT.12.113985     Document Type: Article

References (46)

1. The world health report - Health systems financing: the path to universal coverage. Geneva: World Health Organization; 2010.
2. Spaan E, Mathijssen J, Tromp N, McBain F, ten Have A, Baltussen R. The impact of health insurance in Africa and Asia: a systematic review. Bull World Health Organ 2012;90:685-92. doi: http://dx.doi.org/10.2471/BLT.12.102301 PMID:22984313
3. Apoya P, Marriott A. Achieving a shared goal: free universal healthcare in Ghana. Oxford: Oxfam International; 2011. Available from: http://www.oxfam.org/sites/www.oxfam.org/files/rr-achieving-shared-goal-healthcare-ghana-090311-en.pdf [accessed 4 June 2013].
4. Glassman A. Center for Global Development Blog [Internet]. Amanda Glassman. Really Oxfam? Really? [Posted 14 March 2011]. Available from: http://blogs.cgdev.org/globalhealth/2011/03/really-oxfam-really.php [accessed 12 June 2013].
5. Global Health Check [Internet]. Dhillon RS. A closer look at the role of community-based health insurance in Rwanda's success. Oxford: Oxfam International; 2011. Available from: http://www.globalhealthcheck.org/?p=324 [accessed 4 June 2013].
6. The world health report - Health systems: improving performance. Geneva: World Health Organization; 2000.
7. Murray CJL, Frenk J. A framework for assessing the performance of health systems. Bull World Health Organ 2000;78:717-31. PMID:10916909
8. Everybody's business: strengthening health systems to improve health outcomes. WHO's framework for action. Geneva: World Health Organization; 2007. Available from: http://www.who.int/entity/healthsystems/strategy/everybodys_business.pdf [accessed 12 June 2013].
9. Duran A, Kutzin J, Martin-Moreno JM, Travis P. Understanding health systems: scope, functions and objectives. In: Figueras J, McKee M, editors. Health systems, health, wealth and societal well-being: assessing the case for investing in health systems. Berkshire: Open University Press; 2011. pp. 19-36.
10. Kutzin J. Health financing policy: a guide for decision-makers. Copenhagen: World Health Organization, Regional Office for Europe, Division of Country Health Systems; 2008 (Health Financing Policy Paper 2008/1). Available from: http://www.euro.who.int/__data/assets/pdf_file/0004/78871/E91422.pdf [accessed 12 June 2013].
11. Gruber J, Madrian BC. Health insurance, labor supply, and job mobility: a critical review of the literature. Cambridge: National Bureau of Economic Research; 2002 (Working Paper 8817).
12. Bansak C, Raphael S. The State Children's Health Insurance program and job mobility: identifying job lock among working parents in near-poor households. Ind Labor Relat Rev 2008;61:564-79.
13. Aterido R, Hallward-Driemeier M, Pagés C. Does expanding health insurance beyond formal-sector workers encourage informality? Washington: The World Bank; 2011 (Policy Research Working Paper 5785).
14. Wagstaff A, Manachotphong W. Universal health care and informal labor markets: the case of Thailand. Washington: The World Bank; 2012 (Policy Research Working Paper 6116).
15. Shengelia B, Tandon A, Adams OBR, Murray CJL. Access, utilization, quality, and effective coverage: an integrated conceptual framework and measurement strategy. Soc Sci Med 2005;61:97-109. doi: http://dx.doi.org/10.1016/j.socscimed.2004.11.055 PMID:15847965
16. Lessler J, Metcalf CJE, Grais RF, Luquero FJ, Cummings DAT, Grenfell BT. Measuring the performance of vaccination programs using cross-sectional surveys: a likelihood framework and retrospective analysis. PLoS Med 2011;8:e1001110. doi: http://dx.doi.org/10.1371/journal.pmed.1001110 PMID:22039353
17. Jakab M, Lundeen E, Akkazieva B. Health system effectiveness in hypertension control in Kyrgyzstan. Bishkek: Center for Health System; 2007 (Policy Research Paper No. 44). Available from: http://www.hpac.kg/custom/download.php?title=Health+Systems+Effectiveness+in+Hypertension+Control+in+Kyrgyzstan&download=PRP44.E.pdf [accessed 12 June 2013].
18. Pradhan YV, Upreti SR, Pratap KCN, Ashish KC, Khadka N, Syed U et al.; Nepal Newborn Change and Future Analysis Group. Newborn survival in Nepal: a decade of change and future implications. Health Policy Plan 2012;27(Suppl 3):iii57-71. doi: http://dx.doi.org/10.1093/heapol/czs052 PMID:22692416
19. Lozano R, Soliz P, Gakidou E, Abbott-Klafter J, Feehan DM, Vidal C et al. Benchmarking of performance of Mexican states with effective coverage. Lancet 2006;368:1729-41. doi: http://dx.doi.org/10.1016/S0140-6736(06)69566-4 PMID:17098091
20. Liu Y, Rao K, Wu J, Gakidou E. China's health system performance. Lancet 2008;372:1914-23.http://dx.doi.org/10.1016/S0140-6736(08)61362-8 PMID:18930536
21. Yang B-M. Health insurance in Korea: opportunities and challenges. Health Policy Plan 1991;6:119-29. doi: http://dx.doi.org/10.1093/heapol/6.2.119
22. Kutzin J. A descriptive framework for country-level analysis of health care financing arrangements. Health Policy 2001;56:171-204. doi: http://dx.doi.org/10.1016/S0168-8510(00)00149-4 PMID:11399345
23. Evans DB, Saksena P, Elovainio R, Boerma T. Measuring progress towards universal coverage. Geneva: World Health Organization; 2012.
24. Fuenzalida-Puelma HL, O'Dougherty S, Evetovits T, Cashin C, Kacevicius G, McEuen M. Purchasing of health care services. In: Kutzin J, Cashin C, Jakab M, editors. Implementing health financing reform: lessons from countries in transition. Copenhagen: World Health Organization; 2010. pp. 155-86.
25. Chakraborty S, O'Dougherty S, Panopoulou P, Cvikl MM, Cashin C. Aligning public expenditure and financial management with health financing reforms. In: Kutzin J, Cashin C, Jakab M, editors. Implementing health financing reform: lessons from countries in transition. Copenhagen: World Health Organization; 2010. pp. 269-98.
26. Thomson S, Foubister T, Figueras J, Kutzin J, Permanand G, Bryndová L. Addressing financial sustainability in health systems. Copenhagen: World Health Organization; 2009 (Policy Summary 1). Available from: http://www.euro.who.int/__data/assets/pdf_file/0018/76041/E93058.pdf [accessed 12 June 2013].
27. Thomson S, Võrk A, Habicht T, Rooväli L, Evetovits T, Habicht J. Responding to the challenge of financial sustainability in Estonia's health system. Tallinn: World Health Organization; 2010. Available from: http://www.euro.who.int/__data/assets/pdf_file/0003/107877/E93542.pdf [accessed 12 June 2013].
28. Wagstaff A. The World Bank Blog [Internet]. Washington: Adam Wagstaff. What's the "universal health coverage" push really about? [Posted 10 November 2010]. Available from: http://blogs.worldbank.org/developmenttalk/what-s-the-universal-health-coverage-push-really-about [accessed 12 June 2013].
29. Shishkin S, Jowett M. A review of health financing reforms in the Republic of Moldova. Copenhagen: World Health Organization; 2012 (Health Financing Policy Paper 2012/1). Available from: http://www.euro.who.int/__data/assets/pdf_file/0009/166788/E96542.pdf [accessed 12 June 2013].
30. Knaul FM, González-Pier E, Gómez-Dantés O, García-Junco D, Arreola-Ornelas H, Barraza-Lloréns M et al. The quest for universal health coverage: achieving social protection for all in Mexico. Lancet 2012;380:1259-79. doi: http://dx.doi.org/10.1016/S0140-6736(12)61068-X PMID:22901864
31. Prakongsai P, Limwattananon S, Tangcharoensathien V. The equity impact of the universal coverage policy: lessons from Thailand. In: Chernichovsky D, Hanson K, editors. Innovations in health system finance in developing and transitional economies. Bingley: Emerald Group Publishing; 2009. pp. 57-81.
32. Ataguba JE, McIntyre D. Paying for and receiving benefits from health services in South Africa: is the health system equitable? Health Policy Plan 2012;27(Suppl 1):i35-45. doi: http://dx.doi.org/10.1093/heapol/czs005 PMID:22388498
33. Kutzin J. Conceptual framework for analysing health financing systems and the effects of reforms. In: Kutzin J, Cashin C, Jakab M, editors. Implementing health financing reform: lessons from countries in transition. Copenhagen: World Health Organization; 2010. pp. 3-24.
34. Gotsadze G, Gaál P. Coverage decisions: benefit entitlements and patient cost sharing. In: Kutzin J, Cashin C, Jakab M, editors. Implementing health financing reform: lessons from countries in transition. Copenhagen: World Health Organization; 2010. pp. 187-217.
35. Gaál P, Jakab M, Shishkin S. Strategies to address informal payments for health care. In: Kutzin J, Cashin C, Jakab M, editors. Implementing health financing reform: lessons from countries in transition. Copenhagen: World Health Organization; 2010. pp. 327-60.
36. Transparency International. Global corruption report 2006: special focus on corruption and health. London: Pluto Press; 2006.
37. Jerant A, Fiscella K, Franks P. Health characteristics associated with gaining and losing private and public health insurance: a national study. Med Care 2012;50:145-51. doi: http://dx.doi.org/10.1097/MLR.0b013e31822dcc72 PMID:21945971
38. Shaw RP, Griffin CC. Financing health care in sub-Saharan Africa through user fees and insurance. Washington: The World Bank; 1995.
39. Savedoff WD. Is there a case for social insurance? Health Policy Plan 2004;19:183-4. doi: http://dx.doi.org/10.1093/heapol/czh022 PMID:15070867
40. Kutzin J. Health insurance for the formal sector in Africa: yes, but Geneva: World Health Organization, Division of Analysis, Research and Assessment; 1997 (WHO/ARA/CC/97.4).
41. González Rossetti A. Social health insurance in Latin America. London: Institute for Health Sector Development; 2002.
42. Nitayarumphong S, Pannarunothai S. Achieving universal coverage of health care through health insurance: the Thai situation. In: Nitayarumphong S, Mills A, editors. Achieving universal coverage of health care. Nontaburi: Ministry of Public Health; 1998. pp. 257-80.
43. Treerutkuarkul A. Thailand: health care for all, at a price. Bull World Health Organ 2010;88:84-5. doi: http://dx.doi.org/10.2471/BLT.10.010210 PMID:20428360
44. Kutzin J, Jakab M, Shishkin S. From scheme to system: social health insurance and the transformation of health financing in Kyrgyzstan and Moldova. In: Chernichovsky D, Hanson K, editors. Innovations in health system finance in developing and transitional economies. Bingley: Emerald Group Publishing; 2009. pp. 291-312.
45. Kutzin J, Ibraimova A, Jakab M, O'Dougherty S. Bismarck meets Beveridge on the Silk Road: coordinating funding sources to create a universal health financing system in Kyrgyzstan. Bull World Health Organ 2009;87:549-54. doi: http://dx.doi.org/10.2471/BLT.07.049544 PMID:19649370
46. Shishkin S, Jowett M. A review of health financing reforms in the Republic of Moldova. Copenhagen: World Health Organization; 2012 (Health Financing Policy Paper 2012/1). Available from: http://www.euro.who.int/__data/assets/pdf_file/0009/166788/E96542.pdf [accessed 12 June 2013].