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In many countries of the world, including Canada, arguments are made for a private-public mix in the financing and provision of health services. Proponents claim that such a mix would improve both access and quality of health care. Opponents counter that it would create a two-tiered system, narrowing the range of options available to the lower socioeconomic segments of society and ultimately harming the equitable delivery of quality health care. This book presents empirical evidence on this contentious and highly politicized issue. Uniquely, it integrates qualitative and quantitative analyses of health care reforms at various stages of implementation in three countries of Latin America. The book sheds light on important issues pertaining to accessibility and equity and, in its approach, sets precedents and provides guidelines for further comparative work on health care reform.
Health care reform --- Health care reform --- Health care reform
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This book examines the reforms in budgeting and health financing systems in Kyrgyzstan, focusing on the transition from input-based to output-based payment methods. It explores the impact of these reforms on financial protection, resource efficiency, and equity in healthcare access. The text addresses the challenges faced in implementing these reforms, such as rigid input-based controls and the misalignment between budgeting approaches and health sector payment methods. The book is intended for policymakers, health system managers, and researchers interested in health finance systems and reform processes, highlighting lessons learned and the need for continued progress in aligning budgetary structures with health policy goals.
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This report, produced by the World Health Organization, provides an assessment of Ethiopia's health financing system as part of the Health Financing Progress Matrix (HFPM) for 2022. It evaluates the strengths and weaknesses of the current system in relation to Universal Health Coverage (UHC) goals. The report identifies key health coverage schemes, expenditure trends, and financing policies, offering recommendations for policy shifts to enhance progress towards UHC. It is intended for policymakers, stakeholders in health finance, and analysts tracking Ethiopia's health system performance.
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Given dramatic changes in Central and Eastern Europe since the fall of Berlin Wall 1989 and the dissolution of the Soviet Union in 1991, local area experts were challenged to examine their national systems of health care as well as proposals to reform them. Each chapter provides contextual data and information on the empirical realities of a specific country at five-year intervals since 1990 as well as the organizational framework of its health care system. The book explores the historical thread of reforms attempted and their current state of implementation by addressing criteria for reforming national health systems such as costs, effectiveness, efficiency, equity and feasibility. The authors stress selected policy elements such as the roles of major actors, the shadow economy, cost containment, access, centralization and decentralization. While no blueprint is offered, intriguing patterns emerge across the cases plus observations about 'next steps' in the unfolding process of health reforms in the region. -
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Nearly everyone agrees that the nation's health care system needs to be reformed. By mid-1994 over a half-dozen major reform plans were under consideration in Congress. But beyond the political challenge of passing a reform package lies an even bigger challenge--how to make health reform work! Critics of the Clinton plan have charged that it's too complex and doomed to administrative failure. Are they right? The nation's health care finance and delivery systems are already immensely complex and problem-ridden. Is it possible to achieve meaningful reforms without adopting new administrative strategies and structures that are equally complex? What role do the states now play in administering the nation's health care system? Is it possible to design administrative success into national health reform plans from the start? Produced in close consultation with state health care officials from all around the country, this important volume offers practical and timely recommendations for how to make health reform work. It addresses the central implementation, management, and federalism dimensions of reform. Chapters by some of the country's leading health policy and public management experts explore the administrative challenges of reform as they relate to health alliances, cost containment, quality of care, medical education and training, and other key issues. They discuss various working principles for developing an administratively sound health reform policy. The contributors are Lawrence D. Brown and Michael Sparer, Columbia University; Gerald Garvey, Princeton University; Donald F. Kettl, University of Wisconsin-Madison; James R. Tallon, United Hospital Fund; James W. Fossett and Frank J. Thompson, State University of New York, Albany.
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Why is the American health care system so fragmented in the care it gives patients? This title approaches this question and more with a highly interdisciplinary approach. The articles included in the work address legal and regulatory issues, including laws that mandate separate payments for each provider.
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Health systems have to meet the changing needs of an increasingly assertive population and an ever more complex health policy context. Digitalisation, population ageing, chronic diseases, new pandemic threats, and evolving expectations of what health services should deliver - and how - have raised questions of whether health systems meet the needs and facilitate engagement of the people.
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