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Assessment of equity in healthcare financing in Fiji and Timor-Leste: a study protocol.

Asante AD, Price J, Hayen A, Irava W, Martins J, Guinness L, Ataguba JE, Limwattananon S, Mills A, Jan S, Wiseman V - BMJ Open (2014)

Bottom Line: The study employs two standard measures of equity in health financing increasingly being applied in LMICs-benefit incidence analysis (BIA) and financing incidence analysis (FIA).In Timor-Leste, the World Bank recently completed a health equity and financial protection analysis that incorporates BIA and FIA, and found that the distribution of benefits from healthcare financing is pro-rich.A user-friendly toolkit on how to analyse healthcare financing equity will be developed for use by policymakers and development partners in the region.

View Article: PubMed Central - PubMed

Affiliation: School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia.

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Interactions among different sources of healthcare financing and service delivery. Source: Schieber et al.9
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BMJOPEN2014006806F1: Interactions among different sources of healthcare financing and service delivery. Source: Schieber et al.9

Mentions: The thrust of universal coverage is that all people should have access to the health services they need without risking financial ruin or impoverishment.56 Achieving this requires a well-functioning health financing system that ensures the burden of healthcare payment is distributed according to ability-to-pay (ATP) and the benefits from healthcare spending are distributed in accordance with the need for these services.7 Traditionally, health systems are financed through four main sources: taxation, social health insurance contributions, private health insurance premiums and OOP payments.8 The degree of equity of a health financing system depends crucially on how these different financing sources interact (figure 1 shows the interaction among different sources of healthcare financing and services delivery). It is generally accepted that a government tax financed healthcare benefits the poor more than the rich.10


Assessment of equity in healthcare financing in Fiji and Timor-Leste: a study protocol.

Asante AD, Price J, Hayen A, Irava W, Martins J, Guinness L, Ataguba JE, Limwattananon S, Mills A, Jan S, Wiseman V - BMJ Open (2014)

Interactions among different sources of healthcare financing and service delivery. Source: Schieber et al.9
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4256547&req=5

BMJOPEN2014006806F1: Interactions among different sources of healthcare financing and service delivery. Source: Schieber et al.9
Mentions: The thrust of universal coverage is that all people should have access to the health services they need without risking financial ruin or impoverishment.56 Achieving this requires a well-functioning health financing system that ensures the burden of healthcare payment is distributed according to ability-to-pay (ATP) and the benefits from healthcare spending are distributed in accordance with the need for these services.7 Traditionally, health systems are financed through four main sources: taxation, social health insurance contributions, private health insurance premiums and OOP payments.8 The degree of equity of a health financing system depends crucially on how these different financing sources interact (figure 1 shows the interaction among different sources of healthcare financing and services delivery). It is generally accepted that a government tax financed healthcare benefits the poor more than the rich.10

Bottom Line: The study employs two standard measures of equity in health financing increasingly being applied in LMICs-benefit incidence analysis (BIA) and financing incidence analysis (FIA).In Timor-Leste, the World Bank recently completed a health equity and financial protection analysis that incorporates BIA and FIA, and found that the distribution of benefits from healthcare financing is pro-rich.A user-friendly toolkit on how to analyse healthcare financing equity will be developed for use by policymakers and development partners in the region.

View Article: PubMed Central - PubMed

Affiliation: School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia.

Show MeSH
Related in: MedlinePlus