Assessment of equity in healthcare financing in Fiji and Timor-Leste: a study protocol.
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.
Affiliation: School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia.Show MeSH
Related in: MedlinePlus
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
Affiliation: School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia.