Mitigating the regressivity of private mechanisms of financing healthcare: An Assessment of 29 countries

被引：0

作者：

Waitzberg, Ruth ^{[1
,2
]}

Allin, Sara ^{[3
]}

Grignon, Michel ^{[4
]}

Ljungvall, Asa ^{[5
]}

Habimana, Katharina ^{[6
]}

Kantaris, Marios ^{[7
]}

Thomas, Steve ^{[8
]}

Rice, Thomas ^{[9
]}

机构：

[1] Tech Univ Berlin, Fac Econ & Management, Dept Hlth Care Management, Str17 Juni 135, D-10623 Berlin, Germany

[2] Myers JDC Brookdale Inst, Jerusalem, Israel

[3] Univ Toronto, Inst Hlth Policy Management & Evaluat, 155 Coll St, Toronto, ON M5T 3M6, Canada

[4] McMaster Univ, Dept Econ, 1280 Main St West, Hamilton, ON L8S 4M4, Canada

[5] Swedish Agcy Hlth & Care Serv Anal, Drottninggatan 89, S-11316 Stockholm, Sweden

[6] Austrian Natl Hlth Inst, Int Consultant & Hlth Expert, Vienna, Austria

[7] Hlth Serv & Social Policy Res Ctr, Nicosia, Cyprus

[8] Trinity Coll Dublin, Ctr Hlth Policy & Management, Sch Med, 3-4 Foster Pl, Dublin, Ireland

[9] Univ Calif Los Angeles, Fielding Sch Publ Hlth, Dept Hlth Policy & Management, Los Angeles, CA USA

来源：

HEALTH POLICY | 2024年 / 143卷

关键词：

Regressivity; Healthcare financing; Private funds; Out of pocket payments; Voluntary health insurance; Equity; COVERAGE; EQUITY; SYSTEM; INSURANCE; EUROPE;

D O I：

10.1016/j.healthpol.2024.105058

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Progressive financing of health care can help advance the equity and financial protection goals of health systems. All countries' health systems are financed in part through private mechanisms, including out-of-pocket payments and voluntary health insurance. Yet little is known about how these financing schemes are structured, and the extent to which policies in place mitigate regressivity. This study identifies the potential policies to mitigate regressivity in private financing, builds two qualitative tools to comparatively assess regressivity of these two sources of revenue, and applies this tool to a selection of 29 high-income countries. It provides new evidence on the variations in policy approaches taken, and resultant regressivity, of private mechanisms of financing health care. These results inform a comprehensive assessment of progressivity of health systems financing, considering all revenue streams, that appears in this special section of the journal.

引用

页数：10

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