Good Practice in Health Financing : Lessons from Reforms in Low and Middle-Income Countries

by Gottret, Pablo

• ISBN13: 9780821375112
• ISBN10: 0821375113
• Edition: 1st
• Format: Paperback
• Copyright: 2008-06-01
• Publisher: World Bank

Summary

"For humanitarian reasons and the concern for households' economic and health security, the health sector is at the center of global development policy. Developing countries and the international community are scaling up health systems to meet the Millennium Development Goals (MDGs) and are improving financial protection by securing long-term support for these gains. Yet money alone cannot buy health gains or prevent impoverishment due to catastrophic medical bills; well structured, results-based financing reforms are needed. Unfortunately, glottal evidence of "successful" health financing policies that can guide the reform effort is very limited and therefore the policy debate is often driven by ideological, one-size-fits-all solutions." "Good Practices in Health Financing: Lessons from Reforms in Low- and Middle-Income Countries attempts to begin to fill the void by systematically assessing health financing reforms in nine low- and middle-income countries that have managed to expand their health financing systems to both improve health status and protect against catastrophic medical expenses. The participating countries are: Chile, Colombia, Costa Rica, Estonia, the Kyrgyz Republic, Sri Lanka, Thailand, Tunisia, and Vietnam. The study seeks to identify common enabling factors of their good performance. While the findings for each country are important, collectively they send a clear message to the global community that more attention is needed to define "good practice" and then to evaluate and disseminate the global evidence base."--BOOK JACKET.

Table of Contents

Assessing Good Practice in Health Financing Reform
Introduction	p. 3
Health Financing Functions	p. 9
Criteria for Denning "Good Practice" and Choosing Country Cases	p. 15
Summaries of Country Cases	p. 27
Enabling Factors for Expanding Coverage	p. 57
Nine Case Studies of Good Practice in Health Financing Reform
Chile: Good Practice in Expanding Health Care Coverage Lessons from Reforms	p. 89
Colombia: Good Practices in Expanding Health Care Coverage	p. 137
Costa Rica: "Good Practice" in Expanding Health Care Coverage Lessons from Reforms in Low- and Middle-Income Countries	p. 183
Estonia: "Good Practice" in Expanding Health Care Coverage	p. 227
The Kyrgyz Republic: Good Practices in Expanding Health Care Coverage, 1991-2006	p. 269
Sri Lanka: "Good Practice" in Expanding Health Care Coverage	p. 311
Thailand: Good Practice in Expanding Health Coverage Lessons from the Thai Health Care Reforms	p. 355
Tunisia: "Good Practice" in Expanding Health Care Coverage Lessons from Reforms in a Country in Transition	p. 385
Vietnam: "Good Practice" in Expanding Health Care Coverage Lessons from Reform in Low- and Middle-Income Countries	p. 439
Appendix A	p. 479
Index	p. 487
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