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Author :
Release : 2015
Genre : Electronic book
Kind : eBook
Book Rating : /5 ( reviews)
Book Synopsis Assessing Latin America's Progress Toward Achieving Universal Health Coverage by :
Download or read book Assessing Latin America's Progress Toward Achieving Universal Health Coverage written by . This book was released on 2015. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Tania Dmytraczenko
Release : 2015-06-30
Genre : Medical
Kind : eBook
Book Rating : 559/5 ( reviews)
Book Synopsis Toward Universal Health Coverage and Equity in Latin America and the Caribbean by : Tania Dmytraczenko
Download or read book Toward Universal Health Coverage and Equity in Latin America and the Caribbean written by Tania Dmytraczenko. This book was released on 2015-06-30. Available in PDF, EPUB and Kindle. Book excerpt: Over the past three decades, many countries of Latin America and the Caribbean have recognized health as a human right. Since the early 2000s, 46 million more people in the countries studied are covered by health programs with explicit guarantees of affordable care. Reforms have been accompanied by a rise in public spending for health, financed largely from general revenues that prioritized or explicitly target the population without capacity to pay. Political commitment has generally translated into larger budgets as well as passage of legislation that ring-fenced funding for health. Most countries have prioritized cost-effective primary care and adopted purchasing methods that incentivize efficiency and accountability for results, and that give stewards of the health sector greater leverage to steer providers to deliver on public health priorities. Evidence from the analysis of 54 household surveys corroborates that investments in extending coverage are yielding results. Though the poor still have worse health outcomes than the rich, disparities have narrowed considerably - particularly in the early stage of the life course. Countries have reached high levels of coverage and equity in utilization of maternal and child health services; coverage of noncommunicable disease interventions is not as high and service utilization is still skewed toward the better off. Catastrophic health expenditures have declined in most countries; the picture regarding equity, however, is mixed. While the rate of impoverishment owing to health-care expenditures is low and generally declining, 2-4 million people in the countries studied still fall below the poverty line after health spending. Efforts to systematically monitor quality of care in the region are still in their infancy. Nonetheless, a review of the literature reveals important shortcomings in quality of care, as well as substantial differences across subsystems. Improving quality of care and ensuring sustainability of investments in health remain an unfinished agenda.
Author : Adam Wagstaff
Release : 2008
Genre :
Kind : eBook
Book Rating : /5 ( reviews)
Book Synopsis Measuring Financial Protection in Health by : Adam Wagstaff
Download or read book Measuring Financial Protection in Health written by Adam Wagstaff. This book was released on 2008. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: Health systems are not just about improving health: good ones also ensure that people are protected from the financial consequences of receiving medical care. Anecdotal evidence suggests health systems often perform badly in this respect, apparently with devastating consequences for households, especially poor ones and near-poor ones. Two principal methods have been used to measure financial protection in health. Both relate a household's out-of-pocket spending to a threshold defined in terms of living standards in the absence of the spending: the first defines spending as catastrophic if it exceeds a certain percentage of the living standards measure; the second defines spending as impoverishing if it makes the difference between a household being above and below the poverty line. The paper provides an overview of the methods and issues arising in each case, and presents empirical work in the area of financial protection in health, including the impacts of government policy. The paper also reviews a recent critique of the methods used to measure financial protection.
Author : Tania Dmytraczenko
Release : 2015
Genre : Electronic book
Kind : eBook
Book Rating : /5 ( reviews)
Book Synopsis Toward Universal Health Coverage and Equity in Latin America and the Caribbean by : Tania Dmytraczenko
Download or read book Toward Universal Health Coverage and Equity in Latin America and the Caribbean written by Tania Dmytraczenko. This book was released on 2015. Available in PDF, EPUB and Kindle. Book excerpt:
Author : Pan American Pan American Health Organization
Release : 2020-06-30
Genre :
Kind : eBook
Book Rating : 009/5 ( reviews)
Book Synopsis Fiscal Space for Health in Latin America and the Caribbean by : Pan American Pan American Health Organization
Download or read book Fiscal Space for Health in Latin America and the Caribbean written by Pan American Pan American Health Organization. This book was released on 2020-06-30. Available in PDF, EPUB and Kindle. Book excerpt: Countries that have made the most progress toward universal coverage have public expenditures in health equivalent to at least 6% of their gross domestic product (GDP), which is the percentage established in PAHO's universal health strategy as the benchmark for the countries. However, while higher expenditure is a prerequisite, it is not enough to combat inequities and advance toward universal health. In addition to greater resources, the quality of the expenditure must be improved, reducing health system inefficiencies. Moreover, public expenditure in health should be sustainably increased in a fiscally responsible manner. The concept of fiscal space for health refers to the ability of governments to provide additional budgetary resources for the health system without affecting the financial position of the public sector or supplanting other socially necessary expenditures. Any analysis of fiscal space, therefore, will attempt to identify the prospects for increasing health expenditure in the short and medium term to address a series of clearly established health needs. These efforts are under way at a critical time in the Region of the Americas, particularly in the countries of Latin America and the Caribbean, which are engaged in a singular health system reform process. For the first time in history, these countries have formalized their intention of increasing public expenditure in health, putting themselves firmly on the path to real and effective access to health care through the universal health strategy. Without achieving basic well-being at this level, it will be impossible to improve social cohesion and social development in the countries of the Region. This publication brings together and summarizes PAHO's studies on fiscal space for universal health in the Americas and draws on the contributions of the regional forum held in Washington, D.C. on 7-8 December 2015. With this publication, whose target audience is the technical personnel responsible for policy development, decision-makers, and authorities, PAHO hopes to contribute to the analysis and discussion of health financing policies on the path toward universal health.
