Reflections on and alternatives to WHO's fairness of financial contribution index.

摘要: In its 2000 World Health Report (WHR), the Organization argues that a key dimension of health system's performance is fairness financing system. This paper provides critical assessment index financial contribution (FFC) proposed in WHR. It shows cannot discriminate between systems are regressive and those progressive, horizontal inequity on one hand, progressivity regressivity other. The compares WHO to an alternative more illuminating approach developed income redistribution literature early 1990s used late study various OECD countries' systems. ends with illustrative empirical comparison two approaches using data out-of-pocket payments for services Vietnam years - 1993 1998. analysis some interest own right, given large share spending from Vietnam, changes fees drug prices over 1990s.