The role of institutional design and organizational practice for health financing performance and universal coverage.

摘要: Abstract Many low- and middle income countries heavily rely on out-of-pocket health care expenditure. The challenge for these is how to modify their financing system in order achieve universal coverage. This paper proposes an analytical framework undertaking a systematic review of its performance the basis which identify adequate changes enhance move towards distinctive characteristic this focus institutional design organizational practice financing, contingent. Institutional understood as formal rules, namely legal regulatory provisions relating financing; refers way actors implement comply with rules. Health operationalized into nine generic indicators. Inadequate can be caused by six types bottlenecks practice. Accordingly, improvement measures are proposed address bottlenecks. actively developed, modified or strengthened. By understanding incentive environment within system, potential impacts anticipated.