Community-based health insurance in low-income countries: a systematic review of the evidence

摘要: Health policy makers are faced with competing alternatives, and for systems of health care financing. The choice financing method should mobilize resources provide financial protection. This review systematically assesses the evidence extent to which community-based insurance is a viable option low-income countries in mobilizing providing contributes literature on by extending qualifying existing knowledge. Overall, base limited scope questionable quality. There strong that provides some protection reducing out-of-pocket spending. moderate strength such schemes improve cost-recovery. weak or no have an effect quality efficiency produced. In absolute terms, effects small serve only section population. main implication these types community arrangements are, at best, complementary other more effective To reliability validity base, analysts agree coherent set outcome indicators consistent assessment indicators. Policy need be better informed as both costs benefits implementing various options. current mute this point.