The Impact of Health Insurance in Low- And Middle-Income Countries

作者: R. Paul Shaw , Maria-Luisa Escobar , Charles C. Griffin

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摘要: Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans varied widely in scale ambition, goals are same: to make services more affordable through use of public subsidies while also moving care providers partially or fully into competitive markets. Colombia embarked 1993 on a fifteen-year effort cover its entire population insurance, combination greater freedom choose among providers. A decade later Mexico followed suit program tailored federal system. Several African nations introduced new programs decade, testing options for reform. For Eastern Europe has been shifting from government-run insurance-based systems, both China India experimental expand coverage. These betting that financing can increase accessibility services, providers' productivity, change population's patterns, mirroring development systems most OECD countries. Until now, however, we known little about actual effects these dramatic policy changes. Understanding impact insuranceubased is key debate whether extend low-income populations uand if so, how do it uor serve them other means. Using recent household data, this book presents evidence China, Colombia, Costa Rica, Ghana, Indonesia, Namibia, Peru. The contributors discuss potential design improvements could impact. They provide innovative insights improving evaluation reforms building robust knowledge base guide as tackle challenge.

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