By Pablo Gottret, George Schieber, Hugh R. Waters
For humanitarian purposes and the fear for families financial and overall healthiness safeguard, the future health quarter is on the middle of world improvement coverage. constructing nations and the foreign group are scaling up wellbeing and fitness structures to satisfy the Millennium improvement pursuits (MDGs) and are bettering monetary safety by means of securing long term help for those earnings. but funds by myself can't purchase overall healthiness earnings or hinder impoverishment because of catastrophic clinical accounts; good established, results-based financing reforms are wanted. regrettably, international proof of profitable healthiness financing regulations that may advisor the reform attempt is especially restricted and as a result the coverage debate is usually pushed by means of ideological, one-size-fits-all strategies. reliable Practices in healthiness Financing: classes from Reforms in Low- and Middle-Income international locations makes an attempt to start to fill the void by means of systematically assessing overall healthiness financing reforms in 9 low- and middle-income international locations that experience controlled to extend their overall healthiness financing platforms to either increase healthiness prestige and safeguard opposed to catastrophic scientific bills. The partaking international locations are: Chile, Colombia, Costa Rica, Estonia, the Kyrgyz Republic, Sri Lanka, Thailand, Tunisia, and Vietnam. The ebook seeks to spot universal allowing components in their stable functionality. whereas the findings for every nation are very important, jointly they ship a transparent message to the worldwide group that extra awareness is required to outline stable perform after which to judge and disseminate the worldwide proof base.
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Extra resources for Good Practices in Health Financing
Income total health spending (% GDP) 15 10 Kyrgyz Republic Vietnam Colombia Costa Rica Tunisia Chile 5 Estonia Sri Lanka Thailand 0 100 250 1,000 10,000 25,000 GDP per capita (current US$, log scale) Sources: World Bank 2007a; WHO 2007. Revenue-raising capacity also varies among the nine countries. 5). Revenue-raising capacity, which tends to increase with income, is important because it provides governments with ﬁscal space that can be used for health spending. 6). 7). Five countries have average or below average levels.
Thailand is the only country among the nine cases with a signiﬁcantly lower physician-to-population ratio than the global average. Perhaps a minimal physician-to-population ratio is a necessary, though not sufﬁcient condition, for a successful expansion of health insurance coverage. Adult literacy is another important factor that distinguishes most of these countries from others. 9). 8 Hospital Bed and Physician Capacity vs. Income b. Doctor supply a. Hospital bed supply 8 doctors per 1,000 people hospital beds per 1,000 people 15 10 Estonia Kyrgyz Republic 5 Sri Lanka Vietnam 6 Estonia 6 Kyrgyz Republic 2 Chile Thailand Tunisia Costa Rica Colombia Colombia Sri Lanka Vietnam 0 0 10 100 250 10 1,000 2,500 10,000 25,000 GDP per capita (current US$, log scale) 100 250 Tunisia Costa Rica Chile Thailand 1,000 2,500 10,000 25,000 GDP per capita (current US$, log scale) Sources: World Bank 2007a; WHO 2007.
This effectively uses a weight equal to 2 for the poorest individual and 0 for the richest, with weights declining linearly in between. By weighting based on the household’s rank in income distribution, the rank-weighted headcount and rank-weighted overshoot or gap account for whether it is the poor or rich who generally incur catastrophic spending. Since a negative concentration index indicates a disproportionate distribution among the poor, this will increase the value of the headcount or gap.