Social Health Insurance: Key Factors Affecting the Transition Towards Universal Coverage

@article{Carrin2005SocialHI,
  title={Social Health Insurance: Key Factors Affecting the Transition Towards Universal Coverage},
  author={G. Carrin and C. James},
  journal={Development Economics},
  year={2005}
}
Several low- and middle-income countries are interested in extending their existing health insurance for specific groups to eventually cover their entire populations. For those countries interested in such an extension, it is important to understand the factors that affect the transition from incomplete to universal coverage. This paper analyses the experience of eight countries in the implementation of social health insurance. It highlights the importance of the socioeconomic and political… Expand
Key performance indicators for the implementation of social health insurance
TLDR
This article provides a simple framework to analyse key performance issues related to the functions of health financing within the context of social health insurance and develops a set of performance indicators to help policy makers to monitor the development ofsocial health insurance schemes and identify areas for improvement. Expand
Universal Coverage in Developing Countries, Transition to
Universal coverage can be defined as the extension of health insurance that covers a basic list of core medical services to the entire population. In Organisation for Economic Co-operation andExpand
Health Care as a Social Security Benefit: Institutional Approaches to Extending Coverage
Reaching universal health-care coverage requires an appropriate mix of compulsory contributory social insurance schemes, with mechanisms to include the informal-economy population, and tax-basedExpand
The Transiting to Universal Health Care Coverage: An Analysis of the Ghana National Health Insurance Scheme
The purpose of this study was to examine the reasons why the National Health Insurance Scheme (NHIS) has not been able to enrol all citizens of Ghana after seven years of its initiation despite theExpand
Subsidized health insurance coverage of people in the informal sector and vulnerable population groups: trends in institutional design in Asia
TLDR
Overall, government subsidized health insurance type arrangements can be effective mechanism to help countries progress towards UHC, yet there is potential to improve on institutional design features as well as implementation. Expand
Social Health Insurance For Developing Nations
Good health is necessary for well-being but also has another critical impact: it causes poverty, in that large health expenditures can bankrupt families. Many nations are now hoping that formallyExpand
A Conceptual Framework for Community-Based Health Insurance in Low-Income Countries: Social Capital and Economic Development
Summary The international policy model linking community-based health insurance (CBHI) and universal coverage for health care in low-income countries is implicitly determined by the development ofExpand
Transition to Universal Coverage in Developing Countries
Pooling resources is the preferred method for paying for healthcare due to its' uncertain and often costly nature. Universal health coverage is based on extending pooled payment mechanisms to theExpand
Europe and central Asia's great post-communist social health insurance experiment: Aggregate impacts on health sector outcomes.
TLDR
It is found that, controlling for any concurrent provider payment reforms, adoption of social health insurance increased national health spending and hospital activity rates, but did not lead to better health outcomes. Expand
The Drive Toward Universal Health Coverage
Universal health coverage is a social goal that enables everyone to receive the quality health care they need, irrespective of ability to pay, without suffering financial hardship in the process. ToExpand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 52 REFERENCES
One hundred and eighteen years of the German health insurance system: are there any lessons for middle- and low-income countries?
TLDR
A number of low and middle income countries (LMICs) are considering social health insurance (SHI) for adoption into their social and economic environment or striving to sustain and improve already existing SHI schemes, and an analysis of the German system from its inception up to today is attempted. Expand
Developing health insurance in transitional Asia.
  • T. Ensor
  • Economics, Medicine
  • Social science & medicine
  • 1999
TLDR
While a social security base for insurance may be a viable option for smaller industrialised European transitional economies, this is not the case for many of larger less industrialised economies, and it is unclear how insurance will develop in the future. Expand
Scaling up community health insurance: Japan's experience with the 19th century Jyorei scheme.
TLDR
This paper focuses on the initial experience with community health insurance in 19th century Japan, called 'Jyorei', which was scaled up as the core model of the National Citizen's Health Insurance Fund, one of the pillars of the Japanese social health insurance system. Expand
Equality, Efficiency, and Market Fundamentals: The Dynamics of International Medical Care Reform.
Public opinion surveys uniformly show low support for medical-care systems in developed countries. The longstanding conflict between equal access to care and efficient service provision partlyExpand
The concept of stewardship in health policy.
TLDR
The present paper examines the proposal in The World Health Report 2000 that the concept of stewardship offers the appropriate basis for reconfiguration and concludes that the idea holds substantial promise if adequately developed and effectively implemented. Expand
Israel's health policy breakthrough: the politics of reform and the reform of politics.
  • D. Chinitz
  • Political Science, Medicine
  • Journal of health politics, policy and law
  • 1995
TLDR
The conditions that enabled final passage of the law in light of theories of nonincremental change in pluralist policy systems are explored and the implications of this policy breakthrough for links between policy subsystems, leadership, and the establishment of a new policy equilibrium are discussed. Expand
A Ministry of Health
TLDR
If the country is to recover after the termination of the war and to maintain its place among the nations as a great and thriving industrial Power, it will be necessary for us to conserve to the utmost those lives which the authors possess and those which they may expect to be born to us. Expand
© In ter na tional So cial Se cu rity As so ci a tion
  • 2005
Health financ ing for poor peo ple: Resource mobi li za tion and risk shar ing (chap. 12)
  • 2004
...
1
2
3
4
5
...