Who Is Paying For Health Care In Eastern Europe And Central Asia

Author : Maureen A. Lewis
Publisher : World Bank Publications
ISBN 13 : 9780821348062
Total Pages : 44 pages
Book Rating : 4.6X/5 ( download)

DOWNLOAD NOW!

Download or read book Who is Paying for Health Care in Eastern Europe and Central Asia? written by Maureen A. Lewis and published by World Bank Publications. This book was released on 2000-01-01 with total page 44 pages. Available in PDF, EPUB and Kindle. Book excerpt: Informal payments in the health sector of Eastern and Central Asia are emerging as a fundamental aspect of health care financing and a serious impediment to health care reform. These informal payments, made to individuals or institutions in cash or in kind, are nearly always for services that are meant to be covered by the health care system. Such private payments to public personnel have created an informal market for health care , and are a form of corruption. This problem's roots are traced to declining revenues which have not coincided with a reduction in buildings, hospital beds and health personnel. In these circumstances informal payments compensate for lost earnings, and therefore reforms to modernise the region's health systems must compete with individuals' personal revenues. Options for addressing this problem include comprehensive anticorruption policies, downsizing of the public health system, reducing the set of services sibsidised by the state, encouraging cost sharing with those who can afford it, improving accountability, and promoting private alternatives.

Author : Owen Smith
Publisher : World Bank Publications
ISBN 13 : 0821398849
Total Pages : 214 pages
Book Rating : 4.45/5 ( download)

DOWNLOAD NOW!

Download or read book Getting Better written by Owen Smith and published by World Bank Publications. This book was released on 2013-06-10 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fifty years ago, health outcomes in the countries of Eastern Europe and Central Asia were not far behind those in Western Europe and well ahead of most other regions of the world. But progress since then has been slow. While life expectancy in the ECA region today is close to the global average, the gap with its western neighbors has doubled, and other middle-income regions have all surpassed ECA. Some countries in the region are doing better, but full convergence with the world’s most advanced health systems is still a long way off. At the same time, survey evidence suggests that the health sector is the top priority for additional investment among populations across the region. The experience of high-income countries also suggests that popular demand for strong and accessible health systems will only grow over time. Yet these aspirations must be reconciled with current fiscal realities. In brief, health sector issues are a challenge here to stay for policy-makers across the ECA region. This report draws on new evidence to explore the development challenge facing health sectors in ECA, and highlights three key agendas to help policy-makers seeking to achieve more rapid convergence with the world’s best performing health systems. The first is the health agenda, where the task is to strengthen public health and primary care interventions to help launch the “cardiovascular revolution” that has taken place in the West in recent decades. The second is the financing agenda, in which growing demand for medical care must be satisfied without imposing undue burden on households or government budgets. The third agenda relates to broader institutional arrangements. Here there are some key reform ingredients common to most advanced health systems that are still missing in many ECA countries. A common theme in each of these three agendas is the emphasis on improving outcomes, or “Getting Better”.

Author : Rodrigo Moreno-Serra
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.57/5 ( download)

DOWNLOAD NOW!

Download or read book System-Wide Impacts of Hospital Payment Reforms written by Rodrigo Moreno-Serra and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Although there is broad agreement that the way that health care providers are paid affects their performance, the empirical literature on the impacts of provider payment reforms is surprisingly thin. During the 1990s and early 2000s, many European and Central Asian countries shifted from paying hospitals through historical budgets to fee-for-service or patient-based-payment methods (mostly variants of diagnosis-related groups). Using panel data on 28 countries over the period 1990-2004, the authors of this study exploit the phased shift from historical budgets to explore aggregate impacts on hospital throughput, national health spending, and mortality from causes amenable to medical care. They use a regression version of difference-in-differences and two variants that relax the difference-in-differences parallel trends assumption. The results show that fee-for-service and patient-based-payment methods both increased national health spending, including private (out-of-pocket) spending. However, they had different effects on inpatient admissions (fee-for-service increased them; patient-based-payment had no effect), and average length of stay (fee-for-service had no effect; patient-based-payment reduced it). Of the two methods, only patient-based-payment appears to have had any beneficial effect on "amenable mortality," but there were significant impacts for only a couple of causes of death, and not in all model specifications.

Author : Maureen A. Lewis
Publisher :
ISBN 13 :
Total Pages : 34 pages
Book Rating : 4.11/5 ( download)

DOWNLOAD NOW!

Download or read book Who is Paying for Health Care in Europe and Central Asia? written by Maureen A. Lewis and published by . This book was released on 2000 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Joseph Kutzin
Publisher : Observatory Studies
ISBN 13 :
Total Pages : 438 pages
Book Rating : 4.47/5 ( download)

DOWNLOAD NOW!

Download or read book Implementing Health Financing Reform written by Joseph Kutzin and published by Observatory Studies. This book was released on 2010 with total page 438 pages. Available in PDF, EPUB and Kindle. Book excerpt: Analyses the experience with the financing reforms implemented by the countries of Central Europe, Eastern Europe, the Cauxasus and Central Asia.

Author : Maureen Lewis
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.26/5 ( download)

DOWNLOAD NOW!

Download or read book Who is Paying for Health Care in Europe and Central Asia? written by Maureen Lewis and published by . This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Rodrigo Moreno-Serra
Publisher :
ISBN 13 :
Total Pages : 57 pages
Book Rating : 4.04/5 ( download)

DOWNLOAD NOW!

Download or read book System-Wide Impacts of Hospital Payment Reforms written by Rodrigo Moreno-Serra and published by . This book was released on 2017 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Although there is broad agreement that the way that health care providers are paid affects their performance, the empirical literature on the impacts of provider payment reforms is surprisingly thin. During the 1990s and early 2000s, many European and Central Asian countries shifted from paying hospitals through historical budgets to fee-for-service or patient-based-payment methods (mostly variants of diagnosis-related groups). Using panel data on 28 countries over the period 1990-2004, the authors of this study exploit the phased shift from historical budgets to explore aggregate impacts on hospital throughput, national health spending, and mortality from causes amenable to medical care. They use a regression version of difference-in-differences and two variants that relax the difference-in-differences parallel trends assumption. The results show that fee-for-service and patient-based-payment methods both increased national health spending, including private (out-of-pocket) spending. However, they had different effects on inpatient admissions (fee-for-service increased them; patient-based-payment had no effect), and average length of stay (fee-for-service had no effect; patient-based-payment reduced it). Of the two methods, only patient-based-payment appears to have had any beneficial effect on "amenable mortality," but there were significant impacts for only a couple of causes of death, and not in all model specifications.

Author :
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 71 pages
Book Rating : 4./5 ( download)

DOWNLOAD NOW!

Download or read book Europe and Central Asia's Great Post-Communist Social Health Insurance Experiment: Impacts on Health Sector and Labor Markets Outcomes written by and published by World Bank Publications. This book was released on with total page 71 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Author : Maria-Luisa Escobar
Publisher : Brookings Institution Press
ISBN 13 : 0815705468
Total Pages : 239 pages
Book Rating : 4.68/5 ( download)

DOWNLOAD NOW!

Download or read book Impact of Health Insurance in Low- and Middle-income Countries written by Maria-Luisa Escobar and published by Brookings Institution Press. This book was released on 2010 with total page 239 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past twenty years, many low- and middle-income countries have experimented with health insurance options. While their plans have varied widely in scale and ambition, their goals are the same: to make health services more affordable through the use of public subsidies while also moving care providers partially or fully into competitive markets. Until now, however, we have known little about the actual effects of these dramatic policy changes. Understanding the impact of health insurance-based care is key to the public policy debate of whether to extend insurance to low-income populationsand if so, how to do itor to serve them through other means.

Author : Maurizio Bussolo
Publisher : World Bank Publications
ISBN 13 : 1464803536
Total Pages : 363 pages
Book Rating : 4.36/5 ( download)

DOWNLOAD NOW!

Download or read book Golden Aging written by Maurizio Bussolo and published by World Bank Publications. This book was released on 2015-06-23 with total page 363 pages. Available in PDF, EPUB and Kindle. Book excerpt: Compared to other regions, Europe and Central Asia are by far the oldest. Moreover, population aging is set to accelerate further over the coming decades as large segments turn old. Additionally, some countries such as Russia and certain Eastern European countries are facing a shrinkage of their population. Against this backdrop, this report investigates what stands in the way of societies reaping the full benefits of increased longevity--that is, longer lives and potentially prolonged payoffs from human capital--and what can help to mitigate the possible negative impacts of a smaller and older workforce. Beginning with a focus on demographic trends, the report puts the rapid decline in fertility and contrasting migration trends in the region in a historical perspective and looks forward to the varying paths that population change may follow in the region. Next, it examines the evidence on the likely impact of demographic change on growth and savings, the labor force, firm and economy-wide innovation, poverty and inequality, and intergenerational solidarity. Finally, the report goes beyond diagnostics and puts an emphasis on what we know regarding successful policy interventions, presenting evidence on what has and has not worked in the past.--Publisher description.