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Beyond Survival : Protecting Households from Health Shocks in Latin America.

Beyond Survival breaks new ground in the ongoing debate about health finance and financial protection from the costs of health care. The evidence and discussion support the need to consider financial protection, in addition to health status, as a policy objective when setting priorities for health s...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Packard, Truman G. (Autor)
Formato: Electrónico eBook
Idioma:Inglés
Publicado: World Bank Group 2006.
Temas:
Acceso en línea:Texto completo

MARC

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505 0 |a Cover -- Contents -- Foreword -- Acknowledgments -- About the Authors -- Abbreviations -- EXECUTIVE SUMMARY -- Health Care Systems in LAC: Functions and Organization -- Health Shocks, Household Welfare, and the Risk of Poverty -- Public Policy's Role in Household Protection against Health Shocks -- The Role of Alternative Risk-Pooling Arrangements -- Risk Pooling for Everyone: The Challenge of a Growing Informal Economy -- The Quest for Efficiency and Universal Coverage: Health Sector Reform in LAC -- 1 HEALTH CARE SYSTEMS IN LATIN AMERICA AND THE CARIBBEAN: FUNCTIONS AND ORGANIZATION -- Health System Functions -- Sources of Financing for an Equity Subsidy -- Alternative Organizational Arrangements for Risk Pooling -- Health Systems in Latin America and the Caribbean -- 2 HEALTH SHOCKS, HOUSEHOLD WELFARE, AND THE RISK OF POVERTY -- Country and Household Spending on Health -- Evidence of the Impact of Health on Household Income -- Policy Mechanisms to Address Household Losses of Income Due to Health Shocks -- Cost of Health Care and Its Impact on Consumption -- The Impact of Health Spending Shocks on Household Welfare in Six Latin American and Caribbean Countries -- Impoverishing Out-of-Pocket Expenditure on Health -- 3 PUBLIC POLICY'S ROLE IN HOUSEHOLD PERCEPTION, PREPARATION, AND PROTECTION AGAINST HEALTH SHOCKS -- Household Strategies for Managing and Coping with Shocks -- The Importance of Information on Household Choices to Cover Health Shocks -- Information Problems that Plague Provision of Insurance Instruments -- The Role of Public Policy in Protecting Households from the Impoverishing Effects of Health Shocks -- The Government's Role in Augmenting Household Risk Management, Financial Protection, and Health Outcomes -- Household Coping Strategies -- Policy Lessons from Earlier Applications of the Comprehensive Insurance Framework to Other Losses -- 4 THE ROLE OF ALTERNATIVE RISK-POOLING ARRANGEMENTS -- Society's Need for Financial Protection -- The Importance of a Mandatory Benefits Package -- Risk Pooling in Latin America and the Caribbean -- What Arrangement Gives the Best Financial Protection? -- What Makes the Difference? -- 5 RISK POOLING FOR EVERYONE: THE CHALLENGES POSED BY A GROWING INFORMAL ECONOMY -- The Challenge of Extending Risk Pooling -- Policy Options for Extending Risk Pooling -- What Explains the Low Participation of the Informal Nonpoor in Contributory Risk-Pooling Schemes? -- Policy Options for Extending Contributory Risk Pooling among the Informal and the Self-Employed Nonpoor -- 6 THE QUEST FOR EFFICIENCY AND UNIVERSAL COVERAGE: HEALTH SECTOR REFORM IN LATIN AMERICA AND THE CARIBBEAN -- Achieving Universal Coverage -- Improving Health Sector Efficiency in Latin America and the Caribbean -- Lessons and Challenges -- REFERENCES -- INDEX -- BOXES -- 5.1 Spain's Shift from Bismarck to Beveridge: Delinking Risk-Pool Financing from Labor Status -- 5.2 Trends in Latin American and Caribbean Tax Policies: Balancing the Efficiency-Equity Tradeoff -- 5.3 Mitigating the Fiscal Burden in a Transition toward General Tax-Funded Risk-Pooling: Simulations for the Chilean Health System in 1999 -- 6.1 South Korea and Taiwan: From Fragmentation to Universal Coverage through Social Insurance -- Reforms and Breadth versus Depth Choices -- 6.2 United Kingdom: Strengthening the Purchaser-Provider Compact through Inte. 
520 |a Beyond Survival breaks new ground in the ongoing debate about health finance and financial protection from the costs of health care. The evidence and discussion support the need to consider financial protection, in addition to health status, as a policy objective when setting priorities for health systems. This book reviews the Latin American experience with health reform in the last 20 years and the fundamentals of health system financing, using new evidence to show the magnitude and mechanisms that determine the impoverishing effects of health events (diseases, accidents, and those of the life cycle). It provides options for policy makers on how to protect, and help household to protect themselves, against this impoverishment. The authors use empirical evidence from six case studies commissioned for this report, on Argentina, Chile, Colombia, Ecuador, Honduras, and Mexico. This book provides policy makers with a solid conceptual basis for decisions on the contents of mandatory health insurance benefit packages, choices of financing mechanisms, and the roles of public policy in this field. Beyond Survival provides an in-depth analysis of, and organizational alternatives for, risk pooling and health insurance for financial protection. It analyzes the urgent need to extend risk pooling to the informal sector, the challenges for current social insurance arrangements, and options for policy makers to effectively extend risk pooling to the informal sector. 
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