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Health financing policy : the macroeconomic, fiscal, and public finance context /
The global movement toward universal health coverage (UHC) is accompanied by requests for large increases in government health spending in some countries. This combined with the global economic situation and stagnant economic growth across many low- and middle-income countries make it more critical...
| Clasificación: | Libro Electrónico |
|---|---|
| Autor principal: | |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Washington, D.C. :
World Bank Group,
[2016]
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| Colección: | World Bank studies.
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| Temas: | |
| Acceso en línea: | Texto completo |
MARC
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| 100 | 1 | |a Cashin, Cheryl, |e author. | |
| 245 | 1 | 0 | |a Health financing policy : |b the macroeconomic, fiscal, and public finance context / |c Cheryl Cashin. |
| 264 | 1 | |a Washington, D.C. : |b World Bank Group, |c [2016] | |
| 300 | |a 1 online resource | ||
| 336 | |a text |b txt |2 rdacontent | ||
| 337 | |a computer |b c |2 rdamedia | ||
| 338 | |a online resource |b cr |2 rdacarrier | ||
| 490 | 1 | |a A World Bank study | |
| 504 | |a Includes bibliographical references. | ||
| 588 | 0 | |a Online resource; title from PDF title page (EBSCO, viewed March 24, 2016). | |
| 520 | 3 | |a The global movement toward universal health coverage (UHC) is accompanied by requests for large increases in government health spending in some countries. This combined with the global economic situation and stagnant economic growth across many low- and middle-income countries make it more critical than ever to place health financing discussions firmly in the context of macroeconomic and fiscal realities. Unfortunately, there is often a disconnect in decision making, with key fiscal decisions made in the absence of a clear understanding on the one hand of the potential consequences for the health sector, and on the other, the consequences for the country's macroeconomic and fiscal position of increasing or reallocating government spending. Constructive health financing policy dialogue aims to reach a common understanding between health sector leaders and central budget authorities about policy objectives for the health sector and the resources needed to achieve those objectives, how much priority will be given to health in the government budget, and how the health sector will be held accountable for using funds effectively. This common understanding should be built on a realistic picture of the country's macroeconomic and fiscal context, the constraints and competing priorities in the budget-setting process. When ministries of health and ministries of finance have a common understanding of macroeconomic and fiscal constraints, discussions can focus productively on using funds within the potential health resource envelope in the most effective way to achieve health system objectives. This guidance note outlines the key components of the macroeconomic, fiscal, and public financial management context that need to be considered for an informed health financing discussion at the country level. The guidance note is organized around four sets of questions that are key to placing the health financing dialogue in the context of a country's macroeconomic and fiscal context. Each section points to measures, resources, and analytical tools that are available to assist in answering these questions for a specific country. The guidance note draws on case studies from 11 countries moving toward or sustaining universal health coverage conducted as part of the Japan - World Bank Partnership Program on UHC as well as from other country examples. | |
| 505 | 0 | |a Front Cover; Contents; Acknowledgments; About the Author; Abbreviations; Chapter 1 Introduction; Background; Objectives of the Guidance Note; Chapter 2 Objectives of Health Financing Policy Dialogue; Objectives; The Starting Point; Unpacking the Health Financing Challenges; Chapter 3 Macroeconomic and Fiscal Context: The Potential Government Resource Envelope for Health; Key Questions; Macroeconomic and Fiscal Constraints; Key Questions and Resources to Understand the Macroeconomic and Fiscal Context; Government Budget and Spending Priorities. | |
| 505 | 8 | |a Measures and Resources to Understand the Budget Process and Priority-SettingKey Questions and Resources to Understand the Budget Process and Priority-Setting; Note; Chapter 4 Assessing Options for Raising Revenue for the Health Sector; Key Questions; Assessing Alternative Sources of Revenue; Earmarked Taxes and Revenue; Innovative Revenue Sources; Key Questions and Resources to Assess Options for Sources of Government Revenue for Health; Chapter 5 Opportunities for Better Aligning Health Spending with Health System Objectives; Key Questions; Opportunities to Improve Pooling. | |
| 505 | 8 | |a Key Questions and Resources to Understand the Opportunities and Constraints to Improve PoolingOpportunities to Improve Purchasing; Key Questions and Resources to Understand the Opportunities and Constraints to Improve Purchasing; Chapter 6 Fiscal Sustainability of Current Health Spending Patterns and Potential Efficiency Gains; Key Questions; Expenditure Targets and Caps; Strategic Purchasing for Efficiency and Value for Money; Supply- and Demand-Side Controls; Key Questions and Resources to Understand the Fiscal Sustainability of Current Spending Patterns; Chapter 7 Conclusions; References. | |
| 505 | 8 | |a Boxes 2.1 Attempts to Cost the Essential Services Package in Peru; 3.1 Revenue Collection Policies and the Government Health Budget in Ghana; 3.2 Government Spending Out of Line with Macroeconomic and Fiscal Realities in Ghana; 3.3 Countercyclical Policies and Health Expenditure; 3.4 Increasing the Discretionary Share of the Government Budget in Kenya; 3.5 Opportunities to Increase the Priority for Health in the Government Budget in Indonesia; 3.6 Fiscal Decentralization and Priority for Health in the Budget in Brazil. | |
| 505 | 8 | |a 3.7 Fiscal Decentralization and Reprioritizing Health in the Government Budget in India and Vietnam4.1 Diversification of Revenue Sources for the Health Sector: France, Japan, and Ghana; 4.2 Unclear Combined Equity of the Revenue Sources for the National Health Insurance Scheme in Ghana; 4.3 New Source of Health Revenue Displaced the Government Budget in Kazakhstan; 5.1 Partial Fiscal Recentralization to Preserve Pooling of Health Funds in the Kyrgyz Republic; 5.2 Effective Cross-Subsidization with Multiple Insurance Programs in Japan and France. | |
| 590 | |a ProQuest Ebook Central |b Ebook Central Academic Complete | ||
| 650 | 0 | |a Medical economics. | |
| 650 | 0 | |a Medical policy. | |
| 650 | 2 | |a Healthcare Financing | |
| 650 | 2 | |a Health Policy | |
| 650 | 2 | |a Economics, Medical | |
| 650 | 6 | |a Économie de la santé. | |
| 650 | 6 | |a Politique sanitaire. | |
| 650 | 7 | |a BUSINESS & ECONOMICS |x Industries |x General. |2 bisacsh | |
| 650 | 7 | |a Medical economics |2 fast | |
| 650 | 7 | |a Medical policy |2 fast | |
| 758 | |i has work: |a Health financing policy (Text) |1 https://id.oclc.org/worldcat/entity/E39PCGfVhgMPHCD87Rt8YbHmr3 |4 https://id.oclc.org/worldcat/ontology/hasWork | ||
| 776 | 0 | 8 | |i Print version: |a Cashin, Cheryl. |t Health financing policy. |d Washington, D.C. : World Bank Group, [2016] |w (DLC) 2016304978 |
| 830 | 0 | |a World Bank studies. | |
| 856 | 4 | 0 | |u https://ebookcentral.uam.elogim.com/lib/uam-ebooks/detail.action?docID=4424636 |z Texto completo |
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