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Ghana National Health Insurance Scheme : improving financial sustainability based on expenditure review /
Ghana National Health Insurance Scheme (NHIS) was established in 2003 as a major vehicle to achieve the country's commitment of Universal Health Coverage. The government has earmarked value-added tax to finance NHIS in addition to deduction from Social Security Trust (SSNIT) and premium payment...
| Clasificación: | Libro Electrónico |
|---|---|
| Autores principales: | , , |
| Formato: | Electrónico eBook |
| Idioma: | Inglés |
| Publicado: |
Washington, DC :
World Bank Group,
[2017]
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| Temas: | |
| Acceso en línea: | Texto completo |
Tabla de Contenidos:
- Front Cover; Contents; Acknowledgments; About the Authors; Abbreviations; Chapter 1 Introduction; Background; Objective; Methodology and Data; Organization of the Book; Notes; Chapter 2 The Country Context and Key Features of the Ghanaian Health Sector; Country Context; Health Outcomes; Health Services; Health Service Delivery System; Health Financing System; Notes; Chapter 3 NHIS Overview; Basic Features; NHIS's Role in Health Care Financing; Notes; Chapter 4 NHIS Claims-Expenditure Review; Trends in NHIS Claims Expenditures over Time; Overview of Claims Expenditures in the Volta Region.
- Claims Expenditure Distribution and Variation, by ProviderClaims Expenditure Distribution and Variation, by Member Characteristics; Examples of Potential Cost Saving Areas; Summary; Note; Chapter 5 Factors Affecting Level and Efficiency of Claims Expenditures; Behaviors of Service Providers and NHIS Members; NHIA Internal Management; Chapter 6 Designing Policies for Efficient Spending; Recommendations; Areas for Further Analytical Work; Boxes; Box 3.1 NHIS Exclusions; Box 3.2 NHIA Accreditation Criteria; Box 5.1 Key Formatting Issues for NHIS Claims Data; Figures.
- Figure 1.1 Development Indicators and Health Statistics in the Volta RegionFigure 2.1 Equity in Health Outcomes, 2003-14; Figure 2.2 Ghana's Global Rank on Key Economic and Health Indicators, 1990-2013; Figure 2.3 Coverage of Essential Services, by Wealth Quintiles, 2003-14; Figure 2.4 Health Care Facilities, by Ownership; Figure 2.5 Number of Health Workers per 1,000 People, by Region, 2016; Figure 2.6 The Flow of Funds in the Ghanaian Health Sector; Figure 2.7 Per Capita Total Health Spending, 2005-12; Figure 2.8 Financing Sources of Total Health Expenditure, 2005-12.
- Figure 3.1 NHIS Revenue Composition, 2005-14Figure 3.2 NHIS Expenditure Composition, 2014; Figure 3.3 NHIS Membership Composition, 2014; Figure 3.4 NHIS Coverage, by Wealth Quintiles, 2008-14; Figure 3.5 NHIA Claims-Processing Flowchart; Figure 3.6 Knowledge of NHIS Enrollment Features among NHIS Members; Figure 3.7 Knowledge of NHIS Benefits among NHIS Members; Figure 3.8 Public Health Financing, by Mechanism, 2014; Figure 3.9 Spending on MoH and NHIS as a Share of Total Public Spending, 2010-14; Figure 3.10 Public Spending on Goods and Services, by Recipient, 2012-15.
- Figure 4.1 NHIS Revenues and Expenditures, 2005-14Figure 4.2 NHIS Balance and Changes in Investment Fund Assets ; Figure 4.3 NHIS Loan Balance and Interest Payments; Figure 4.4 Claims Expenditures, by Service Type, Volta, 2014; Figure 4.5 Claims Expenditures, by GDRG, Volta, 2014; Figure 4.6 Distribution of Claims Expenditures, by Facility Type, Volta, 2014; Figure 4.7 Distribution of Claims Expenditures, by Facility Ownership, Volta, 2014; Figure 4.8 Per-Claim Expenditures, by Facility Type and Ownership, Outpatient Services.