Equity in Health Financing: Review of Health Care financing in Four organizations for economic cooperation development (OECD) countries, Canada, The republic of Korea, Mexico and the United Kingdom

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dc.contributor.advisorMcIntyre, Dien_ZA
dc.contributor.authorKinyua, Caroline Gacherien_ZA
dc.date.accessioned2014-11-08T14:30:40Z
dc.date.available2014-11-08T14:30:40Z
dc.date.issued2010en_ZA
dc.descriptionIncludes bibliographical references.en_ZA
dc.description.abstractBackground: The World Health Assembly Resolution in 2005 urges Member States to introduce and/or strengthen universal coverage policy in order to offer financial risk protection (FRP) to households in order to avoid catastrophic health expenditures and impoverishment from seeking care. The other goal of universal coverage is to ensure equitable access to healthcare based on relative need, irrespective of ability to make health care payments, social status or geographical location. The two prepaid financing mechanisms that guarantee universal coverage are social health insurance and general tax revenue. Aim: To undertake a comparative analysis of selected OECD countries with universal coverage to derive lessons that could inform the development of universal coverage policy in low-to-middle income (LMICs) countries. Methods: Empirical evidence from the OECD was sourced through an extensive review of published literature from print and electronic sources. Selection sought to include a range of countries in different continents and health systems with a long history as universal systems. Most universal systems are in OECD countries. OECD countries were selected because of availability of quality and credible data. The data for the analysis is drawn from the OECD Health Data 2008 dataset. Kutzin's conceptual framework is the analytical tool for the critical analysis of evidence, including OECD data, to evaluate the functionality of each health system based on the concepts of equity, sustainability, efficiency and feasibility. Results: Findings from the analysis show that publicly funded (primarily tax-funded) systems have lower out-of-pocket expenditures and offer greater financial risk protection. Systems with a single risk pool and a single payer tend to be more administratively efficient than multiple pools and payers. Allocating health resources based on a needs-based allocation formula is more equitable than historical budgeting. Capitation provider payment promotes greater efficiency than fee-for-service. A purchaser-provider split can improve efficiency.en_ZA
dc.identifier.apacitationKinyua, C. G. (2010). <i>Equity in Health Financing: Review of Health Care financing in Four organizations for economic cooperation development (OECD) countries, Canada, The republic of Korea, Mexico and the United Kingdom</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit. Retrieved from http://hdl.handle.net/11427/9395en_ZA
dc.identifier.chicagocitationKinyua, Caroline Gacheri. <i>"Equity in Health Financing: Review of Health Care financing in Four organizations for economic cooperation development (OECD) countries, Canada, The republic of Korea, Mexico and the United Kingdom."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 2010. http://hdl.handle.net/11427/9395en_ZA
dc.identifier.citationKinyua, C. 2010. Equity in Health Financing: Review of Health Care financing in Four organizations for economic cooperation development (OECD) countries, Canada, The republic of Korea, Mexico and the United Kingdom. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Kinyua, Caroline Gacheri AB - Background: The World Health Assembly Resolution in 2005 urges Member States to introduce and/or strengthen universal coverage policy in order to offer financial risk protection (FRP) to households in order to avoid catastrophic health expenditures and impoverishment from seeking care. The other goal of universal coverage is to ensure equitable access to healthcare based on relative need, irrespective of ability to make health care payments, social status or geographical location. The two prepaid financing mechanisms that guarantee universal coverage are social health insurance and general tax revenue. Aim: To undertake a comparative analysis of selected OECD countries with universal coverage to derive lessons that could inform the development of universal coverage policy in low-to-middle income (LMICs) countries. Methods: Empirical evidence from the OECD was sourced through an extensive review of published literature from print and electronic sources. Selection sought to include a range of countries in different continents and health systems with a long history as universal systems. Most universal systems are in OECD countries. OECD countries were selected because of availability of quality and credible data. The data for the analysis is drawn from the OECD Health Data 2008 dataset. Kutzin's conceptual framework is the analytical tool for the critical analysis of evidence, including OECD data, to evaluate the functionality of each health system based on the concepts of equity, sustainability, efficiency and feasibility. Results: Findings from the analysis show that publicly funded (primarily tax-funded) systems have lower out-of-pocket expenditures and offer greater financial risk protection. Systems with a single risk pool and a single payer tend to be more administratively efficient than multiple pools and payers. Allocating health resources based on a needs-based allocation formula is more equitable than historical budgeting. Capitation provider payment promotes greater efficiency than fee-for-service. A purchaser-provider split can improve efficiency. DA - 2010 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2010 T1 - Equity in Health Financing: Review of Health Care financing in Four organizations for economic cooperation development (OECD) countries, Canada, The republic of Korea, Mexico and the United Kingdom TI - Equity in Health Financing: Review of Health Care financing in Four organizations for economic cooperation development (OECD) countries, Canada, The republic of Korea, Mexico and the United Kingdom UR - http://hdl.handle.net/11427/9395 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/9395
dc.identifier.vancouvercitationKinyua CG. Equity in Health Financing: Review of Health Care financing in Four organizations for economic cooperation development (OECD) countries, Canada, The republic of Korea, Mexico and the United Kingdom. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Health Economics Unit, 2010 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/9395en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentHealth Economics Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherHealth Economicsen_ZA
dc.titleEquity in Health Financing: Review of Health Care financing in Four organizations for economic cooperation development (OECD) countries, Canada, The republic of Korea, Mexico and the United Kingdomen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPHen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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