Towards Universal Health Care Coverage : Goal-oriented Framework for Policy Analysis

Universal coverage with the health care insurance function may be defined as physical and financial access to necessary health care of good quality for all persons in a society. It implies protection against the risk that if expensive (relative to an individual's or family's means) health care services are needed, services of adequate quality will be physically accessible, and the costs of these services will not prevent persons from using them or impoverish their families. Defined in this way, the extent of protection is an important determinant of performance vis-a-vis broad health and social welfare policy objectives, because it entails quality of care (a means for improving the health status of the population), equity in access to effective care (a means to reduce inequality in health status), and protection against the risk of impoverishment as a consequence of health care costs. This paper was motivated by the perception that, with respect to health care financing, there is frequently confusion between policy tools and policy objectives. The paper emphasizes the importance of distinguishing between the ends and means of health policy in general, and of health insurance in particular.

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Bibliographic Details
Main Author: Kutzin, Joseph
Format: Working Paper biblioteca
Language:English
en_US
Published: World Bank, Washington, DC 2000-07
Subjects:ADVERSE SELECTION, BENEFICIARIES, CAPITATION, COMPULSORY INSURANCE, CONCEPTUAL FRAMEWORK, CONSUMER SATISFACTION, COVERAGE, DOCTORS, ECONOMIC GROWTH, EMPLOYMENT, EQUITY IN ACCESS, EXPENDITURES, FAMILIES, FINANCIAL RESOURCES, FINANCIAL RISK, GOVERNMENT EXPENDITURES, HEALTH ADMINISTRATION, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE FINANCING, HEALTH CARE INSURANCE, HEALTH CARE PROVIDERS, HEALTH CARE PROVISION, HEALTH CARE REFORM, HEALTH CARE SERVICES, HEALTH CARE SYSTEMS, HEALTH EXPENDITURES, HEALTH FINANCING, HEALTH INSURANCE, HEALTH INSURERS, HEALTH MAINTENANCE ORGANIZATIONS, HEALTH POLICY, HEALTH SECTOR, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEMS, HUMAN DEVELOPMENT, INCOME, INPATIENT CARE, INSURANCE, INSURANCE COMPANIES, INSURANCE CONTRIBUTIONS, INSURANCE COVERAGE, INSURANCE FUNDS, INSURANCE MARKETS, INSURANCE SYSTEM, INSURANCE SYSTEMS, LOW INCOME, NUTRITION, OUTPATIENT CARE, PATIENTS, POLICY MAKERS, POLLUTION, POVERTY LINE, PREMIUMS, PRIVATE INSURANCE, PRIVATE INSURANCE COMPANIES, PRIVATE SECTOR, PUBLIC HEALTH, RATES, RESOURCE ALLOCATION, RISK PROFILES, SAVINGS, SOCIAL COSTS, SOCIAL INSURANCE, SOCIAL WELFARE, TAX RATES, UNDERWRITING HEALTH SYSTEMS DEVELOPMENT & REFORM, HEALTH CARE COVERAGE, ACCESS TO HEALTH CARE, HEALTH CARE FINANCE, HEALTH CARE POLICIES,
Online Access:http://documents.worldbank.org/curated/en/2000/07/3960510/towards-universal-health-care-coverage-goal-oriented-framework-policy-analysis
http://hdl.handle.net/10986/13772
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