Weak Links in the Chain II : A Prescription for Health Policy in Poor Countries

This article presents an approach to public policy in health that comes directly from the literature on public economics. It identifies two characteristic market failures in health. The first is the existence of large externalities in the control of many infectious diseases that are mostly addressed by standard public health interventions. The second is the widespread breakdown of insurance markets that leave people exposed to catastrophic financial losses. Other essential considerations in setting priorities in health are the degree to which policies address poverty and inequality and the practicality of implementing policies given limited administrative capacities. Priorities based on these criteria tend to differ substantially from those commonly prescribed by the international community.

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Bibliographic Details
Main Authors: Hammer, Jeffrey S., Filmer, Deon, Pritchett, Lant H.
Format: Journal Article biblioteca
Language:English
en_US
Published: World Bank, Washington, DC 2002-01
Subjects:ACCESS TO LIFE-SAVING CARE, ADMINISTRATIVE COSTS, ADVERSE SELECTION, AGGREGATE HEALTH EXPENDITURES, ARTICLE, ASYMMETRIC INFORMATION, BASIC SANITATION, BENEFICIARIES, BENEFITS OF PUBLIC SPENDING, BLINDNESS, CENTRAL GOVERNMENT, CHILD HEALTH, CHILD HEALTH CARE, CLINICAL SERVICES, CLINICS, COMMUNICABLE DISEASE CONTROL, COMMUNICABLE DISEASES, COMMUNITY HEALTH, COST CONTROL, COST RECOVERY, CROWDING, DEBT, DELIVERY OF SERVICES, DEMAND FOR HEALTH, DEMAND FOR SERVICES, DEMAND FOR TREATMENT, DEVELOPING COUNTRIES, DIET, DISEASE CONTROL, DISTRIBUTION OF INCOME, DISTRIBUTIONAL IMPACT, DOCTORS, ECONOMIC EFFICIENCY, ECONOMIC PERSPECTIVES, ECONOMIC REVIEW, ELASTICITIES, EMERGENCY CARE, EPIDEMIOLOGICAL TRANSITION, EQUILIBRIUM, EQUITY CONSIDERATIONS, ESSENTIAL DRUGS, ESSENTIAL HEALTH CARE, EXPENDITURES, EXTERNALITIES, FAMILIES, FAMILY PLANNING, FINANCIAL BURDEN, FINANCIAL LOSS, FINANCIAL PROTECTION, GOVERNMENT EXPENDITURES, GOVERNMENT POLICY, HEALTH CARE FINANCING, HEALTH CARE MARKETS, HEALTH CARE PROGRAMS, HEALTH CARE PROVIDERS, HEALTH CARE SERVICES, HEALTH CARE WORKERS, HEALTH CENTERS, HEALTH EDUCATION, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH INSURANCE, HEALTH INSURANCE MARKETS, HEALTH INTERVENTIONS, HEALTH ORGANIZATION, HEALTH OUTCOMES, HEALTH PLAN, HEALTH PLANS, HEALTH POLICIES, HEALTH POLICY, HEALTH PROBLEMS, HEALTH PROFESSIONALS, HEALTH RESOURCES, HEALTH SECTOR, HEALTH SERVICES, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEMS, HOSPITAL CARE, HOSPITAL SERVICES, HOSPITAL SPENDING, HOSPITAL TREATMENT, HOSPITALS, HOUSEHOLD EXPENDITURE, HOUSEHOLD INCOME, HYGIENE, ILLITERATE POPULATION, ILLNESS, ILLNESSES, IMMUNIZATION, IMMUNIZATIONS, IMPACT ON HEALTH, IMPERFECT INFORMATION, INCENTIVES FOR DOCTORS, INCIDENCE ANALYSIS, INCIDENCE OF PUBLIC SPENDING, INCOME, INCOME ELASTICITY, INCOME ELASTICITY OF DEMAND, INCOME GROUPS, INDUCED DEMAND, INFECTIOUS DISEASES, INFORMATION PROBLEMS, INJURIES, INSURANCE, INSURANCE COVERAGE, INSURANCE MARKET, INSURANCE MARKETS, INTERNATIONAL COMMUNITY, INTERVENTION, LACK OF INFORMATION, LIVING CONDITIONS, LOW-INCOME COUNTRIES, MALARIA, MARGINAL COST, MARKET FAILURE, MARKET FAILURES, MEDICAL CARE, MEDICAL EXPENSES, MEDICAL PERSONNEL, MEDICAL TREATMENT, MEDICARE, MINISTRIES OF HEALTH, MINISTRY OF HEALTH, MONETARY TERMS, MORAL HAZARD, NATIONAL HEALTH, NATIONAL HEALTH SYSTEM, NONGOVERNMENTAL ORGANIZATIONS, NURSES, NUTRITION, OLD AGE, OUTPATIENT SERVICES, PATIENTS, PEACE, POLICY DECISIONS, POLICY RESEARCH, POLICY RESPONSE, POLIO, POVERTY ASSESSMENT, POVERTY IMPACT, POVERTY REDUCTION, PRACTITIONERS, PRIMARY CARE, PRIMARY EDUCATION, PRIMARY HEALTH CARE, PRIVATE GOODS, PRIVATE HEALTH INSURANCE, PRIVATE INSURANCE, PRIVATE MARKET, PRIVATE MARKETS, PRIVATE PROVIDERS, PRIVATE SECTOR, PRIVATE SECTORS, PROGRAM OBJECTIVES, PUBLIC ACTION, PUBLIC AUTHORITY, PUBLIC ECONOMICS, PUBLIC EMPLOYEES, PUBLIC EXPENDITURE, PUBLIC EXPENDITURE ON HEALTH, PUBLIC EXPENDITURES, PUBLIC FINANCE, PUBLIC GOODS, PUBLIC HEALTH, PUBLIC HEALTH ACTIVITIES, PUBLIC HEALTH CARE, PUBLIC HEALTH INSURANCE, PUBLIC HEALTH INTERVENTIONS, PUBLIC HEALTH PROGRAMS, PUBLIC HEALTH SERVICES, PUBLIC HEALTH SPENDING, PUBLIC HOSPITAL, PUBLIC HOSPITAL SERVICES, PUBLIC HOSPITALS, PUBLIC INTERVENTION, PUBLIC INTERVENTIONS, PUBLIC INVOLVEMENT, PUBLIC MONEY, PUBLIC OFFICIALS, PUBLIC POLICY, PUBLIC PROVIDERS, PUBLIC PROVISION, PUBLIC RESOURCES, PUBLIC SECTOR, PUBLIC SECTOR INVOLVEMENT, PUBLIC SERVICES, PUBLIC SPENDING, PUBLIC SUBSIDIES, QUALITY SERVICES, RADIO, SAFE WATER, SANITATION, SECTOR POLICIES, SOCIAL BENEFIT, SOCIAL HEALTH INSURANCE, SOCIAL INDICATORS, SOCIAL PROGRAMS, TAX INCIDENCE, TAX REFORM, TAXPAYERS, TELEVISION, TRADITIONAL HEALERS, TUBERCULOSIS, UNCERTAINTY, UNINTENDED CONSEQUENCES, VACCINATION, VACCINATIONS, WELFARE LOSS, WORKERS, WORLD HEALTH ORGANIZATION,
Online Access:http://documents.worldbank.org/curated/en/2002/01/17592060/weak-links-second-chain-prescription-health-policy-poor-countries
https://hdl.handle.net/10986/16447
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Summary:This article presents an approach to public policy in health that comes directly from the literature on public economics. It identifies two characteristic market failures in health. The first is the existence of large externalities in the control of many infectious diseases that are mostly addressed by standard public health interventions. The second is the widespread breakdown of insurance markets that leave people exposed to catastrophic financial losses. Other essential considerations in setting priorities in health are the degree to which policies address poverty and inequality and the practicality of implementing policies given limited administrative capacities. Priorities based on these criteria tend to differ substantially from those commonly prescribed by the international community.