Financing Health Care in East Asia and the Pacific : Best Practices and Remaining Challenges

This is an exciting time in East Asia and the Pacific region. No region will appear to be moving so rapidly. In this dynamic environment, many countries in the region have been approaching the World Bank requesting technical assistance and knowledge about health financing best practices and options. There is great interest in expanding knowledge sharing and learning from other East Asian and Pacific countries about their experiences in health financing. Moreover, some common issues appear to be emerging: universal insurance, options for financing health insurance, institutional setups of health financing options, provider payment mechanisms, equity considerations, ways to reach the poor and impoverished, and ways to meet the challenges of a changing demographics and epidemiologic profile. Under a generous grant from the Health, Nutrition, and population hub in the World Bank in fiscal year 2008, the region was requested to provide an overview of health financing systems in the region. This overview examined the different health financing mechanisms in terms of performance on dimensions of efficiency and equity and in terms of relative roles of government. In addition, the analysis was to identify, gaps in knowledge needing to be addressed strengthen and reform existing health financing mechanisms and thereby expand health coverage and benefits.

Bibliographic Details

Main Authors:	Langenbrunner, John C., Somanathan, Aparnaa
Language:	English
Published:	World Bank 2011-06-16
Subjects:	ACCESS TO SERVICES, ADMINISTRATIVE COSTS, ADULT LITERACY, AGING, ALLOCATIVE EFFICIENCY, BURDEN OF DISEASE, CAPITA HEALTH SPENDING, CATASTROPHIC EXPENDITURES, CHILD MORTALITY, CLEAN WATER, CLINICS, COMMUNICABLE DISEASES, COMMUNITY PARTICIPATION, COST STRUCTURE, COST-EFFECTIVENESS, COSTS OF HEALTH CARE, DEBT, DELIVERY OF HEALTH CARE, DELIVERY SYSTEM, DELIVERY SYSTEMS, DEMAND FOR HEALTH, DEMAND FOR HEALTH CARE, DEPENDENCY RATIOS, DETERMINANTS OF HEALTH, DISABILITY, DISASTERS, DISSEMINATION, DOCTORS, EARLY CHILD CARE, ECONOMIC GROWTH, EMPLOYMENT, EQUITY IN ACCESS, EXTERNALITIES, FAMILIES, FEE-FOR-SERVICE, FERTILITY, FERTILITY RATES, FINANCIAL BARRIERS, FINANCIAL PROTECTION, FINANCIAL RESOURCES, FINANCIAL RISK, FINANCIAL SECTOR, FINANCING HEALTH CARE, FINANCING OF HEALTH CARE, FINANCING POLICIES, FORMAL LABOR MARKET, GENERAL PRACTICE, GLOBAL BUDGETS, GROSS DOMESTIC PRODUCT, HEALTH CARE, HEALTH CARE ALLOCATION, HEALTH CARE COSTS, HEALTH CARE DELIVERY, HEALTH CARE FINANCING, HEALTH CARE PROVIDERS, HEALTH CARE PROVISION, HEALTH CARE REFORM, HEALTH CARE SYSTEM, HEALTH CARE USE, HEALTH COVERAGE, HEALTH ECONOMISTS, HEALTH EXPENDITURE, HEALTH EXPENDITURE PER CAPITA, HEALTH EXPENDITURES, HEALTH FACILITIES, HEALTH FINANCING, HEALTH FINANCING REFORM, HEALTH FINANCING SYSTEM, HEALTH FOR ALL, HEALTH INSURANCE, HEALTH INSURANCE FUND, HEALTH INSURANCE FUNDS, HEALTH INSURANCE PROGRAM, HEALTH INSURANCE SYSTEM, HEALTH MAINTENANCE, HEALTH MAINTENANCE ORGANIZATION, HEALTH NEEDS, HEALTH ORGANIZATION, HEALTH OUTCOMES, HEALTH POLICY, HEALTH PROVIDERS, HEALTH RESOURCES, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICES, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEMS, HEALTH WORKERS, HEALTH WORKFORCE, HIV, HMO, HOSPITAL, HOSPITAL ADMISSIONS, HOSPITAL BEDS, HOSPITALS, HUMAN DEVELOPMENT, HUMAN DEVELOPMENT INDEXES, HUMAN IMMUNODEFICIENCY VIRUS, HUMAN RESOURCES, IMMUNODEFICIENCY, IMPACT EVALUATIONS, INCENTIVE STRUCTURES, INCOME, INCOME COUNTRIES, INCOME GROUPS, INCOME HOUSEHOLDS, INDEXES, INEQUITIES, INFANT, INFANT MORTALITY, INFANT MORTALITY RATE, INFORMAL PAYMENTS, INFORMAL SECTOR, INFORMAL SECTOR WORKERS, INPATIENT CARE, INSTITUTIONALIZATION, INSURANCE FUNDS, INSURANCE SYSTEMS, INSURERS, INTEGRATION, INTERNATIONAL COMPARISONS, LABOR MARKETS, LEGAL STATUS, LEVEL OF HEALTH SPENDING, LIFE EXPECTANCY, LOW INCOME, LOW-INCOME COUNTRIES, LOW-INCOME COUNTRY, MATERNAL MORTALITY, MEDICAL BENEFIT, MEDICAL CARE, MEDICAL ECONOMICS, MEDICAL INSURANCE, MEDICAL PERSONNEL, MEDICAL PROCEDURES, MEDICAL TREATMENT, MILLENNIUM DEVELOPMENT GOALS, MINISTRY OF HEALTH, MORTALITY, MULTIPLE INSURERS, MULTIPLE PURCHASERS, NATIONAL HEALTH, NATIONAL HEALTH INSURANCE, NONGOVERNMENTAL ORGANIZATIONS, NURSES, NUTRITION, OUTPATIENT CARE, OUTPATIENT SERVICES, PATIENT, PATIENT SATISFACTION, PATIENTS, PHO, PHYSICIAN, PHYSICIANS, POCKET PAYMENTS, POPULATION DYNAMICS, POPULATION TREND, POPULATION TRENDS, PRENATAL CARE, PRIMARY CARE, PRIVATE CARE, PRIVATE CLINICS, PRIVATE HEALTH INSURANCE, PRIVATE HOSPITALS, PRIVATE SECTOR, PRIVATE SECTORS, PRIVATE SERVICES, PROBABILITY, PROVIDER PAYMENT, PROVISION OF CARE, PUBLIC ADMINISTRATION, PUBLIC HEALTH, PUBLIC HEALTH CARE, PUBLIC HEALTH EXPENDITURES, PUBLIC HEALTH PROGRAMS, PUBLIC HEALTH SERVICES, PUBLIC HEALTH SPENDING, PUBLIC PROVIDERS, PUBLIC PROVISION, PUBLIC SECTOR, PUBLIC SPENDING, QUALITY OF HEALTH, QUALITY OF HEALTH CARE, RESOURCE ALLOCATION, RISK ADJUSTERS, RISK ADJUSTMENT, RURAL POPULATION, SAFETY NETS, SCREENING, SERVICE DELIVERY, SHARE OF HEALTH SPENDING, SMOKERS, SOCIAL HEALTH INSURANCE, SOCIAL INSURANCE, SOCIAL INSURANCE CONTRIBUTIONS, SOCIAL INSURANCE SYSTEMS, SOCIAL SECURITY, SOCIOECONOMIC INEQUALITIES, TECHNICAL ASSISTANCE, TUBERCULOSIS, UNDER-FIVE MORTALITY, URBANIZATION, USER FEES, WORKERS, WORLD HEALTH ORGANIZATION,
Online Access:	http://www-wds.worldbank.org/external/default/main?menuPK=64187510&pagePK=64193027&piPK=64187937&theSitePK=523679&menuPK=64187510&searchMenuPK=64187283&siteName=WDS&entityID=000333037_20110714000747 https://hdl.handle.net/10986/2321
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