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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
Includes bibliographical references.
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| Main Author: | |
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Health Economics Unit
2014
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| _version_ | 1867613733692375040 |
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| access_status_str | Open Access |
| author | Kinyua, Caroline Gacheri |
| author2 | McIntyre, Di |
| author_browse | Kinyua, Caroline Gacheri McIntyre, Di |
| author_facet | McIntyre, Di Kinyua, Caroline Gacheri |
| author_sort | Kinyua, Caroline Gacheri |
| collection | Thesis |
| description | Includes bibliographical references. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/9395 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:40:50.790Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | Health Economics Unit |
| publisherStr | Health Economics Unit |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/9395 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 Kinyua, Caroline Gacheri McIntyre, Di Health Economics Includes bibliographical references. 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. 2014-11-08T14:30:40Z 2014-11-08T14:30:40Z 2010 Master Thesis Masters MPH http://hdl.handle.net/11427/9395 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town |
| spellingShingle | Health Economics Kinyua, Caroline Gacheri 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_degree_str | Master's |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | Health Economics |
| url | http://hdl.handle.net/11427/9395 |
| work_keys_str_mv | AT kinyuacarolinegacheri equityinhealthfinancingreviewofhealthcarefinancinginfourorganizationsforeconomiccooperationdevelopmentoecdcountriescanadatherepublicofkoreamexicoandtheunitedkingdom |