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A Systematic Review of Equity in Healthcare Financing in Low- and Middle-Income Countries.

Identifieur interne : 000628 ( Main/Exploration ); précédent : 000627; suivant : 000629

A Systematic Review of Equity in Healthcare Financing in Low- and Middle-Income Countries.

Auteurs : Manizhe Rostampour [Iran] ; Shirin Nosratnejad [Iran]

Source :

Value in health regional issues [ 2212-1102 ] ; 2020.

RBID : pubmed:31786404

Descripteurs français

KwdFr :
- Couverture maladie universelle (économie), Coûts des soins de santé (normes), Coûts des soins de santé (tendances), Humains (MeSH), Pays en voie de développement (MeSH), Prestations des soins de santé (tendances), Prestations des soins de santé (économie), Revenu (MeSH), Équité en santé (normes), Équité en santé (tendances).
MESH :
- normes : Coûts des soins de santé, Équité en santé.
- tendances : Coûts des soins de santé, Prestations des soins de santé, Équité en santé.
- économie : Couverture maladie universelle, Prestations des soins de santé.
- Humains, Pays en voie de développement, Revenu.

English descriptors

KwdEn :
- Delivery of Health Care (economics), Delivery of Health Care (trends), Developing Countries (MeSH), Health Care Costs (standards), Health Care Costs (trends), Health Equity (standards), Health Equity (trends), Humans (MeSH), Income (MeSH), Universal Health Insurance (economics).
MESH :
- economics : Delivery of Health Care, Universal Health Insurance.
- standards : Health Care Costs, Health Equity.
- trends : Delivery of Health Care, Health Care Costs, Health Equity.
- Developing Countries, Humans, Income.

Abstract

OBJECTIVES

The present systematic review aimed to assess the healthcare financing system by studying the relevant indicators in low- and middle-income countries (LMICs). The focus of this research was on the entire healthcare system without considering any specific healthcare service or population group. This article explains the conditions of equity in people's payments for healthcare services in LMICs and focuses on the strengths and weaknesses of successful or failed healthcare systems.

METHODS

A systematic search was conducted in the existing database that included the data up to December 2016. The quantity of equity was estimated using relevant indicators and comparing the results with indicators' specific values. Narrative synthesis was then performed for the purpose of reporting the results.

RESULTS

A total of 17 articles from 14 regions, including Palestine, China, China (Heilongjiang), China (Gansu), Ghana, Hungary, Iran, Tunisia, Tanzania, Malaysia, Malawi, Zimbabwe, Uganda, and Chile met the inclusion criteria. The findings indicated that the insurance system (individual and social) is the most equitable method of financing, whereas direct payment is the most unfair method. Nevertheless, many countries still struggle with various payment methods, and people use direct payments.

CONCLUSIONS

Results revealed that several factors can affect a country's failure to establish equity in financing the health system. These factors include an increase in direct payments by people to reduce the government's share, failure to cover insurance for the entire population (and especially the poor), and problems in identifying people from low-income groups and setting rules for exempting them from taxes.

DOI: 10.1016/j.vhri.2019.10.001
PubMed: 31786404

Affiliations:

Iran

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Le document en format XML

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<term>Health Care Costs (trends)</term>
<term>Health Equity (standards)</term>
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<term>Coûts des soins de santé (tendances)</term>
<term>Humains (MeSH)</term>
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<term>Prestations des soins de santé (tendances)</term>
<term>Prestations des soins de santé (économie)</term>
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<term>Équité en santé (tendances)</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>The present systematic review aimed to assess the healthcare financing system by studying the relevant indicators in low- and middle-income countries (LMICs). The focus of this research was on the entire healthcare system without considering any specific healthcare service or population group. This article explains the conditions of equity in people's payments for healthcare services in LMICs and focuses on the strengths and weaknesses of successful or failed healthcare systems.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>A systematic search was conducted in the existing database that included the data up to December 2016. The quantity of equity was estimated using relevant indicators and comparing the results with indicators' specific values. Narrative synthesis was then performed for the purpose of reporting the results.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>A total of 17 articles from 14 regions, including Palestine, China, China (Heilongjiang), China (Gansu), Ghana, Hungary, Iran, Tunisia, Tanzania, Malaysia, Malawi, Zimbabwe, Uganda, and Chile met the inclusion criteria. The findings indicated that the insurance system (individual and social) is the most equitable method of financing, whereas direct payment is the most unfair method. Nevertheless, many countries still struggle with various payment methods, and people use direct payments.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Results revealed that several factors can affect a country's failure to establish equity in financing the health system. These factors include an increase in direct payments by people to reduce the government's share, failure to cover insurance for the entire population (and especially the poor), and problems in identifying people from low-income groups and setting rules for exempting them from taxes.</p>
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A Systematic Review of Equity in Healthcare Financing in Low- and Middle-Income Countries.

A Systematic Review of Equity in Healthcare Financing in Low- and Middle-Income Countries.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

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Pour générer des pages wiki