Health insurance and access to health care services in developing countries

Domapielle, Maximillian Kolbe

doi:10.18196/jgp.2014.0007

Cited by 10 publications

(14 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While a diverse range of actors is coming together in support of UHC, experts are concerned that the concept might be reduced to a "catchy sound bite". Already, different health financing models are being adopted by governments of developing countries in pursuit of UHC (Averill and Marriott, 2013;Domapielle, 2014). However, some do not live up to the founding principles and objectives established in the WHO 2010 landmark report on health financing.…”

Section: Financing Uhc: a Summary Of Traditional Modelsmentioning

confidence: 99%

“…PHI also reduces the degree of equity in the health system as a whole by removing well-off groups from pooling arrangements and by widening the disparities in the amount and quality of care available to different population groups (Mcguire et al, 2021;Wasem et al, 2018;Averill and Marriott, 2013). Community-based health insurance schemes (CHIS) in their fragmented state are only able to cover a very small proportion of the population (Domapielle, 2014;Umeh and Feeley, 2017;Asante et al, 2016). CHIS have other weaknesses including limited enrollments with small risk pools and limited cross-subsidisation (Borghi, 2011;Umeh and Feeley, 2017;Asante et al, 2016).…”

Section: Financing Uhc: a Summary Of Traditional Modelsmentioning

confidence: 99%

“…Notwithstanding these benefits, LMICs have failed to achieve UHC through the implementation of traditional health financing models (Domapielle, 2014;Myint et al, 2019, Mcintyre et al, 2016, and there is inadequate evidence of an appropriate localised health financing model for pursuing the objectives of UHC in these settings. Through a review of theoretical and empirical literature this study explores LMIC's implementation of context-specific health financing mechanisms aimed at achieving UHC.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Adopting localised health financing models for universal health coverage in Low and middle-income countries: lessons from the National Health lnsurance Scheme in Ghana

Domapielle

2021

Heliyon

View full text Add to dashboard Cite

The health-related Sustainable Development Goals (SDGs) and the Coronavirus Pandemic (COVID-19) have recently increased awareness of the need for countries to increase fiscal space for health. Prior to these, many Low and Middle-Income Countries (LMICs) had embraced the concept of Universal Health Coverage (UHC) and have either commenced or are in the process of implementing various models of health insurance in order to provide financial access to health care to their populations. While evidence of a relationship between experimentation with UHC and increased access to and utilisation of health care in LMICs is common, there is inadequate research evidence on the specific health financing model that is most appropriate for pursuing the objectives of UHC in these settings. Drawing on a synthesis of empirical and theoretical discourses on the feasibility of UHC in LMICs, this paper argues that the journey towards UHC is not a 'one size fits all' process, but a long-term policy engagement that requires adaptation to the specific socio-cultural and political economy contexts of implementing countries. The study draws on the WHO's framework for tracking progress towards UHC using the implementation of a mildly progressive pluralistic health financing model in Ghana and advocates a comprehensive discourse on the potential for LMICs to build resilient and responsive health systems to facilitate a gradual transition towards UHC.

show abstract

Section: Financing Uhc: a Summary Of Traditional Modelsmentioning

confidence: 99%

Section: Financing Uhc: a Summary Of Traditional Modelsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adopting localised health financing models for universal health coverage in Low and middle-income countries: lessons from the National Health lnsurance Scheme in Ghana

Domapielle

2021

Heliyon

View full text Add to dashboard Cite

show abstract

“…The other group of specialists interpret health insurance as a type of personal insurance contract [5]. Some researchers conclude that medical insurance directly refers to the obligations of a medical institution and that the object of the bond is the property interests of the insurer, that is, the costs associated with its compensation in case of damage to health [6]. At the same time, in some developing countries, health insurance is also seen as a method of financial support of the population, and in conditions where the prices of medical services are high, this method is assessed as a measure of support for the lowincome stratum of the population [7].…”

Section: Legal Literature Does Not Have a Unanimous View And Understamentioning

confidence: 99%

Legal Issues Of Improving Health Insurance In The Republic Of Uzbekistan

Sotivoldievich¹

2021

tajpslc

View full text Add to dashboard Cite

In the field of human health, it is important to make medical services affordable in all respects, high quality and financially affordable for the population. In the provision of medical services, the organization of the relationship between the medical institution, the doctor and the patient, the creation of the necessary conditions for the treatment of patients in the medical institution is organized in different ways. One of the most effective of these methods in modern medicine today is health insurance. Through health insurance, the insurance company takes all organizational (financially hospitalized, highly qualified doctors) financial measures related to the treatment of the insured person (patient) in the event of an insured event, and as a result the insured person has access to qualified and quality medical care. Today, there are no clear approaches to the role of health insurance in legal regulation and jurisprudence, which area of insurance it is: life insurance and general insurance. This at the same time creates a number of problems and gaps in the legal regulation of the interpretation of the essence of the health insurance contract and its application. Therefore, it is important to determine the essence of health insurance, its content and specifics as a legal relationship, and thus create a legal basis for health insurance.

show abstract

“…Wagner (2016) studied the cost and services of Medicaid and the lower insurance cost compared to other insurers. Domapielle (2014) explored four dimensions of health care accessibility including geographic accessibility, availability, affordability and acceptability of services. The study also suggested that the policy makers have to pay attention to these prominent dimensions.…”

Section: Literature Reviewmentioning

confidence: 99%

A Research on Health Care Sector with Special Reference to Health Insurance in India

Mohanasundaram*,

Karthikeyan,

Deepika

2019

IJRTE

View full text Add to dashboard Cite

Health care industry is one of the prominent one across the world irrespective of economic, social and cultural background. India, too have bigger and vibrant market for the health care services. Given the challenges, the sector is seeing an enormous growth not just because of health problems but mainly due to growing health awareness and preventive measures taken by the people. For any country, health of its people is an important aspect and for providing healthy life-style, government undertakes many programmes and offers social welfare measures. Health index of a country becomes vital indicator in measuring the nation’s overall development. In this study, we attempt to explore the progress and issues pertain to health care sector with special attention for health insurance policies and the governments’ role in that. The paper covers wide-range of health aspects with regards to measuring the prevailing scenario in health care sector and health insurance in particular.

show abstract

Health insurance and access to health care services in developing countries

Cited by 10 publications

References 35 publications

Adopting localised health financing models for universal health coverage in Low and middle-income countries: lessons from the National Health lnsurance Scheme in Ghana

Adopting localised health financing models for universal health coverage in Low and middle-income countries: lessons from the National Health lnsurance Scheme in Ghana

Legal Issues Of Improving Health Insurance In The Republic Of Uzbekistan

A Research on Health Care Sector with Special Reference to Health Insurance in India

Contact Info

Product

Resources

About