Is universal coverage a solution for disparities in health care?

Suraratdecha, Chutima; Saithanu, Somying; Tangcharoensathien, Viroj

doi:10.1016/j.healthpol.2004.11.019

Cited by 54 publications

(64 citation statements)

References 14 publications

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“…[8][9][10][11][12][13][14] Existe literatura que explora aspectos de las reformas de fondo en Taiwán; [15][16][17][18] 4,6,33 Es sorprendente que sólo unos cuantos estudios hayan podido cuantificar el efecto de las reformas sobre la utilización o los pagos de atención médica de las familias, controlando otros factores. 24,31,32,[34][35][36] Casi ninguno había podido examinar de manera sistemática los efectos en la cobertura, o en la cobertura efectiva de intervenciones importantes, la capacidad de respuesta a la atención, o los resultados sobre la salud de la población. 34 Muy a menudo el efecto general de una reforma del sistema de salud queda sin documentar, lo que limita las oportunidades para aprender qué funciona y qué no funciona, y cuáles son los factores que influyen en el éxito.…”

Section: Antecedentesunclassified

Assessing the effect of the 2001-06 Mexican health reform: an interim report card

et al. 2007

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Since 2001, Mexico has been designing, legislating, and implementing a major health-system reform. A key component was the creation of Seguro Popular, which is intended to expand insurance coverage over seven years to uninsured people, nearly half the total population at the start of 2001. The reform included five actions: legislation of entitlement per family affiliated which, with full implementation, will increase public spending on health by 0.8-1.0% of gross domestic product; creation of explicit benefits packages; allocation of monies to decentralised state ministries of health in proportion to number of families affiliated; division of federal resources flowing to states into separate funds for personal and non-personal health services; and creation of a fund to protect families against catastrophic health expenditures. Using the WHO health-systems framework, a wide range of datasets to assess the effect of this reform on different dimensions of the health system was used. Key findings include: affiliation is preferentially reaching the poor and the marginalised communities; federal non-social security expenditure in real per-head terms increased by 38% from 2000 to 2005; equity of public-health expenditure across states improved; Seguro Popular affiliates used more inpatient and outpatient services than uninsured people; effec- ResumenA partir de 2001 se inicia en México un proceso de diseño, legislación e implementación de la Reforma Mexicana de Salud. Un componente clave de ésta fue la creación del Seguro Popular, que pretende extender la cobertura de aseguramiento médico por siete años a la población que no cuenta con seguridad social, la cual constituía en ese momento casi la mitad de la población total. La reforma incluyó cinco acciones: modificar la ley para garantizar el derecho a la protección a la salud para las familias afiliadas, lo cual al ser implantado completamente incrementará el gasto público en salud entre 0.8 y 1.0% del PIB; la creación de un paquete de servicios de salud explícito; la asignación de recursos a secretarías estatales de salud descentralizadas, proporcional al número de familias incorporadas; la división de los recursos federales destinados a los estados en fondos independientes para servicios de salud personales y no personales; así como la creación de un fondo para garantizar recursos cuando se presentan eventos catastróficos en salud. Mediante el uso del marco conceptual de los sistemas de salud de la OMS, se han examinado diversos conjuntos de datos para evaluar el impacto de esta reforma en distintas dimensiones del sistema de salud. Entre los principales hallazgos clave se encuentran que: la afiliación alcanza de manera preferente a Traducción publicada con permiso. La versión original en inglés se encuentra en : Lancet 2006;368:1920-1935 (1) Iniciativa Harvard para la Salud Global,

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Section: Antecedentesunclassified

Assessing the effect of the 2001-06 Mexican health reform: an interim report card

et al. 2007

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“…Under this program, a patient generally paid 30 baht per visit to a participating health care service unit regardless of the actual total cost of the treatment. 1 In this paper, we evaluate the impact of the UC scheme on health care service utilization. Our hypothesis is as follows: provided that the supply of health care services is inelastic in the short run, any change in health care services is driven by the demand side.…”

Section: Introductionmentioning

confidence: 99%

Impact of Universal Health Care Coverage on patient demand for health care services in Thailand

Panpiemras¹,

Puttitanun

Samphantharak

et al. 2011

Health Policy

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“…Some costly procedures are not covered-for example, cosmetic care, obstetric delivery beyond two pregnancies, organ transplant, chemotherapy, and renal dialysis. 4 Each person must register with a public health unit (that is, a health center or community [public] hospital) in his or her residential area and use it as a primary point of contact before getting a referral for secondary care (that is, at a provincial hospital). This primary care unit functions as a gatekeeper and helps control the cost of medical care.…”

Section: Evolution Of Thailand's Universal Coverage Programmentioning

confidence: 99%

Early Results From Thailand's 30 Baht Health Reform: Something To Smile About

Damrongplasit

Melnick

2009

Health Affairs

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Efforts by countries to attain universal coverage are often hampered by supply constraints that can reduce access to care for those already in the system and, in many Asian and developing countries, by the emergence of informal payment systems that extract under-the-table payments from patients. In 2001, Thailand extended governmentfinanced coverage to all uninsured people with little or no cost sharing. We found that Thailand has added nearly fourteen million people to the system and achieved near-universal coverage without compromising access for those with prior coverage; we also found that, to date, no informal payment system has emerged. [Health Affairs 28, no. 3 (2009): w457-w466

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Is universal coverage a solution for disparities in health care?

Cited by 54 publications

References 14 publications

Assessing the effect of the 2001-06 Mexican health reform: an interim report card

Assessing the effect of the 2001-06 Mexican health reform: an interim report card

Impact of Universal Health Care Coverage on patient demand for health care services in Thailand

Early Results From Thailand's 30 Baht Health Reform: Something To Smile About

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