Strategies for Pricing Publicly Provided Health Services

Gertler, Paul

doi:10.1596/1813-9450-1762

Cited by 5 publications

References 32 publications

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Illness reporting and demand for medical care in rural Burkina Faso

Pokhrel

Allegri

Gbangou

et al. 2010

Social Science & Medicine

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The issue of illness reporting in modelling demand for health care in low- and middle-income countries can be handled according to either of two conceptually-different constructs: (a) considering illness reporting behaviour as endogenous to demand; or (b) considering demand itself as the outcome of a sample selection phenomenon. In this paper, we take the second viewpoint and estimate the demand for medical care with an estimator that uses Heckman-type. Empirical estimates based on household survey data from rural Burkina Faso suggest that there are some implications of illness reporting behaviour for modelling the demand for medical care.

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Illness reporting and demand for medical care in rural Burkina Faso

Pokhrel

Allegri

Gbangou

et al. 2010

Social Science & Medicine

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Cost recovery in Mauritania: initial lessons

Audibert

2000

Health Policy and Planning

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Cost recovery was introduced in Mauritania in 1993. Analysis of the Mauritanian experience provides a number of key points to the discussion surrounding the contribution of user fees to health care systems. Initial results appear to be largely positive regarding the improvement of the quality of health care and the overall level of utilization of basic health establishments. They suggest that users are globally willing to pay when the quality of health care improves, and that, contrary to a frequently voiced concern, EPI activities have increased. Several elements tend to show that cost recovery accompanied by a fair supply of essential drugs and by a better motivated staff has contributed to improve the efficiency of the health system. But a coherent price structure is needed to guide patients more efficiently to the different levels of the health pyramid. It is therefore vital that user fees are extended, as the government intends, to the second and third levels of the health system. The analysis conducted here also suggests that cost recovery has probably had no major negative effects as far as equity is concerned, although further investigation is necessary before a more precise judgement can be made.

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Formalizing under-the-table payments to control out-of-pocket hospital expenditures in Cambodia

Barber

Bonnet²,

Bekedam³

2004

Health Policy and Planning

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Growing evidence has demonstrated that informal fees for health services comprise a large proportion of total health spending in some countries. In 1999, individual out-of-pocket payments for health in Cambodia were estimated at 27 US dollars per person, with a proportion paid as under-the-table fees at public facilities. By formalizing such payments and implementing resource management systems within a comprehensive health financing scheme, Takeo Referral Hospital controlled out-of-pocket patient expenditures, ensured patients of fixed prices, protected patients from the unpredictability of hospital fees and promoted financial sustainability. Utilization levels increased by more than 50% for inpatient and surgical services, and cost recovery from user fees averaged 33%. Furthermore, the hospital phased out external donor support gradually over 4 years and achieved financial sustainability.

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Strategies for Pricing Publicly Provided Health Services

Cited by 5 publications

References 32 publications

Illness reporting and demand for medical care in rural Burkina Faso

Illness reporting and demand for medical care in rural Burkina Faso

Cost recovery in Mauritania: initial lessons

Formalizing under-the-table payments to control out-of-pocket hospital expenditures in Cambodia

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