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Public Financial Management as an Enabler for Health Financing Reform: Evidence from Free Health Care Policies implemented in Burkina Faso, Burundi, and Niger Instituut voor Tropische Geneeskunde

H. Barroy, J Kutzin, S Coulibaly, A Bigeard, S. Pierre Yameogo, JF Caremel, Catherine Korachais
In Burkina Faso, Burundi and Niger, the policy to remove user fees for primary care was carried out through significant adjustments in public financial management (PFM). The paper analyzes the PFM adjustments by stage of the budget cycle and describes their importance for health financing. The three countries shifted from input-based to program-based allocation for primary care facility compensation, allowed service providers autonomy to access ...

Measuring socioeconomic inequality in health, health care and health financing by means of rank-dependent indices: A recipe for good practice KU Leuven Universiteit Antwerpen

Guido Erreygers
The tools to be used and other choices to be made when measuring socioeconomic inequalities with rank-dependent inequality indices have recently been debated in this journal. This paper adds to this debate by stressing the importance of the measurement scale, by providing formal proofs of several issues in the debate, and by lifting the curtain on the confusing debate between adherents of absolute versus relative health differences. We end this ...

Measuring socioeconomic inequality in health, health care and health financing by means of rank-dependent indices: a recipe for good practice Universiteit Antwerpen

Guido Erreygers, Tom Van Ourti
The tools to be used and other choices to be made when measuring socioeconomic inequalities with rank-dependent inequality indices have recently been debated in this journal. This paper adds to this debate by stressing the importance of the measurement scale, by providing formal proofs of several issues in the debate, and by lifting the curtain on the confusing debate between adherents of absolute versus relative health differences. We end this ...

The role of digital strategies in financing health care for universal health coverage in low- and middle-income countries Instituut voor Tropische Geneeskunde

Bruno Meessen

Countries finance health care using a combination of 3 main functions: raising resources for health, pooling resources, and purchasing health services. In this paper, we examine how digital health technologies can be used to enhance these health financing functions in low- and middle-income countries and can thus contribute to progress toward universal health coverage. We illustrate our points by presenting some recent innovations in digital ...

Commercial health care financing: the cause of US, Dutch, and Swiss health systems inefficiency? Instituut voor Tropische Geneeskunde

Jean-Pierre Unger, Pierre De Paepe

This article evaluates the performance of 3 industrialized nations that have pursued market-based financing models, focusing on equity in access to care, care quality, health status, and efficiency. It then assesses the consistency of the findings with those of different research teams. Using secondary data obtained from a semi-structured review of articles from 2000 to 2017, we discuss the hypothesis that commercial health care insurance is ...