Titre :
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Economic of health insurance in low and middle-income countries. The potential for social mobilisation in Bangladesh : the organisation and functioning of two health insurance schemes. (1999)
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Auteurs :
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M. DESMET ;
A.Q. CHOWDHURY ;
Diana DE GRAEVE, éd. ;
M.K. ISLAM ;
Health Research for Action Hera. BEL ;
University of Antwerp. Antwerp. BEL ;
Vereniging voor Gezondheidseconomie Vge. INC ;
International Conference on the Economics of health insurance in low and middle-income countries. (17/01/1997; Antwerp. BEL)
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Type de document :
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Article
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Dans :
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Social science and medicine (vol. 48, n° 7, 1999)
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Pagination :
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925-938
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Langues:
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Anglais
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Mots-clés :
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Bengla Desh
;
Asie
;
Assurance maladie
;
Protection sociale
;
Organisation
;
Communauté
;
Pauvreté
;
Economie santé
;
Politique santé
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Résumé :
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[BDSP. Notice produite par INIST JeS7R0xU. Diffusion soumise à autorisation]. Health insurance schemes are usually assessed according to technical indicators. This approach, however, neglects the dynamic perspective of insurance schemes as an element of people's mobilisation for participation in organising and managing health care delivery and financing. The first part of this paper describes the technical performance and the level of community involvement in management of the two largest health insurance schemes in Bangladesh. both in the rural areas and in the non-government sector. Part two discusses these achievements in light of the schemes'potential role as a mechanism for people's management of health care. A review of documents and key-informant interviews were conducted. Key findings include that (1) subscribers currently are not actively participating in scheme management. However, existing family groups, involved in credit programmes may serve as entry-points for interaction. This is sustained by the'natural link'between health insurance as a means of spreading the risks of treatment costs and credit programmes as a means of decreasing the relative impact of illness on household income. (2) The schemes'role could be further enhanced, by improving their technical performance and applying health care systems elements with the input of all partners involved. (...)
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