Titre : | The Health Financing Transition : A Conceptual Framework and Empirical Evidence |
Auteurs : | Victoria Fan ; William Savedoff ; Center for Global Development (CGD) (Washington DC, USA) |
Type de document : | Rapport |
Editeur : | Washington DC [USA] : Center for Global Development, 2014/03 |
Collection : | CGD Working Paper 358 |
Description : | 27p. / fig., tabl. |
Langues: | Anglais |
Mots-clés : | Ticket modérateur ; Dépense santé ; Assurance maladie ; Monde ; Macroéconomie santé ; Innovation technologique ; Modèle ; PIB ; Evolution ; Politique publique ; Financement |
Résumé : | [BDSP. Notice produite par IRDES R0xBrGmD. Diffusion soumise à autorisation]. Almost every country exhibits two important health financing trends : health spending per person rises and the share of out-of-pocket spending on health services declines. We describe these trends as a "health financing transition" to provide a conceptual framework for understanding health markets and public policy. Using data over 1995-2009 from 126 countries, we examine the various explanations for changes in health spending and its composition with regressions in levels and first differences. We estimate that the income elasticity of health spending is about 0.7, consistent with recent comparable studies. Our analysis also shows a significant trend in health spending e rising about 1 percent annually - which is associated with a combination of changing technology and medical practices, cost pressures and institutions that finance and manage healthcare. The out-of-pocket share of total health spending is not related to income, but is influenced by a country's capacity to raise general revenues. These results support the existence of a health financing transition and characterize how public policy influences these trends. |
En ligne : | http://www.cgdev.org/sites/default/files/health-financing-transition-framework-evidence_1.pdf |
Documents numériques (1)
Texte integral URL |