Abstract:
INTRODUCTION:Many countries from the European region, which moved from a government financed and provided health system to social health insurance, would have had the risk of moving away from universal health coverage if they had followed a "traditional" approach. The Eastern European high-income countries studied in this paper managed to avoid this potential pitfall by using state budget revenues to explicitly pay health insurance contributions on behalf of certain (vulnerable) population groups who have difficulties to pay these contributions themselves. The institutional design aspects of their government revenue transfer arrangements are analysed, as well as their impact on universal health coverage progress. METHODS:This regional study is based on literature review and review of databases for the performance assessment. The analytical framework focuses on the following institutional design features: rules on eligibility for contribution exemption, financing and pooling arrangements, and purchasing arrangements and benefit package design. RESULTS:More commonalities than differences can be identified across countries: a broad range of groups eligible for exemption from payment of health insurance contributions, full state contributions on behalf of the exempted groups, mostly mandatory participation, integrated pools for both the exempted and contributors, and relatively comprehensive benefit packages. In terms of performance, all countries have high total population coverage rates, but there are still challenges regarding financial protection and access to and utilization of health care services, especially for low income people. CONCLUSION:Overall, government revenue transfer arrangements to exempt vulnerable groups from contributions are one option to progress towards universal health coverage.
journal_name
Int J Equity Healthjournal_title
International journal for equity in healthauthors
Vilcu I,Mathauer Idoi
10.1186/s12939-016-0295-ysubject
Has Abstractpub_date
2016-01-15 00:00:00pages
7issn
1475-9276pii
10.1186/s12939-016-0295-yjournal_volume
15pub_type
杂志文章abstract:BACKGROUND:Around the world the life expectancy at birth has risen steadily over time. However, this increase in life years is not equally distributed among different social segments of the population. Studies have demonstrated that social groups living in deprived areas have a shorter life expectancy at birth in compa...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-10-36
更新日期:2011-08-26 00:00:00
abstract:BACKGROUND:Aggregate urban health statistics mask inequalities. We described maternity care in vulnerable slum communities in Mumbai, and examined differences in care and outcomes between more and less deprived groups. METHODS:We collected information through a birth surveillance system covering a population of over 2...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-8-21
更新日期:2009-06-05 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0367-z
更新日期:2016-05-13 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
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更新日期:2018-09-24 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
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更新日期:2016-03-10 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
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journal_title:International journal for equity in health
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-25
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journal_title:International journal for equity in health
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0419-4
更新日期:2016-08-19 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-6-5
更新日期:2007-07-04 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-018-0792-2
更新日期:2018-06-15 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章,评审
doi:10.1186/s12939-019-1108-x
更新日期:2019-12-26 00:00:00
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journal_title:International journal for equity in health
pub_type: 社论
doi:10.1186/1475-9276-7-11
更新日期:2008-04-30 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-014-0131-1
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0715-7
更新日期:2018-01-05 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-9-27
更新日期:2010-11-24 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-016-0400-2
更新日期:2016-07-13 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-10-13
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-1149-1
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-017-0575-1
更新日期:2017-06-30 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-10
更新日期:2012-02-29 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
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更新日期:2016-08-02 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
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更新日期:2017-02-20 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-1153-5
更新日期:2020-03-27 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/s12939-020-01315-z
更新日期:2020-11-10 00:00:00
abstract:BACKGROUND:At the beginning of 2007, health care reforms were implemented in Hungary in order to decrease public expenditure on health care. Reforms involved the increase of co-payments for pharmaceuticals and the introduction of co-payments for health care services. OBJECTIVE:The objective of this paper is to examine...
journal_title:International journal for equity in health
pub_type: 杂志文章
doi:10.1186/1475-9276-11-36
更新日期:2012-07-24 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
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更新日期:2018-09-12 00:00:00
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journal_title:International journal for equity in health
pub_type: 杂志文章
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