The Impact of Health Care Financing on Family Budgets

Challenge ◽  
1993 ◽  
Vol 36 (6) ◽  
pp. 12-20 ◽  
Author(s):  
Edith Rasell ◽  
Bernstein Jared ◽  
Tang Kainan
Keyword(s):  
Health Care ◽  
Health Care Financing ◽  
The Impact

Patient Segmentation Based on Patient Loyalty

2018 ◽  
Vol 20 (4) ◽  
pp. 508-534
Author(s):  
Remedios Calero ◽  
Carlota Lorenzo ◽  
Martina G. Gallarza
Keyword(s):  
Health Care ◽  
Health Management ◽  
Health Care Financing ◽  
Secondary Data ◽  
Patient Loyalty ◽  
Health Council ◽  
Patient Segmentation ◽  
Patient Profiles ◽  
The One ◽  
The Impact

The present study aims to perform a segmentation of patients based on their loyalty behaviour. The analysis focuses on Valencia, a region in Spain that features a capitated financing and free-elective framework; such a framework is particularly suitable for this type of study because patient loyalty directly affects the system’s budget and economic viability. Using secondary data from the regional health council, the study focuses on relationships of influence and latent segmentation in answering seven research questions. The two-pronged statistical analysis is designed to analyse relationships of influence, on the one hand, and latent segmentation, on the other. Significant differences were found among the various scales analysed in the three patient loyalty behavioural models (capture, retention and desertion) for each variable within the scope, that is, subjective (gender, age and nationality) and circumstantial (size of the assigned and receiving hospital, location of the province of the assigned hospital). This finding indicates that it may be possible to develop patient profiles based on such variables to analyse different loyalty behaviours in patients and the impact of hospital communication strategies on these behaviours. Patient loyalty is essential to the viability of a capitated health care financing and management system. Likewise, identifying patient profiles would contribute to a better Valencian public health management. Accordingly, it might be applied to evaluate other health care financing systems.

scholarly journals The impact of health care financing on the economic growth: EU countries analysis

2020 ◽  
Vol 1 (2) ◽  
pp. 24-32
Author(s):  
Anastasiia Samoilikova ◽  
Rosen Kunev
Keyword(s):  
Economic Growth ◽  
Health Care ◽  
Software Package ◽  
Positive Impact ◽  
Statistical Significance ◽  
Health Care Financing ◽  
Eu Countries ◽  
Per Capita ◽  
The Impact ◽  
The Eu

This article generalized modern tendencies and actual peculiarities of health care financing. The key aim of the research is to investigate the dynamics of health care financing as a factor of economic growth based on EU countries analysis. Systematization information sources connected with health care financing and its structure indicate that the EU countries analysis of dynamics of health care financing and its impact on economic growth was conducted fragmentary. This issue is still actual both for scholars and policymakers, especially for Ukraine, based on European trends. Investigation in the article is made according to the following stages: 1) introduction and relevance grounding; 2) literary review and identifying the necessity of research in this scientific area; 3) describing methodology, research methods, and current hypothesis; 4) characteristic of research results and confirming the hypothesis of the positive impact of the health care financing on economic growth; 5) making conclusions. Methodological tools of the research methods were structural and comparative analysis, logical generalization, and scientific abstraction. The methods of cross-country statistical and analytical analysis using the Excel 2010 software package for the sample from 14 EU countries for 2009-2018 (limited number of countries and limited data in 2018 relate to the data availability on open website of the EU statistical office) were applied to analyse the structure of health care financing, in particular financing schemes, main providers, and health care functions. The top countries in health care financing were identified. The methods of empirical analysis using the STATA software package for this data sample were used to confirm the hypothesis about the positive impact of the health care financing on economic growth – the GDP per capita. The nature of the analysed indices distribution was estimated based on results of Shapiro-Wilk test. So, Pearson or Spearman correlation coefficient was chosen. The statistical significance and strength of the relationship between the indicators of total expenditure for health care, and in particular government financing and compulsory contributory health care financing, voluntary health care financing, and household out-of-pocket payment for health care and the change of GDP per capita were assessed through a correlation analysis. The time lags of achievement the most statistical significance by this relationship was also identified. The results of the research show that the impact of health care financing on the change of economic growth is very high in 12 from 14 investigated EU countries (with lags of 1–3 years) and high in 2 from 14 countries (with a lag of 1 year). The character of this relationship for the most countries (9 from 14 countries) is direct (positive), and for 5 countries it is inverse (negative). The results of the research will be useful during future fundamental and practical research connected with health care financing and its modelling, for scholars and government officials to reform the health care system and its financial mechanism.

scholarly journals Health Care Financing Systems and Their Effectiveness: An Empirical Study of OECD Countries

2019 ◽  
Vol 16 (20) ◽  
pp. 3839 ◽  
Author(s):  
Viera Ivanková ◽  
Rastislav Kotulič ◽  
Jaroslav Gonos ◽  
Martin Rigelský
Keyword(s):  
Health Care ◽  
Regression Analysis ◽  
Correspondence Analysis ◽  
Health Expenditure ◽  
Linear Regression Analysis ◽  
Health Care Financing ◽  
National Health System ◽  
Funding System ◽  
Life Expectancy At Birth ◽  
The Impact

Background: The primary aim of the research in the present study was to determine the effectiveness of health care in classifying health care financing systems from a sample of OECD (Organisation for Economic Co-operation and Development) countries (2012–2017). This objective was achieved through several stages of analysis, which aimed to assess the relations between and relation diversity in selected variables, determining the effectiveness of health care and the health expenditure of health care financing systems. The greatest emphasis was placed on the differences between health care financing systems that were due to the impact of health expenditure on selected health outputs, such as life expectancy at birth, perceived health status, the health care index, deaths from acute myocardial infarction and diabetes mellitus. Methods: Methods such as descriptive analysis, effect analysis (η2), binomial logistic regression analysis, linear regression analysis, continuity analysis (ρ) and correspondence analysis, were used to meet the above objectives. Results: Based on several stages of statistical processing, it was found that there are deviations in several of the relations between different health care funding systems in terms of their predisposition to certain areas of health outcomes. Thus, where one system proves ineffective (or its effectiveness is questionable), another system (or systems) appears to be effective. From a correspondence analysis that compared the funding system and other outputs (converted to quartiles), it was found that a national health system, covering the country as a whole, and multiple insurance funds or companies would be more effective systems. Conclusions: Based on the findings, it was concluded that, in analyzing issues related to health care and its effectiveness, it is appropriate to take into account the funding system (at least to verify the significance of how research premises affect the systems); otherwise, the results may be distorted.

scholarly journals Equity of health-care financing: a progressivity analysis for Egypt

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Yara Ahmed ◽  
Racha Ramadan ◽  
Mohamed Fathi Sakr
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care System ◽  
Health Care Financing ◽  
Social Health Insurance ◽  
Financing System ◽  
Content Type ◽  
Health System Financing ◽  
The Impact ◽  
Care System

Purpose This paper aims to evaluate the progressivity of health-care financing in Egypt by assessing all five financing sources individually and then combining them to analyze the equity of the whole financing system. Design/methodology/approach Lorenz dominance analysis and Kakwani progressivity index were applied on data from 2010/2011 Household Income, Expenditure, and Consumption Survey and the National Health Accounts 2011 using Stata to evaluate the progressivity of each source of health-care finance and the financing system overall. Findings The data show that Egypt’s health-care system, which is largely financed by out-of-pocket (OOP) payments, is slightly regressive, with an overall Kakwani index of −0.079. The overall regressive effect was the result of three regressive sources (OOP payments, an earmarked cigarette tax and direct taxes), one proportional finance source (social health insurance) and two slightly progressive sources (indirect taxes and private health insurance). This shows that the burden of financing health care falls more on the poor. These results signal the need for reform of health-care financing in Egypt to reduce dependence on OOP payments to achieve more equitable financing. Originality/value The paper seeks to augment the literature on health-care financing in Egypt by calculating specific progressivity estimates for all five sources of financing the Egyptian health-care system and analyzing the overall equity of this financing system. It will, therefore, provide a benchmark for monitoring the equity of finance in the Egyptian health-care system in future studies and allow one to assess the impact of implemented financing reforms in the future on the level of progressivity of health system financing.

scholarly journals Healthcare financing in Nigeria: A systematic review assessing the evidence of the impact of health insurance on primary health care delivery

2014 ◽  
Vol 4 (1) ◽  
pp. 1 ◽  
Author(s):  
Ejughemre Ufuoma John ◽  
Agada-Amade Y. A ◽  
Oyibo P.G ◽  
Ugwu I. C
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Universal Access ◽  
Health Care Financing ◽  
Health Financing ◽  
Healthcare Financing ◽  
The Impact

Strengthening health systems, improving health outcomes, as well as finding answers to the competing alternatives of healthcare financing are critical issues that continue to bother health policy makers. Irrespective of the options, the choice of health care financing should mobilize resources for health and improve access to quality care at the same time. Notably, the health financing policy in Nigeria provides a framework for establishing health insurance schemes so as to expand coverage in health care delivery for the formal and informal sectors as a strategy towards universal access to healthcare. Accordingly, the authors, through this review, systematically assess the evidence of the extent to which health insurance impacts on access to services and quality of primary healthcare in Nigeria. While this comes to bear, the findings reveal an evidence of moderate-to-high strength that health insurance increases access to care and improves the quality of care received; however, it remains equivocal in some instances. The review therefore contributes to the literature on healthcare financing by extending and qualifying existing knowledge and advocating for accelerated reforms if universal coverage will be achieved.

scholarly journals COVID-19 pandemic and fiscal sustainability

2020 ◽  
Vol 2020 (2) ◽  
pp. 5-15
Author(s):  
Olena Stepanova ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Financial Stability ◽  
Health Care Financing ◽  
Government Expenditure ◽  
Economic Recession ◽  
Health Financing ◽  
Fiscal Sustainability ◽  
Fiscal Space ◽  
The Impact

The article deals with the impact of the COVID-19 pandemic on the financing of the health care system, and the main challenges to the stability of the financial mechanisms of post-pandemic health care development have been identified. The author substantiates the peculiarities of the crisis of health care financing in the conditions of the current pandemic, further economic recession and decreased fiscal sustainability. The global practice of fiscal response to the manifestations of the COVID-19 pandemic has been systematized and the volumes of the corresponding financing in the countries with insurance and budgetary systems of health care financing have been estimated. The article identifies mechanisms for the transformation and expansion of the fiscal space in the context of expanded financing of the growing need for medical care in the face of new epidemic risks in different countries. Most often, the expansion of a country's fiscal space is carried out by: redistributing the existing amount of government expenditure for health care and redirecting funding flows from financing certain types of medical care to financing programs to overcome and combat COVID-19; changes in the priority of government health expenditure to combat COVID-19 compared to other budget expenditures on the social sphere and economic development; and using national reserve funds and emergency funds. It has been found that in the field of health care, the vast majority of countries have reduced the economic and territorial deprivation of all population groups in access to the diagnosis and treatment of COVID-19. The author emphasizes the weaknesses of insurance based and decentralized health financing mechanisms to respond to the growing need for health care and financial stability during the pandemic. Substantiated the necessity to expand the fiscal space needed to cover the fiscal gap in Ukraine caused by the requirement to increase health care financing in response

Hungary

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Scheiring ◽  
O Löblová ◽  
A Moise
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Private Insurance ◽  
Health Care Financing ◽  
Smoking Ban ◽  
Think Tank ◽  
Far Right ◽  
Electoral Success ◽  
The Government ◽  
The Impact

Abstract Background The impact of Populist Radical Right (PRR) parties on health policy has so far been neglected by health policy and welfare state literature. The case of the Alliance of Young Democrats (Fidesz) in Hungary, a large PPR party which secured three consecutive supermajorities since 2010, is illustrative of the priorities PPR parties. Methods We conducted a review of available primary sources (legal and policy documents) and secondary literature (academic, press, and think-tank publications). Resulting data was analyzed thematically. Results Under Viktor Orban, Fidesz nominally stopped marketization reforms of the previous governments by re-nationalizing hospitals in its first term. However, voluntary and employer-sponsored private insurance has grown rapidly, resulting in a parallel system of health care financing and provision, likely due to continued underfunding and understaffing of the public sector. The government has not stopped the exodus of health professionals. In public health, Fidesz sought to reduce smoking rates by imposing a wide-reaching smoking ban and by nationalizing the sale of tobacco in its first mandate. Conclusions Fidesz' election in 2010 was brought in part due to protests against health privatization. Health care continued to be a prominent theme of the 2018 elections, this time mobilized by the far-right opposition as a grievance against the government. Fidesz's electoral success is less attributable to health policy than to nationalist and populist rhetoric.

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