Publication:
Evidence on Cost-sharing in Health Care : Applications to Hungary : Executive Summary

dc.contributor.author World Bank
dc.date.accessioned 2013-03-22T17:25:49Z
dc.date.available 2013-03-22T17:25:49Z
dc.date.issued 2008-02-15
dc.description.abstract This study, done at the request of the Hungarian government, presents evidence on cost-sharing in the health sector, and its application in Hungary. It presents results on the impact of cost-sharing on revenues in health facilities and insurance, financial sustainability, informal payments, overall service use, and equity in access. Five keyfindings emerge: cost-sharing could lead to a reduction in unnecessary care provided to insured patients who do not have to pay the full price of care; cost-sharing could help reduce informal payments and keep patient payments in the system; cost-sharing with exemption policies are a prerequisite to provide equity in access to care; cost-sharing could support cost containment strategies; experience from OECD countries provides examples of successful cost-sharing policies. Based on these findings. the study recommends that Hungary continues to monitor and evaluate the impact of cost-sharing on access, to identify possible negative effects on equity in service use. In Hungary, financial incentives through the provider payment system could eventually support the effect of the government supply-side strategy. Such financial incentives could be set to providers through capitation payment to reward better quality of care, and Diagnosis Related Group (DRG) payments with expenditure ceilings with strict utilization review and quality assurance control to set an incentive for efficient provision of care. en
dc.identifier http://documents.worldbank.org/curated/en/2008/02/16414657/hungary-evidence-cost-sharing-health-care-applications-hungary-executive-summary
dc.identifier.uri http://hdl.handle.net/10986/12854
dc.language English
dc.language.iso en_US
dc.publisher Washington, DC
dc.rights CC BY 3.0 IGO
dc.rights.holder World Bank
dc.rights.uri http://creativecommons.org/licenses/by/3.0/igo/
dc.subject ADMINISTRATIVE BURDEN
dc.subject ADMINISTRATIVE COSTS
dc.subject ADOLESCENTS
dc.subject ADVERSE SELECTION
dc.subject AFFORDABILITY
dc.subject AMBULANCE
dc.subject AMBULATORY CARE
dc.subject AMBULATORY SURGERY
dc.subject ANCILLARY SERVICES
dc.subject BEDS
dc.subject BREAST CANCER
dc.subject BRIBES
dc.subject CAPITATION
dc.subject CAPITATION PAYMENT
dc.subject CATASTROPHIC HEALTH EXPENDITURE
dc.subject CATASTROPHIC HEALTH SPENDING
dc.subject CHRONIC DISEASES
dc.subject CLINICS
dc.subject CONTRIBUTION TO COSTS
dc.subject CORRUPTION
dc.subject COST OF HEALTH CARE
dc.subject COST SHARING
dc.subject COST-SHARING
dc.subject COST-SHARING ARRANGEMENTS
dc.subject COST-SHARING POLICIES
dc.subject DEDUCTIBLE
dc.subject DEDUCTIBLES
dc.subject DEMAND FOR HEALTH
dc.subject DEMAND FOR SERVICES
dc.subject DENTAL CARE
dc.subject DETERMINATION OF ELIGIBILITY
dc.subject DIAGNOSIS
dc.subject DISABLED
dc.subject DOCTORS
dc.subject DRUG THERAPY
dc.subject ELASTICITY OF DEMAND FOR HEALTH CARE
dc.subject EMERGENCY CARE
dc.subject ENTITLEMENT
dc.subject EQUITY IN ACCESS
dc.subject EXCHANGE RATE
dc.subject EXCLUSIONS
dc.subject FAMILIES
dc.subject FEE-FOR-SERVICE
dc.subject FINANCE OF HEALTH CARE
dc.subject FINANCIAL BURDEN
dc.subject FINANCIAL CONTRIBUTIONS
dc.subject FINANCIAL INCENTIVES
dc.subject FINANCIAL MANAGEMENT
dc.subject FINANCIAL RISK
dc.subject FINANCIAL SUPPORT
dc.subject FINANCIAL SUSTAINABILITY
dc.subject FLAT RATE
dc.subject FREE CARE
dc.subject GENERAL PRACTICE
dc.subject HEALTH CARE
dc.subject HEALTH CARE CENTERS
dc.subject HEALTH CARE COSTS
dc.subject HEALTH CARE FINANCING
dc.subject HEALTH CARE REFORM
dc.subject HEALTH CARE SECTOR
dc.subject HEALTH CARE SYSTEM
dc.subject HEALTH CARE SYSTEMS
dc.subject HEALTH CARE UTILIZATION
dc.subject HEALTH CENTRES
dc.subject HEALTH ECONOMICS
dc.subject HEALTH EXPENDITURE
dc.subject HEALTH EXPENDITURES
dc.subject HEALTH FACILITIES
dc.subject HEALTH FINANCING
dc.subject HEALTH FOR ALL
dc.subject HEALTH INSURANCE
dc.subject HEALTH INSURANCE FUND
dc.subject HEALTH INSURANCE SYSTEM
dc.subject HEALTH OUTCOMES
dc.subject HEALTH PLANNING
dc.subject HEALTH POLICY
dc.subject HEALTH POLICY OBJECTIVES
dc.subject HEALTH SECTOR
dc.subject HEALTH SERVICE
dc.subject HEALTH SERVICES
dc.subject HEALTH SERVICES RESEARCH
dc.subject HEALTH SPENDING
dc.subject HEALTH STATUS
dc.subject HEALTH SYSTEM
dc.subject HEALTH SYSTEMS
dc.subject HEALTH WORKERS
dc.subject HEALTH ­ RESULTS
dc.subject HEALTH-CARE
dc.subject HEALTH-CARE SYSTEM
dc.subject HEALTHCARE
dc.subject HEALTHCARE PROVIDERS
dc.subject HEALTHCARE SERVICES
dc.subject HEALTHCARE SYSTEM
dc.subject HOMELESS PEOPLE
dc.subject HOSPITAL ADMISSIONS
dc.subject HOSPITAL BEDS
dc.subject HOSPITAL CARE
dc.subject HOSPITAL COSTS
dc.subject HOSPITAL EMERGENCY SERVICES
dc.subject HOSPITAL INPATIENT
dc.subject HOSPITAL SERVICES
dc.subject HOSPITALIZATION
dc.subject HOSPITALS
dc.subject HR
dc.subject HYGIENE
dc.subject IMPACT OF COST
dc.subject INCOME
dc.subject INCOME CATEGORIES
dc.subject INCOME GROUPS
dc.subject INCOME HOUSEHOLDS
dc.subject INDUCED DEMAND
dc.subject INEQUALITIES
dc.subject INEQUALITIES IN HEALTH CARE
dc.subject INEQUALITY
dc.subject INEQUITY IN HEALTH
dc.subject INFANT CARE
dc.subject INFORMAL PAYMENTS
dc.subject INPATIENT ADMISSION
dc.subject INPATIENT CARE
dc.subject INPATIENT TREATMENT
dc.subject INSURANCE
dc.subject INSURANCE AGENCIES
dc.subject INSURANCE AGENCY
dc.subject INSURANCE COMPANIES
dc.subject INSURANCE COVERAGE
dc.subject INSURANCE PACKAGE
dc.subject INSURANCE POLICY
dc.subject INSURANCE RATES
dc.subject INSURANCE SYSTEM
dc.subject INSURERS
dc.subject INTERNATIONAL COMPARISONS
dc.subject LAWS
dc.subject LOW INCOME
dc.subject LOW-INCOME COUNTRIES
dc.subject MEDICAID
dc.subject MEDICAL CARE
dc.subject MEDICAL SERVICES
dc.subject MEDICATION
dc.subject MEDICINES
dc.subject MORAL HAZARD
dc.subject MORBIDITY
dc.subject MORTALITY
dc.subject NATIONAL HEALTH
dc.subject NURSING
dc.subject OPERATIONAL COSTS
dc.subject OUTPATIENT CARE
dc.subject OUTPATIENT SERVICES
dc.subject PATIENT
dc.subject PATIENT COST
dc.subject PATIENTS
dc.subject PAYMENTS FOR HEALTH CARE
dc.subject PHARMACEUTICAL COMPANIES
dc.subject PHYSICIAN
dc.subject PHYSICIANS
dc.subject PHYSIOTHERAPY
dc.subject POCKET PAYMENTS
dc.subject POLICY RESEARCH
dc.subject PREGNANCY
dc.subject PREGNANT WOMEN
dc.subject PRESCRIPTION DRUGS
dc.subject PRESCRIPTIONS
dc.subject PREVENTIVE CARE
dc.subject PRICE ELASTICITIES
dc.subject PRIMARY CARE
dc.subject PRIVATE HEALTH INSURANCE
dc.subject PRIVATE HOSPITALS
dc.subject PRIVATE INSURANCE
dc.subject PRIVATE SECTOR
dc.subject PRIVATE SPENDING
dc.subject PROVIDER PAYMENT
dc.subject PROVISION OF CARE
dc.subject PSYCHIATRIC CARE
dc.subject PUBLIC ATTITUDES
dc.subject PUBLIC EXPENDITURE
dc.subject PUBLIC HEALTH
dc.subject PUBLIC HEALTH CARE
dc.subject PUBLIC HEALTH SERVICES
dc.subject PUBLIC HOSPITAL
dc.subject PUBLIC HOSPITAL SERVICES
dc.subject PUBLIC HOSPITALS
dc.subject PUBLIC INSURANCE
dc.subject QUALITY OF CARE
dc.subject REFORM OF HEALTH CARE
dc.subject SAVINGS
dc.subject SLIDING SCALE
dc.subject SOCIAL HEALTH INSURANCE
dc.subject SOCIAL INSURANCE
dc.subject SURGERY
dc.subject TREATMENTS
dc.subject USER FEE
dc.subject USER FEES
dc.subject VICTIMS
dc.subject VISITS
dc.subject VULNERABLE GROUPS
dc.subject WELFARE BENEFITS
dc.subject WORKERS
dc.subject WORKING CONDITIONS
dc.title Evidence on Cost-sharing in Health Care : Applications to Hungary : Executive Summary en
dspace.entity.type Publication
okr.date.disclosure 2012-06-22
okr.doctype Economic & Sector Work :: Policy Note
okr.doctype Economic & Sector Work
okr.docurl http://documents.worldbank.org/curated/en/2008/02/16414657/hungary-evidence-cost-sharing-health-care-applications-hungary-executive-summary
okr.globalpractice Health, Nutrition, and Population
okr.globalpractice Finance and Markets
okr.globalpractice Governance
okr.identifier.externaldocumentum 000426104_20120622151119
okr.identifier.internaldocumentum 16414657
okr.identifier.report 70039
okr.language.supported en
okr.pdfurl http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2012/06/22/000426104_20120622151119/Rendered/PDF/700390ESW0P11200Hungary0Feb01502008.pdf en
okr.region.administrative Europe and Central Asia
okr.region.country Hungary
okr.sector Health and other social services :: Health
okr.sector Education
okr.theme Human development :: Health system performance
okr.theme Human development :: Education for all
okr.topic Law and Development :: Health Law
okr.topic Health Economics and Finance
okr.topic Health Monitoring and Evaluation
okr.topic Health Systems Development and Reform
okr.topic Finance and Financial Sector Development :: Access to Finance
okr.topic Health
okr.topic Nutrition and Population
okr.unit Human Development Sector Unit (ECSHD)
okr.volume 1 of 1
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