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

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dc.contributor.authorWorld Bank
dc.date.accessioned2013-03-22T17:25:49Z
dc.date.available2013-03-22T17:25:49Z
dc.date.issued2008-02-15
dc.description.abstractThis 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.identifierhttp://documents.worldbank.org/curated/en/2008/02/16414657/hungary-evidence-cost-sharing-health-care-applications-hungary-executive-summary
dc.identifier.doi10.1596/12854
dc.identifier.urihttps://hdl.handle.net/10986/12854
dc.languageEnglish
dc.language.isoen_US
dc.publisherWashington, DC
dc.rightsCC BY 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectADMINISTRATIVE BURDEN
dc.subjectADMINISTRATIVE COSTS
dc.subjectADOLESCENTS
dc.subjectADVERSE SELECTION
dc.subjectAFFORDABILITY
dc.subjectAMBULANCE
dc.subjectAMBULATORY CARE
dc.subjectAMBULATORY SURGERY
dc.subjectANCILLARY SERVICES
dc.subjectBEDS
dc.subjectBREAST CANCER
dc.subjectBRIBES
dc.subjectCAPITATION
dc.subjectCAPITATION PAYMENT
dc.subjectCATASTROPHIC HEALTH EXPENDITURE
dc.subjectCATASTROPHIC HEALTH SPENDING
dc.subjectCHRONIC DISEASES
dc.subjectCLINICS
dc.subjectCONTRIBUTION TO COSTS
dc.subjectCORRUPTION
dc.subjectCOST OF HEALTH CARE
dc.subjectCOST SHARING
dc.subjectCOST-SHARING
dc.subjectCOST-SHARING ARRANGEMENTS
dc.subjectCOST-SHARING POLICIES
dc.subjectDEDUCTIBLE
dc.subjectDEDUCTIBLES
dc.subjectDEMAND FOR HEALTH
dc.subjectDEMAND FOR SERVICES
dc.subjectDENTAL CARE
dc.subjectDETERMINATION OF ELIGIBILITY
dc.subjectDIAGNOSIS
dc.subjectDISABLED
dc.subjectDOCTORS
dc.subjectDRUG THERAPY
dc.subjectELASTICITY OF DEMAND FOR HEALTH CARE
dc.subjectEMERGENCY CARE
dc.subjectENTITLEMENT
dc.subjectEQUITY IN ACCESS
dc.subjectEXCHANGE RATE
dc.subjectEXCLUSIONS
dc.subjectFAMILIES
dc.subjectFEE-FOR-SERVICE
dc.subjectFINANCE OF HEALTH CARE
dc.subjectFINANCIAL BURDEN
dc.subjectFINANCIAL CONTRIBUTIONS
dc.subjectFINANCIAL INCENTIVES
dc.subjectFINANCIAL MANAGEMENT
dc.subjectFINANCIAL RISK
dc.subjectFINANCIAL SUPPORT
dc.subjectFINANCIAL SUSTAINABILITY
dc.subjectFLAT RATE
dc.subjectFREE CARE
dc.subjectGENERAL PRACTICE
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE CENTERS
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CARE REFORM
dc.subjectHEALTH CARE SECTOR
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH CARE SYSTEMS
dc.subjectHEALTH CARE UTILIZATION
dc.subjectHEALTH CENTRES
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FACILITIES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH FOR ALL
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE FUND
dc.subjectHEALTH INSURANCE SYSTEM
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH PLANNING
dc.subjectHEALTH POLICY
dc.subjectHEALTH POLICY OBJECTIVES
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SERVICES RESEARCH
dc.subjectHEALTH SPENDING
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTH SYSTEMS
dc.subjectHEALTH WORKERS
dc.subjectHEALTH ­ RESULTS
dc.subjectHEALTH-CARE
dc.subjectHEALTH-CARE SYSTEM
dc.subjectHEALTHCARE
dc.subjectHEALTHCARE PROVIDERS
dc.subjectHEALTHCARE SERVICES
dc.subjectHEALTHCARE SYSTEM
dc.subjectHOMELESS PEOPLE
dc.subjectHOSPITAL ADMISSIONS
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL COSTS
dc.subjectHOSPITAL EMERGENCY SERVICES
dc.subjectHOSPITAL INPATIENT
dc.subjectHOSPITAL SERVICES
dc.subjectHOSPITALIZATION
dc.subjectHOSPITALS
dc.subjectHR
dc.subjectHYGIENE
dc.subjectIMPACT OF COST
dc.subjectINCOME
dc.subjectINCOME CATEGORIES
dc.subjectINCOME GROUPS
dc.subjectINCOME HOUSEHOLDS
dc.subjectINDUCED DEMAND
dc.subjectINEQUALITIES
dc.subjectINEQUALITIES IN HEALTH CARE
dc.subjectINEQUALITY
dc.subjectINEQUITY IN HEALTH
dc.subjectINFANT CARE
dc.subjectINFORMAL PAYMENTS
dc.subjectINPATIENT ADMISSION
dc.subjectINPATIENT CARE
dc.subjectINPATIENT TREATMENT
dc.subjectINSURANCE
dc.subjectINSURANCE AGENCIES
dc.subjectINSURANCE AGENCY
dc.subjectINSURANCE COMPANIES
dc.subjectINSURANCE COVERAGE
dc.subjectINSURANCE PACKAGE
dc.subjectINSURANCE POLICY
dc.subjectINSURANCE RATES
dc.subjectINSURANCE SYSTEM
dc.subjectINSURERS
dc.subjectINTERNATIONAL COMPARISONS
dc.subjectLAWS
dc.subjectLOW INCOME
dc.subjectLOW-INCOME COUNTRIES
dc.subjectMEDICAID
dc.subjectMEDICAL CARE
dc.subjectMEDICAL SERVICES
dc.subjectMEDICATION
dc.subjectMEDICINES
dc.subjectMORAL HAZARD
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectNATIONAL HEALTH
dc.subjectNURSING
dc.subjectOPERATIONAL COSTS
dc.subjectOUTPATIENT CARE
dc.subjectOUTPATIENT SERVICES
dc.subjectPATIENT
dc.subjectPATIENT COST
dc.subjectPATIENTS
dc.subjectPAYMENTS FOR HEALTH CARE
dc.subjectPHARMACEUTICAL COMPANIES
dc.subjectPHYSICIAN
dc.subjectPHYSICIANS
dc.subjectPHYSIOTHERAPY
dc.subjectPOCKET PAYMENTS
dc.subjectPOLICY RESEARCH
dc.subjectPREGNANCY
dc.subjectPREGNANT WOMEN
dc.subjectPRESCRIPTION DRUGS
dc.subjectPRESCRIPTIONS
dc.subjectPREVENTIVE CARE
dc.subjectPRICE ELASTICITIES
dc.subjectPRIMARY CARE
dc.subjectPRIVATE HEALTH INSURANCE
dc.subjectPRIVATE HOSPITALS
dc.subjectPRIVATE INSURANCE
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATE SPENDING
dc.subjectPROVIDER PAYMENT
dc.subjectPROVISION OF CARE
dc.subjectPSYCHIATRIC CARE
dc.subjectPUBLIC ATTITUDES
dc.subjectPUBLIC EXPENDITURE
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HEALTH CARE
dc.subjectPUBLIC HEALTH SERVICES
dc.subjectPUBLIC HOSPITAL
dc.subjectPUBLIC HOSPITAL SERVICES
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC INSURANCE
dc.subjectQUALITY OF CARE
dc.subjectREFORM OF HEALTH CARE
dc.subjectSAVINGS
dc.subjectSLIDING SCALE
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL INSURANCE
dc.subjectSURGERY
dc.subjectTREATMENTS
dc.subjectUSER FEE
dc.subjectUSER FEES
dc.subjectVICTIMS
dc.subjectVISITS
dc.subjectVULNERABLE GROUPS
dc.subjectWELFARE BENEFITS
dc.subjectWORKERS
dc.subjectWORKING CONDITIONS
dc.titleEvidence on Cost-sharing in Health Care : Applications to Hungary : Executive Summaryen
dspace.entity.typePublication
okr.date.disclosure2012-06-22
okr.date.doiregistration2025-05-07T10:11:48.186817Z
okr.doctypeEconomic & Sector Work::Policy Note
okr.doctypeEconomic & Sector Work
okr.docurlhttp://documents.worldbank.org/curated/en/2008/02/16414657/hungary-evidence-cost-sharing-health-care-applications-hungary-executive-summary
okr.globalpracticeHealth, Nutrition, and Population
okr.globalpracticeFinance and Markets
okr.globalpracticeGovernance
okr.guid392121468249939171
okr.identifier.externaldocumentum000426104_20120622151119
okr.identifier.internaldocumentum16414657
okr.identifier.report70039
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2012/06/22/000426104_20120622151119/Rendered/PDF/700390ESW0P11200Hungary0Feb01502008.pdfen
okr.region.administrativeEurope and Central Asia
okr.region.countryHungary
okr.sectorHealth and other social services :: Health
okr.sectorEducation
okr.themeHuman development :: Health system performance
okr.themeHuman development :: Education for all
okr.topicLaw and Development::Health Law
okr.topicHealth Economics and Finance
okr.topicHealth Monitoring and Evaluation
okr.topicHealth Systems Development and Reform
okr.topicFinance and Financial Sector Development::Access to Finance
okr.topicHealth
okr.topicNutrition and Population
okr.unitHuman Development Sector Unit (ECSHD)
okr.volume1 of 1
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