Publication:
Sustaining Universal Health Coverage in France : A Perpetual Challenge

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dc.contributor.authorBarroy, Helene
dc.contributor.authorOr, Zeynep
dc.contributor.authorKumar, Ankit
dc.contributor.authorBernstein, David
dc.date.accessioned2014-12-17T16:50:36Z
dc.date.available2014-12-17T16:50:36Z
dc.date.issued2014-06
dc.description.abstractWhile universal health coverage (UHC) offers a powerful goal for a nation, all countries-irrespective of income are struggling with achieving or sustaining UHC. France is a high-income country where HC is in effect universal. Health-related costs are covered by a mix of mandatory social health insurance (SHI) and private complementary schemes, while benefit packages are comprehensive, uniform, and of good quality. France provides some of the highest financial protection among countries in the Organization for Economic Co-operation and Development (OECD). Still, under pressure to sustain UHC without compromising equity of access, the system has been fine-tuned continually since inception. Much can be learned from France's experience in its reforms toward better fiscal sustainability, equity, and efficiency. The main purpose of the study is to assess major challenges that France has faced for sustaining UHC, and to share its experiences and lessons in addressing system bottlenecks to benefit less developed countries as they embark on the path to UHC.en
dc.identifierhttp://documents.worldbank.org/curated/en/2014/06/20279044/sustaining-universal-health-coverage-france-perpetual-challenge
dc.identifier.doi10.1596/20754
dc.identifier.urihttps://hdl.handle.net/10986/20754
dc.languageEnglish
dc.language.isoen_US
dc.publisherWorld Bank Group, Washington, DC
dc.relation.ispartofseriesHealth, nutrition, and population (HNP) discussion paper;
dc.rightsCC BY 3.0 IGO
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/igo/
dc.subjectABILITY TO PAY
dc.subjectACCESS TO HEALTH CARE
dc.subjectACCESS TO HEALTH SERVICES
dc.subjectACCESSIBILITY OF CARE
dc.subjectACUTE CARE
dc.subjectALCOHOL CONSUMPTION
dc.subjectALCOHOLISM
dc.subjectALLOCATIVE EFFICIENCY
dc.subjectAMBULATORY CARE
dc.subjectAMBULATORY SECTOR
dc.subjectBASIC HEALTH SERVICES
dc.subjectBREAST CANCER
dc.subjectBURDEN OF DISEASE
dc.subjectCANCER PATIENTS
dc.subjectCAPITAL INCOME
dc.subjectCARDIOVASCULAR DISEASES
dc.subjectCARE TECHNIQUES
dc.subjectCATASTROPHIC HEALTH SPENDING
dc.subjectCERVICAL CANCER
dc.subjectCHOICE OF PROVIDER
dc.subjectCHRONIC DISEASES
dc.subjectCHRONICALLY ILL PATIENTS
dc.subjectCLINICAL GUIDELINES
dc.subjectCLINICAL QUALITY
dc.subjectCLINICIAN
dc.subjectCLINICIANS
dc.subjectCLINICS
dc.subjectCOMPETENCIES
dc.subjectCOST CONTROL
dc.subjectCOST OF HEALTH CARE
dc.subjectCOST OF SERVICES
dc.subjectCOST SHARING
dc.subjectCOST-EFFECTIVENESS
dc.subjectCOST-EFFICIENCY
dc.subjectDEATHS
dc.subjectDECISION MAKING
dc.subjectDELIVERY SYSTEM
dc.subjectDENTAL CARE
dc.subjectDENTAL HEALTH
dc.subjectDENTAL HEALTH CARE
dc.subjectDIABETES
dc.subjectDIAGNOSIS
dc.subjectDIAGNOSTIC SERVICES
dc.subjectDIRECT COSTS
dc.subjectDOCTORS
dc.subjectDRUG CONSUMPTION
dc.subjectDRUGS
dc.subjectEMERGENCY CARE
dc.subjectENROLLEES
dc.subjectENTITLEMENT
dc.subjectEXPENDITURE CONTROL
dc.subjectFEE FOR SERVICE
dc.subjectFEE-FOR-SERVICE
dc.subjectFINANCIAL CONSEQUENCES
dc.subjectFINANCIAL IMPACT
dc.subjectFINANCIAL INCENTIVES
dc.subjectFINANCIAL PROTECTION
dc.subjectFINANCIAL RESOURCES
dc.subjectFINANCING HEALTH CARE
dc.subjectFLAT RATE
dc.subjectFREE CHOICE
dc.subjectGAMBLING
dc.subjectGENERAL PRACTICE
dc.subjectGENERAL PRACTITIONERS
dc.subjectGLOBAL BUDGETS
dc.subjectGROWTH OF HEALTH EXPENDITURE
dc.subjectHEALTH CARE
dc.subjectHEALTH CARE COSTS
dc.subjectHEALTH CARE DELIVERY
dc.subjectHEALTH CARE FACILITIES
dc.subjectHEALTH CARE FINANCING
dc.subjectHEALTH CARE NEEDS
dc.subjectHEALTH CARE NETWORKS
dc.subjectHEALTH CARE POLICIES
dc.subjectHEALTH CARE POLICY
dc.subjectHEALTH CARE PROFESSIONALS
dc.subjectHEALTH CARE PROVIDERS
dc.subjectHEALTH CARE PROVISION
dc.subjectHEALTH CARE RESOURCES
dc.subjectHEALTH CARE SERVICES
dc.subjectHEALTH CARE SPENDING
dc.subjectHEALTH CARE SYSTEM
dc.subjectHEALTH CARE UTILIZATION
dc.subjectHEALTH CENTERS
dc.subjectHEALTH COVERAGE
dc.subjectHEALTH ECONOMICS
dc.subjectHEALTH EXPENDITURE
dc.subjectHEALTH EXPENDITURE BY SOURCE
dc.subjectHEALTH EXPENDITURE GROWTH
dc.subjectHEALTH EXPENDITURES
dc.subjectHEALTH FINANCING
dc.subjectHEALTH INEQUALITIES
dc.subjectHEALTH INSURANCE
dc.subjectHEALTH INSURANCE COVERAGE
dc.subjectHEALTH INSURANCE FUNDS
dc.subjectHEALTH INSURANCE MARKETS
dc.subjectHEALTH INSURANCE SYSTEM
dc.subjectHEALTH MANAGEMENT
dc.subjectHEALTH NEEDS
dc.subjectHEALTH ORGANIZATION
dc.subjectHEALTH OUTCOMES
dc.subjectHEALTH POLICY
dc.subjectHEALTH PROFESSIONALS
dc.subjectHEALTH PROMOTION
dc.subjectHEALTH SECTOR
dc.subjectHEALTH SERVICE
dc.subjectHEALTH SERVICE PROVIDERS
dc.subjectHEALTH SERVICES
dc.subjectHEALTH SPECIALIST
dc.subjectHEALTH SPENDING
dc.subjectHEALTH STATUS
dc.subjectHEALTH SYSTEM
dc.subjectHEALTHCARE
dc.subjectHIGH BLOOD PRESSURE
dc.subjectHOSPITAL BEDS
dc.subjectHOSPITAL CARE
dc.subjectHOSPITAL EXPENDITURE
dc.subjectHOSPITAL MANAGEMENT
dc.subjectHOSPITAL SECTION
dc.subjectHOSPITAL SECTOR
dc.subjectHOSPITALISATION
dc.subjectHOSPITALIZATION
dc.subjectHOSPITALS
dc.subjectHOUSEHOLD INCOME
dc.subjectHUMAN DEVELOPMENT
dc.subjectIMMIGRANTS
dc.subjectINCOME
dc.subjectINCOME COUNTRIES
dc.subjectINCOME DISTRIBUTION
dc.subjectINCOME GROUPS
dc.subjectINDEXES
dc.subjectINDUCED DEMAND
dc.subjectINFORMATION SYSTEM
dc.subjectINSURANCE CONTRACTS
dc.subjectINSURANCE COVERAGE
dc.subjectINSURANCE PREMIUMS
dc.subjectINSURERS
dc.subjectLIFE EXPECTANCIES
dc.subjectLIFE EXPECTANCY
dc.subjectLOW INCOME
dc.subjectMEDICAL ACTIVITIES
dc.subjectMEDICAL CARE
dc.subjectMEDICAL DEVICES
dc.subjectMEDICAL FEES
dc.subjectMEDICAL INFORMATION
dc.subjectMEDICAL PERSONNEL
dc.subjectMEDICAL STAFF
dc.subjectMEDICATION
dc.subjectMENTAL ILLNESS
dc.subjectMINISTRIES OF HEALTH
dc.subjectMONITORING MECHANISMS
dc.subjectMORBIDITY
dc.subjectMORTALITY
dc.subjectNATIONAL HEALTH
dc.subjectNATIONAL HEALTH INSURANCE
dc.subjectNATIONAL HEALTH INSURANCE FUND
dc.subjectNURSES
dc.subjectNURSING
dc.subjectNURSING HOMES
dc.subjectNUTRITION
dc.subjectOUTPATIENT CARE
dc.subjectPATIENT
dc.subjectPATIENT OUTCOMES
dc.subjectPATIENTS
dc.subjectPHARMACEUTICAL COMPANIES
dc.subjectPHARMACEUTICAL INDUSTRY
dc.subjectPHYSICIAN
dc.subjectPHYSICIANS
dc.subjectPHYSIOTHERAPISTS
dc.subjectPHYSIOTHERAPY
dc.subjectPOCKET PAYMENTS
dc.subjectPOLIOMYELITIS
dc.subjectPREGNANT WOMEN
dc.subjectPRESCRIPTION DRUG
dc.subjectPRESCRIPTIONS
dc.subjectPREVENTIVE CARE
dc.subjectPRICES OF HEALTH CARE
dc.subjectPRIMARY CARE
dc.subjectPRIVATE CLINICS
dc.subjectPRIVATE HOSPITALS
dc.subjectPRIVATE INSURANCE
dc.subjectPRIVATE SECTOR
dc.subjectPRIVATE SECTORS
dc.subjectPROBABILITY
dc.subjectPSYCHIATRISTS
dc.subjectPUBLIC HEALTH
dc.subjectPUBLIC HOSPITAL
dc.subjectPUBLIC HOSPITAL STAFF
dc.subjectPUBLIC HOSPITALS
dc.subjectPUBLIC INSURANCE
dc.subjectPUBLIC POLICY
dc.subjectPUBLIC SECTOR
dc.subjectPUBLIC SPENDING
dc.subjectQUALITY OF CARE
dc.subjectREFUGEES
dc.subjectREHABILITATION
dc.subjectREIMBURSEMENT RATES
dc.subjectSCREENING
dc.subjectSERVICE DELIVERY
dc.subjectSICKNESS FUNDS
dc.subjectSMOKING
dc.subjectSOCIAL HEALTH INSURANCE
dc.subjectSOCIAL INSURANCE
dc.subjectSOCIAL INSURANCE SYSTEM
dc.subjectSOCIAL SECURITY
dc.subjectSOCIAL SECURITY FINANCING
dc.subjectSURGERY
dc.subjectTREATMENTS
dc.subjectTUBERCULOSIS
dc.subjectUNEMPLOYMENT
dc.subjectUSE OF HEALTH SERVICES
dc.subjectVACCINATION
dc.subjectVISITS
dc.subjectWORKERS
dc.subjectWORKING CONDITIONS
dc.titleSustaining Universal Health Coverage in France : A Perpetual Challengeen
dspace.entity.typePublication
okr.date.disclosure2014-10-10
okr.date.doiregistration2025-05-05T12:02:04.983926Z
okr.doctypePublications & Research::Working Paper
okr.doctypePublications & Research
okr.docurlhttp://documents.worldbank.org/curated/en/2014/06/20279044/sustaining-universal-health-coverage-france-perpetual-challenge
okr.globalpracticeHealth, Nutrition, and Population
okr.guid452591468038118776
okr.identifier.externaldocumentum000442464_20141010131231
okr.identifier.internaldocumentum20279044
okr.identifier.report91323
okr.language.supporteden
okr.pdfurlhttp://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2014/10/10/000442464_20141010131231/Rendered/PDF/913230WP0UHC0C00Box385331B00PUBLIC0.pdfen
okr.region.administrativeEurope and Central Asia
okr.region.countryFrance
okr.topicHealth Monitoring and Evaluation
okr.topicLaw and Development::Health Law
okr.topicHealth Economics and Finance
okr.topicHealth Systems Development and Reform
okr.topicHealth, Nutrition and Population::Population Policies
okr.unitHealth, Nutrition, and Population (HNP) Family of the World Bank's Human Development Network (HDN)
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