Social Health Insurance for Developing Nations

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collection.link.143
https://openknowledge.worldbank.org/handle/10986/6609
collection.name.143
WBI Development Studies
dc.contributor.author
Hsiao, William C.
dc.contributor.author
Shaw, R. Paul
dc.contributor.other
Fraker, Andrew
dc.contributor.other
Hanvoravongchai, Piya
dc.contributor.other
Jowett, Matthew
dc.contributor.other
Pinto, Diana
dc.contributor.other
Ramachandra, Sreekanth
dc.date.accessioned
2012-06-01T15:41:46Z
dc.date.available
2012-06-01T15:41:46Z
dc.date.issued
2007
dc.date.lastModified
2017-12-14T04:49:31Z
dc.description.abstract
Good health is necessary for well-being but also has another critical impact: it causes poverty, in that large health expenditures can bankrupt families. Many nations are now hoping that formally mandated social health insurance (SHI), involving payroll taxes, will provide a solution. This report examines the principles, design, and practices of SHI for low and middle-income nations and the necessary conditions for its viability and sustainability, with a focus on design and implementation issues. This volume presents five country case studies to provide evidence and greater detail on key issues that arise at different stages of implementation in low-income countries. They have been selected to reflect on a continuum and timeline of operational stages, beginning with the initial design and legislation of SHI, the first phase of implementation, the expansion to cover larger segments of the population, and on up to completion, whereby SHI becomes the predominant form of health care financing in a country. Accordingly, Kenya has been selected for illustration of the design stage, Ghana for initiation, the Philippines for extension of population coverage, Colombia for SHI and reform of health care delivery, and Thailand for universal coverage and reform of health care delivery. This sequencing and implied timeline of case studies allows this report to reflect on two questions. First, where can a country expect to be in relation to designing and implementing SHI in, say, 10 years? Second, as countries gain experience with SHI, what can they expect to offer or achieve in terms of variations in benefit design, who administers SHI, and how providers are contracted and paid?
en
dc.identifier
http://documents.worldbank.org/curated/en/2007/01/8517127/social-health-insurance-developing-nations
dc.identifier.isbn
0-8213-6949-0
dc.identifier.uri
http://hdl.handle.net/10986/6860
dc.language
English
dc.language.iso
en_US
dc.publisher
Washington, DC: World Bank
dc.relation.ispartofseries
WBI Development Studies
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
ABILITY TO PAY
dc.subject
ACCESS TO HEALTH SERVICES
dc.subject
ACCOUNTING
dc.subject
ADMINISTRATIVE COSTS
dc.subject
ADMINISTRATIVE SUPPORT
dc.subject
ADVERSE SELECTION
dc.subject
ANNUAL CONTRIBUTIONS
dc.subject
APPLICABLE LAW
dc.subject
BANKS
dc.subject
BASIC HEALTH CARE
dc.subject
BASIC HEALTH SERVICES
dc.subject
BENEFICIARIES
dc.subject
BENEFIT ENTITLEMENTS
dc.subject
BENEFITS SCHEME
dc.subject
BUDGET ALLOCATION
dc.subject
CAPITAL INVESTMENTS
dc.subject
CAPITATION
dc.subject
CERTIFICATION
dc.subject
CHILD HEALTH
dc.subject
CHILD HEALTH SERVICES
dc.subject
CHOICE OF PROVIDERS
dc.subject
CITIES
dc.subject
CLINICAL INFORMATION
dc.subject
CLINICAL QUALITY
dc.subject
CLINICS
dc.subject
COMMODITIES
dc.subject
COMMUNITY HEALTH
dc.subject
COMPETITION AMONG INSURERS
dc.subject
COMPETITION AMONG PROVIDERS
dc.subject
COMPETITIVE INSURANCE MARKET
dc.subject
COMPULSORY CONTRIBUTIONS
dc.subject
CONTRIBUTION
dc.subject
CONTRIBUTION RATE
dc.subject
CONTRIBUTION SYSTEM
dc.subject
CONTRIBUTIONS
dc.subject
COST RECOVERY
dc.subject
COST SHARING
dc.subject
COST-EFFECTIVENESS
dc.subject
CUSTOMER SERVICE
dc.subject
DEATH DECISIONS
dc.subject
DELIVERY OF HEALTH SERVICES
dc.subject
DELIVERY SYSTEM
dc.subject
DELIVERY SYSTEMS
dc.subject
DETERMINATION OF ELIGIBILITY
dc.subject
DEVELOPMENT BANK
dc.subject
DIAGNOSIS
dc.subject
DISABILITY
dc.subject
DISASTERS
dc.subject
DIVERSIFICATION
dc.subject
DOCTORS
dc.subject
DRUGS
dc.subject
ECONOMIC DEVELOPMENT
dc.subject
ECONOMIC REVIEW
dc.subject
EMPLOYMENT
dc.subject
ENROLLEES
dc.subject
EQUILIBRIUM
dc.subject
EQUITABLE ACCESS TO HEALTH CARE
dc.subject
FAMILIES
dc.subject
FEE-FOR-SERVICE
dc.subject
FEE-FOR-SERVICE BASIS
dc.subject
FINANCIAL LOSS
dc.subject
FINANCIAL POSITION
dc.subject
FINANCIAL RISKS
dc.subject
FINANCIAL SUPPORT
dc.subject
HEALTH BUDGETS
dc.subject
HEALTH CARE
dc.subject
HEALTH CARE COSTS
dc.subject
HEALTH CARE DELIVERY
dc.subject
HEALTH CARE FINANCING
dc.subject
HEALTH CARE PROVISION
dc.subject
HEALTH CARE REFORM
dc.subject
HEALTH CARE SPENDING
dc.subject
HEALTH CARE SYSTEM
dc.subject
HEALTH CARE SYSTEMS
dc.subject
HEALTH CENTERS
dc.subject
HEALTH COVERAGE
dc.subject
HEALTH ECONOMICS
dc.subject
HEALTH EXPENDITURE
dc.subject
HEALTH EXPENDITURES
dc.subject
HEALTH EXPERTS
dc.subject
HEALTH FACILITIES
dc.subject
HEALTH FINANCING
dc.subject
HEALTH INSURANCE
dc.subject
HEALTH INSURANCE FUND
dc.subject
HEALTH INSURANCE PLAN
dc.subject
HEALTH INSURANCE PROGRAM
dc.subject
HEALTH INSURANCE SCHEMES
dc.subject
HEALTH INSURER
dc.subject
HEALTH ORGANIZATION
dc.subject
HEALTH ORGANIZATIONS
dc.subject
HEALTH PLANS
dc.subject
HEALTH POLICY
dc.subject
HEALTH PROFESSIONALS
dc.subject
HEALTH PROGRAMS
dc.subject
HEALTH PROJECT
dc.subject
HEALTH SECTOR
dc.subject
HEALTH SECTOR REFORM
dc.subject
HEALTH SERVICE
dc.subject
HEALTH SERVICE DELIVERY
dc.subject
HEALTH SERVICES
dc.subject
HEALTH STATUS
dc.subject
HEALTH SYSTEM
dc.subject
HEALTH SYSTEMS
dc.subject
HOSPITAL CARE
dc.subject
HOSPITAL SERVICES
dc.subject
HOSPITALS
dc.subject
HOUSEHOLD EXPENDITURE
dc.subject
HOUSEHOLD INCOME
dc.subject
HUMAN RESOURCES
dc.subject
HYGIENE
dc.subject
ILLNESS
dc.subject
IMMUNIZATION
dc.subject
IMPERFECT INFORMATION
dc.subject
INCOME
dc.subject
INCOME COUNTRIES
dc.subject
INCOME GROUP
dc.subject
INCOME HOUSEHOLDS
dc.subject
INCOME LEVEL
dc.subject
INCOME LEVELS
dc.subject
INCOMES
dc.subject
INDUCED DEMAND
dc.subject
INFANT MORTALITY
dc.subject
INFANT MORTALITY RATE
dc.subject
INFLATION
dc.subject
INFORMAL SECTOR
dc.subject
INFORMAL SECTOR WORKERS
dc.subject
INFORMATION SYSTEMS
dc.subject
INSURANCE COVERAGE
dc.subject
INSURANCE FUNDS
dc.subject
INSURANCE MARKETS
dc.subject
INSURANCE PLAN
dc.subject
INSURANCE PLANS
dc.subject
INSURANCE POLICY
dc.subject
INSURANCE PREMIUM
dc.subject
INSURANCE PREMIUMS
dc.subject
INSURANCE SYSTEMS
dc.subject
LABOR MARKET
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LARGE ENTERPRISES
dc.subject
LEGAL REMEDIES
dc.subject
LIABILITY
dc.subject
LOW INCOME
dc.subject
LOW-INCOME
dc.subject
LOW-INCOME COUNTRIES
dc.subject
LOW-INCOME PEOPLE
dc.subject
MANAGED CARE
dc.subject
MANDATORY CONTRIBUTIONS
dc.subject
MARKET CONDITIONS
dc.subject
MARKETING
dc.subject
MEDICAL ASSOCIATION
dc.subject
MEDICAL BENEFITS
dc.subject
MEDICAL CARE
dc.subject
MEDICAL EXPENSES
dc.subject
MEDICAL FACILITIES
dc.subject
MEDICAL RECORDS
dc.subject
MEDICAL SERVICES
dc.subject
MEDICARE
dc.subject
MINIMUM BENEFITS
dc.subject
MORAL HAZARD
dc.subject
MORTALITY
dc.subject
NATIONAL HEALTH
dc.subject
NATIONAL HEALTH EXPENDITURE
dc.subject
NATIONAL HEALTH EXPENDITURES
dc.subject
NATIONAL HEALTH INSURANCE
dc.subject
NATIONAL HEALTH SPENDING
dc.subject
NATIONAL INSURANCE
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NONGOVERNMENTAL ORGANIZATIONS
dc.subject
NUTRITION
dc.subject
PATIENT
dc.subject
PATIENTS
dc.subject
PHARMACIES
dc.subject
PHYSICIANS
dc.subject
POCKET PAYMENTS
dc.subject
POVERTY RATE
dc.subject
PREMIUM RATES
dc.subject
PREPAYMENT SCHEMES
dc.subject
PRICE RATIONING
dc.subject
PRIMARY CARE
dc.subject
PRIVATE HOSPITALS
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PRIVATE INSURANCE
dc.subject
PRIVATE SECTOR
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PRIVATE SECTORS
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PRODUCTIVITY
dc.subject
PROVISION OF HEALTH CARE
dc.subject
PUBLIC EXPENDITURE
dc.subject
PUBLIC EXPENDITURES
dc.subject
PUBLIC HEALTH
dc.subject
PUBLIC HEALTH SERVICES
dc.subject
PUBLIC HOSPITAL
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PUBLIC HOSPITALS
dc.subject
PUBLIC PROVIDERS
dc.subject
PUBLIC PROVISION
dc.subject
PUBLIC PROVISION OF INSURANCE
dc.subject
PUBLIC SECTOR
dc.subject
PUBLIC SPENDING
dc.subject
PURCHASES
dc.subject
PURCHASING POWER
dc.subject
QUALITY OF HEALTH
dc.subject
QUALITY OF HEALTH CARE
dc.subject
RECURRENT COSTS
dc.subject
REFORM OF HEALTH CARE
dc.subject
REMEDIES
dc.subject
RESPONSIBILITIES
dc.subject
SALARIES
dc.subject
SALES
dc.subject
SMALL EMPLOYERS
dc.subject
SOCIAL DEVELOPMENT
dc.subject
SOCIAL HEALTH INSURANCE
dc.subject
SOCIAL INSURANCE
dc.subject
SOCIAL SECURITY
dc.subject
STAKEHOLDERS
dc.subject
TEACHING HOSPITALS
dc.subject
WAGE
dc.subject
WAGES
dc.subject
WORKERS
dc.title
Social Health Insurance for Developing Nations
en
okr.date.disclosure
2010-04-20
okr.doctype
Publications & Research :: Publication
okr.doctype
Publications & Research :: Publication
okr.docurl
http://documents.worldbank.org/curated/en/2007/01/8517127/social-health-insurance-developing-nations
okr.globalpractice
Health, Nutrition, and Population
okr.globalpractice
Governance
okr.globalpractice
Health, Nutrition, and Population
okr.googlescholar.linkpresent
yes
okr.identifier.doi
10.1596/978-0-8213-6949-4
okr.identifier.externaldocumentum
000020439_20071017162851
okr.identifier.internaldocumentum
8517127
okr.identifier.report
41171
okr.language.supported
en
okr.pdfurl
http://www-wds.worldbank.org/external/default/WDSContentServer/WDSP/IB/2007/10/17/000020439_20071017162851/Rendered/PDF/411710PAPER0So101OFFICIAL0USE0ONLY1.pdf
en
okr.peerreview
Academic Peer Review
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
Health, Nutrition and Population
okr.unit
Office of the Publisher (EXTOP)
okr.volume
1 of 1

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