Protecting households from catastrophic health spending

被引:556
|
作者
Xu, Ke [1 ]
Evans, David B. [1 ]
Carrin, Guido [1 ]
Aguilar-Rivera, Ana Mylena [1 ]
Musgrove, Philip [1 ]
Evans, Timothy [1 ]
机构
[1] WHO, Dept Hlth Syst Financing, Hlth Syst & Serv, CH-1211 Geneva, Switzerland
关键词
D O I
10.1377/hlthaff.26.4.972
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Many countries rely heavily on patients' out-of-pocket payments to providers to finance their health care systems. This prevents some people from seeking care and results in financial catastrophe and impoverishment for others who do obtain care. Surveys in eighty-nine countries covering 89 percent of the world's population suggest that 150 million people globally suffer financial catastrophe annually because they pay for health services. Prepayment mechanisms protect people from financial catastrophe, but there is no strong evidence that social health insurance systems offer better or worse protection than tax-based systems do.
引用
收藏
页码:972 / 983
页数:12
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