Resources for Chapter 10

Health Financing Systems

What the chapter is about

This chapter introduces the topic of health financing. The goal of health financing systems is to maximise the quality and quantity of healthcare within the available resources. The chapter introduces the key functions of a health financing system: revenue raising, risk pooling, resource allocation and service provision. These topics are developed further in subsequent chapters. The chapter concludes by looking at public-private partnerships and their roles at a national and a global level.

Listen to an AI-generated discussion about the contents of the chapter

The case studies from this chapter are from:

  • Canada
  • China
  • Japan
  • Sub-Saharan Africa
  • United Kingdom

References with links to full text where available

Abuzaineh, N., Brashers, E., Foong, S., Feachem, R., & Da Rita, P. (2018). PPPs in healthcare: Models, lessons and trends for the future. PWC.  
https://www.pwc.com/gx/en/healthcare/assets/ppps-in-healthcare.pdf

Ahangar, A., Ahmadi, A. M., Mozayani, A. H. M., & Dizaji, S. F. (2018). Why are risk-pooling and risk-sharing arrangements necessary for financing healthcare and improving health outcomes in low and lower-middle-income countries? Health, 10(1), 122-131.

Akitoby B (2018) Raising Revenue, Finance and Development, International Monetary Fund, March 2018, https://www.imf.org/en/Publications/fandd/issues/2018/03/akitoby

Ao, Y.; Feng, Q.; Zhou, Z.; Chen, Y.; Wang, T. (2022) Resource Allocation Equity in the China’s Rural Three-Tier Healthcare System. Int. J. Environ. Res. Public Health, 19, 6589. https://doi.org/10.3390/ijerph19116589

Canadian Institute for Health Information (2019) National Health Expenditure Trends, 1975 to 2019. Ottawa, ON: CIHI; 2019.

Cooray, U., Aida, J., Watt, R.G., Tsakos, G., Heilmann, A., Kato, H., Kiuchi, S., Kondo, K. and Osaka, K., (2020). Effect of co-payment on dental visits: A regression discontinuity analysis. Journal of dental research, 99(12), 1356-1362.

Evans, D. B., Kurowski, C., & Tediosi, F. (2023). Health System Financing. In Global Health Essentials (pp. 291-295). Cham: Springer International Publishing.

Eze, P., Lawani, L. O., Agu, U. J., Amara, L. U., Okorie, C. A., & Acharya, Y. (2022). Factors associated with catastrophic health expenditure in sub-Saharan Africa: A systematic review. Plos one, 17(10), e0276266.-

Gabani, J., Mazumdar, S., & Suhrcke, M. (2023). The effect of health financing systems on health system outcomes: A cross‐country panel analysis. Health Economics, 32(3), 574-619.

Government of Canada (1985) Canada Health Act (R.S.C., 1985, c. C-6)    
https://laws-lois.justice.gc.ca/PDF/C-6.pdf

Hanefeld J. (2014). The Global Fund to Fight AIDS, Tuberculosis and Malaria: 10 years on. Clinical medicine (London, England), 14(1), 54–57. https://doi.org/10.7861/clinmedicine.14-1-54

Ifeagwu, S. C., Yang, J. C., Parkes-Ratanshi, R., & Brayne, C. (2021). Health financing for universal health coverage in Sub-Saharan Africa: a systematic review. Global health research and policy, 6, 1-9.

Jowett, M., Kutzin, J., & World Health Organisation. (2015). Raising revenues for health in support of UHC: strategic issues for policy makers (No. WHO/HIS/HGF/PolicyBrief/15.1). World Health Organisation.

Kazungu, J. S., Barasa, E. W., Obadha, M., & Chuma, J. (2018). What characteristics of provider payment mechanisms influence healthcare providers’ behaviour? A literature review. The International journal of health planning and management, 33(4), e892-e905.

Mathauer, I., Vinyals Torres, L., Kutzin, J., Jakab, M., & Hanson, K. (2020). Pooling financial resources for universal health coverage: options for reform. Bulletin of the World Health Organisation, 98(2), 132–139. https://doi.org/10.2471/BLT.19.234153

Organisation for Economic Co-operation and Development.(OECD)  (2017). Classification of healthcare functions (ICHA-HC). In OECD/Eurostat/WHO, A system of health accounts 2011: Revised edition (pp. 71–120). https://www.oecd-ilibrary.org/docserver/97892642

70985-7-en.pdf?expires=1676164467&id=id&accname=guest&checksum=74132FA46A 419EFCE561A59EE44C0F8F

Saugat Pratap, K. C., Sharma, S., Pandey, A. R., & Baral, S. C. (2023). Nepal health financing in light of federalism and pandemic. Perspectives in public health, 143(5), 249–251. https://doi.org/10.1177/17579139231180750.

Syafinaz, I Haslinda, N, Juni, MH and Aljaberi, M (2018) Health Care Provision And Equity, Vol 3:No. 4.

Tang, L., Shen, Q., & Cheng, E. W. (2010). A review of studies on public–private partnership projects in the construction industry. International journal of project management, 28(7), 683-694.

United Nations. (2015). Transforming our world: The 2030 agenda for sustainable development.

World Health Organisation. (2010). The world health report: health systems financing: the path to universal coverage: executive summary (No. WHO/IER/WHR/10.1). World Health Organisation. https://apps.who.int/iris/bitstream/handle/10665/70496/WHO_IER_WHR_10.1_chi.pdf

World Health Organisation (2023) Leveraging public financial management for universal health coverage in the WHO South-East Asia Region: A Regional Synthesis Report ISBN: 978-92-9021-086-3   

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