Résumé
Abstract Several low- and middle-income countries are considering health financing system reforms to accelerate progress toward universal health coverage (UHC). However, empirical evidence of the effect of health financing systems on health system outcomes is scarce, partly because it is difficult to quantitatively capture the ?health financing system?. We assign country-year observations to one of three health financing systems (i.e., predominantly out-of-pocket, social health insurance (SHI) or government-financed), using clustering based on out-of-pocket, contributory SHI and non-contributory government expenditure, as a percentage of total health expenditures. We then estimate the effect of these different systems on health system outcomes, using fixed effects regressions. We find that transitions from OOP-dominant to government-financed systems improved most outcomes more than did transitions to SHI systems. Transitions to government financing increases life expectancy (+1.3 years, p
langue originale | Anglais |
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Pages (de - à) | 574-619 |
Nombre de pages | 46 |
journal | Health Economics |
Volume | 32 |
Numéro de publication | 3 |
Date de mise en ligne précoce | 9 nov. 2022 |
Les DOIs | |
état | Publié - mars 2023 |
Une note bibliographique
Publisher Copyright:© 2022 The Authors. Health Economics published by John Wiley & Sons Ltd.