Financial protection of patients through compensation of providers: the impact of Health Equity Funds in Cambodia

Détails

ID Serval
serval:BIB_44F8D486BC17
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Financial protection of patients through compensation of providers: the impact of Health Equity Funds in Cambodia
Périodique
Journal of Health Economics
Auteur(s)
Flores G., Ir P., Men C.R., O'Donnell O., van Doorslaer E.
ISSN
1879-1646 (Electronic)
ISSN-L
0167-6296
Statut éditorial
Publié
Date de publication
2013
Volume
32
Numéro
6
Pages
1180-1193
Langue
anglais
Résumé
Public providers have no financial incentive to respect their legal obligation to exempt the poor from user fees. Health Equity Funds (HEFs) aim to make exemptions effective by giving NGOs responsibility for assessing eligibility and compensating providers for lost revenue. We use the geographic spread of HEFs over time in Cambodia to identify their impact on out-of-pocket (OOP) payments. Among households with some OOP payment, HEFs reduce the amount paid by 35%, on average. The effect is larger for households that are poorer and mainly use public health care. Reimbursement of providers through a government operated scheme also reduces household OOP payments but the effect is not as well targeted on the poor. Both compensation models raise household non-medical consumption but have no impact on health-related debt. HEFs reduce the probability of primarily seeking care in the private sector.
Mots-clé
Health Financing , User fees , Financial protection , Health care , Cambodia
Pubmed
Web of science
Création de la notice
26/11/2013 9:19
Dernière modification de la notice
20/08/2019 13:49
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