Community Involvement in Health Care Financing : A Survey of the Literature on the Impact, Strengths, and Weaknesses

The paper reviews 45 published and unpublished reports on community financing completed between 1990 and 2001. The main objective of the study was to explore performance measures reported in the literature regarding community financing. The study c...

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Main Authors: Jakab, Melitta, Krishnan, Chitra
Format: Working Paper
Language:English
en_US
Published: World Bank, Washington, DC 2013
Subjects:
Online Access:http://documents.worldbank.org/curated/en/2001/09/3542970/community-involvement-health-care-financing-survey-literature-impact-strengths-weaknesses
http://hdl.handle.net/10986/13706
id okr-10986-13706
recordtype oai_dc
spelling okr-10986-137062021-04-23T14:03:09Z Community Involvement in Health Care Financing : A Survey of the Literature on the Impact, Strengths, and Weaknesses Jakab, Melitta Krishnan, Chitra ACCOUNTABILITY ADVERSE SELECTION COMMUNITIES COMMUNITY ACTION COMMUNITY CONTROL COMMUNITY FINANCING COMMUNITY HEALTH COMMUNITY INITIATIVES COMMUNITY INVOLVEMENT COMMUNITY MEMBERS COMMUNITY PARTICIPATION COMPARATIVE STUDIES COST SHARING DRUGS ECONOMIES OF SCALE EMPLOYMENT EXPENDITURES HEALTH CARE HEALTH CARE FINANCING HEALTH CARE SERVICES HEALTH CARE UTILIZATION HEALTH FINANCING HEALTH INSURANCE HEALTH POLICY HEALTH SECTOR HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEMS HOSPITALIZATION INCOME INFORMAL SECTOR INSURANCE INSURANCE SYSTEMS INSURERS INTERNATIONAL ORGANIZATIONS ISOLATION LESSONS LEARNED LOW INCOME LOW- INCOME COUNTRIES LOW-INCOME COUNTRIES MEDICINE MUTUAL AID NUTRITION OUTREACH PERFORMANCE CRITERIA PHYSICAL DISABILITY PILOT TESTS POLICY RESEARCH PREGNANT WOMEN PRIMARY HEALTH CARE PRIVATE INSURANCE PUBLIC SECTOR PURCHASING RISK SHARING SELECTION BIAS SOCIAL EXCLUSION SOCIAL INSURANCE SOCIAL MOBILIZATION USER FEES WORKERS HEALTH CARE HEALTH FINANCE HEALTH ECONOMICS COMMUNITY PARTICIPATION POVERTY & HEALTH COMMUNITY FINANCING HEALTH CARE REFORM The paper reviews 45 published and unpublished reports on community financing completed between 1990 and 2001. The main objective of the study was to explore performance measures reported in the literature regarding community financing. The study concluded that the reviewed literature is rich in describing scheme design and implementation. At the same time, evidence on the performance of community financing schemes is limited. The study focused on reporting measures on three indicators in particular: Resource mobilization capacity. Community financing mechanisms mobilize significant resources for health care. However, there is a large variation in the resource mobilization capacity of various schemes. This review did not find systematic estimates about how much community financing contributes to health revenues at the local and/or national level. Social inclusion. Community financing is effective in reaching a large number of low-income populations who would otherwise have no financial protection against the cost of illness. There is large variation in the size of various schemes. At the same time, there are no estimates about the total population covered through community financing. There are indications that the poorest and socially excluded groups are not automatically reached by community financing initiatives. Financial protection. Community-based health financing schemes are systematically reported to reduce the out-of-pocket spending of their members while increasing their utilization of health care services. 2013-05-30T18:26:07Z 2013-05-30T18:26:07Z 2001-09 http://documents.worldbank.org/curated/en/2001/09/3542970/community-involvement-health-care-financing-survey-literature-impact-strengths-weaknesses http://hdl.handle.net/10986/13706 English en_US HNP discussion paper series; CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Working Paper Publications & Research
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ACCOUNTABILITY
ADVERSE SELECTION
COMMUNITIES
COMMUNITY ACTION
COMMUNITY CONTROL
COMMUNITY FINANCING
COMMUNITY HEALTH
COMMUNITY INITIATIVES
COMMUNITY INVOLVEMENT
COMMUNITY MEMBERS
COMMUNITY PARTICIPATION
COMPARATIVE STUDIES
COST SHARING
DRUGS
ECONOMIES OF SCALE
EMPLOYMENT
EXPENDITURES
HEALTH CARE
HEALTH CARE FINANCING
HEALTH CARE SERVICES
HEALTH CARE UTILIZATION
HEALTH FINANCING
HEALTH INSURANCE
HEALTH POLICY
HEALTH SECTOR
HEALTH SERVICES
HEALTH SYSTEM
HEALTH SYSTEMS
HOSPITALIZATION
INCOME
INFORMAL SECTOR
INSURANCE
INSURANCE SYSTEMS
INSURERS
INTERNATIONAL ORGANIZATIONS
ISOLATION
LESSONS LEARNED
LOW INCOME
LOW- INCOME COUNTRIES
LOW-INCOME COUNTRIES
MEDICINE
MUTUAL AID
NUTRITION
OUTREACH
PERFORMANCE CRITERIA
PHYSICAL DISABILITY
PILOT TESTS
POLICY RESEARCH
PREGNANT WOMEN
PRIMARY HEALTH CARE
PRIVATE INSURANCE
PUBLIC SECTOR
PURCHASING
RISK SHARING
SELECTION BIAS
SOCIAL EXCLUSION
SOCIAL INSURANCE
SOCIAL MOBILIZATION
USER FEES
WORKERS HEALTH CARE
HEALTH FINANCE
HEALTH ECONOMICS
COMMUNITY PARTICIPATION
POVERTY & HEALTH
COMMUNITY FINANCING
HEALTH CARE REFORM
spellingShingle ACCOUNTABILITY
ADVERSE SELECTION
COMMUNITIES
COMMUNITY ACTION
COMMUNITY CONTROL
COMMUNITY FINANCING
COMMUNITY HEALTH
COMMUNITY INITIATIVES
COMMUNITY INVOLVEMENT
COMMUNITY MEMBERS
COMMUNITY PARTICIPATION
COMPARATIVE STUDIES
COST SHARING
DRUGS
ECONOMIES OF SCALE
EMPLOYMENT
EXPENDITURES
HEALTH CARE
HEALTH CARE FINANCING
HEALTH CARE SERVICES
HEALTH CARE UTILIZATION
HEALTH FINANCING
HEALTH INSURANCE
HEALTH POLICY
HEALTH SECTOR
HEALTH SERVICES
HEALTH SYSTEM
HEALTH SYSTEMS
HOSPITALIZATION
INCOME
INFORMAL SECTOR
INSURANCE
INSURANCE SYSTEMS
INSURERS
INTERNATIONAL ORGANIZATIONS
ISOLATION
LESSONS LEARNED
LOW INCOME
LOW- INCOME COUNTRIES
LOW-INCOME COUNTRIES
MEDICINE
MUTUAL AID
NUTRITION
OUTREACH
PERFORMANCE CRITERIA
PHYSICAL DISABILITY
PILOT TESTS
POLICY RESEARCH
PREGNANT WOMEN
PRIMARY HEALTH CARE
PRIVATE INSURANCE
PUBLIC SECTOR
PURCHASING
RISK SHARING
SELECTION BIAS
SOCIAL EXCLUSION
SOCIAL INSURANCE
SOCIAL MOBILIZATION
USER FEES
WORKERS HEALTH CARE
HEALTH FINANCE
HEALTH ECONOMICS
COMMUNITY PARTICIPATION
POVERTY & HEALTH
COMMUNITY FINANCING
HEALTH CARE REFORM
Jakab, Melitta
Krishnan, Chitra
Community Involvement in Health Care Financing : A Survey of the Literature on the Impact, Strengths, and Weaknesses
relation HNP discussion paper series;
description The paper reviews 45 published and unpublished reports on community financing completed between 1990 and 2001. The main objective of the study was to explore performance measures reported in the literature regarding community financing. The study concluded that the reviewed literature is rich in describing scheme design and implementation. At the same time, evidence on the performance of community financing schemes is limited. The study focused on reporting measures on three indicators in particular: Resource mobilization capacity. Community financing mechanisms mobilize significant resources for health care. However, there is a large variation in the resource mobilization capacity of various schemes. This review did not find systematic estimates about how much community financing contributes to health revenues at the local and/or national level. Social inclusion. Community financing is effective in reaching a large number of low-income populations who would otherwise have no financial protection against the cost of illness. There is large variation in the size of various schemes. At the same time, there are no estimates about the total population covered through community financing. There are indications that the poorest and socially excluded groups are not automatically reached by community financing initiatives. Financial protection. Community-based health financing schemes are systematically reported to reduce the out-of-pocket spending of their members while increasing their utilization of health care services.
format Publications & Research :: Working Paper
author Jakab, Melitta
Krishnan, Chitra
author_facet Jakab, Melitta
Krishnan, Chitra
author_sort Jakab, Melitta
title Community Involvement in Health Care Financing : A Survey of the Literature on the Impact, Strengths, and Weaknesses
title_short Community Involvement in Health Care Financing : A Survey of the Literature on the Impact, Strengths, and Weaknesses
title_full Community Involvement in Health Care Financing : A Survey of the Literature on the Impact, Strengths, and Weaknesses
title_fullStr Community Involvement in Health Care Financing : A Survey of the Literature on the Impact, Strengths, and Weaknesses
title_full_unstemmed Community Involvement in Health Care Financing : A Survey of the Literature on the Impact, Strengths, and Weaknesses
title_sort community involvement in health care financing : a survey of the literature on the impact, strengths, and weaknesses
publisher World Bank, Washington, DC
publishDate 2013
url http://documents.worldbank.org/curated/en/2001/09/3542970/community-involvement-health-care-financing-survey-literature-impact-strengths-weaknesses
http://hdl.handle.net/10986/13706
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