A Case Study and State of Science Review: Private versus Public Healthcare Financing

Sampath, Poongodi; Wilson, Donna M.

doi:10.5539/gjhs.v4n1p118

Cited by 3 publications

(2 citation statements)

References 14 publications

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“…and shifting towards decentralization is one of the most important reforms of health systems (11). Evidence suggest that inadequate and ongoing monitoring of the private sector may negatively influence the countries' ability to deal with future epidemics (12). Nevertheless, concerning the challenges of the COVID-19 pandemic, decentralized systems may be considered as vulnerable (10).…”

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confidence: 99%

Strengthening Health Systems; the Basis for Controlling Corona Virus Pandemics

2020

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confidence: 99%

Strengthening Health Systems; the Basis for Controlling Corona Virus Pandemics

2020

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“…One possible solution is demon-strated in a comparison between the US and Canada, where the universal model of health care has been shown to reduce most disparities in access to care [10]. In reverse, the adoption of private health insurance is predicted to have distinct negative effects of creating inequity in access for low-income groups in Canada [11]. An alternative solution is offered from an historical perspective.…”

Section: Introductionmentioning

confidence: 99%

An autonomous model of health care: Are third parties really needed?

Frangenberg¹

2013

Health

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This proposal offers a novel approach to the organization and financing of health care and is explored for its impact on the current United States system as the most prominent outlier regarding excessive cost in relation to value. The unique nature of health as a private and common good as well as a foundation for equal opportunity has eluded satisfactory management through either market forces or government intervention. The remedy is an independent, citizen-carried cooperative administrative structure, whose members own and apply their aggregate assets for their own benefit according to democratic principles. Citizens are assessed at a collectively approved rate of equitable tax deductions proportionate to their means for a designated health care fund. The resulting single payer guarantees standardization of services and reimbursements with an expanding emphasis on outcome towards optimum population health. Transparency ensures parity and flexibility for diversity and a goal of personalized medicine. All persons are enrolled on the basis of their civil status as beneficiaries. A close partnership between integrated providers and patients is practiced towards an affordable balance between investment in and value of services. Thus financing is a closed loop and therefore the most effective cost control mechanism at the individual and collective levels. Other than a regulatory and oversight function of government, the traditional third parties, namely employers, insurers and public subsidizing entities, are no longer required for catering to individual health care needs. Useful functions of existing institutions are transitioned into direct collective consumer control. Far reaching positive social, economic and political consequences are explored. The principles of this new approach have general societal appeal.

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Determinants of Health Status and Public Policies Implications – Lessons for Romania

Toader

Fîrţescu

Oprea

2017

TRAS

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The primary aim of this study is to assess the actual impact of healthcare public financing on population health status, while controlling for other non-financial health determinants. There are plenty of heterogeneous studies dealing with the negative or positive effects of different products consumption (e.g. sugar, alcohol, tobacco, fruits, vegetables, etc.) on people's health. Starting from the relevant ones, we kept for our models those non-financial variables with public available data, used as control variables. After performing variable selection, we ranked the actual impact of different public expenditures categories on health status change, using simple and multiple regression fixed-effects techniques on a panel dataset regarding the European members of OECD (ranging from 1970 to 2014).Our results show that financing preventive care has the strongest positive impact on the health status, followed by auxiliary (ancillary) services. Administrative expenditures for the healthcare system do not have a significant influence, suggesting there is available room to enhance the effectiveness and performance of sanitary institutions management. Our results also show that life expectancy is negatively affected by the consumption of alcohol and sugar, in a decreasing order. These results were then connected with Romanian realities regarding health care financing and people's consumption habits. In strong connection with our findings and these realities, this study provides, as a final part, a set of policy recommendations useful for Romanian public authorities in designing their policies, as well as for other interested non-governmental actors.

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A Case Study and State of Science Review: Private versus Public Healthcare Financing

Cited by 3 publications

References 14 publications

Strengthening Health Systems; the Basis for Controlling Corona Virus Pandemics

Strengthening Health Systems; the Basis for Controlling Corona Virus Pandemics

An autonomous model of health care: Are third parties really needed?

Determinants of Health Status and Public Policies Implications – Lessons for Romania

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