Challenges of Rasthryia Swasthya Bima Yojana (RSBY) in West Bengal, India: An exploratory study

Bandyopadhyay, Satarupa; Sen, Kasturi

doi:10.1002/hpm.2453

Cited by 6 publications

(1 citation statement)

References 21 publications

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“…The existence of robust regulatory frameworks for setting and/or controlling payment rates at healthcare facilities in LMICs varies between countries. For example, in the countries reviewed, India, Nigeria and the Philippines have no strict remuneration control in place, neither for public nor private healthcare facilities [41][42][43][44][45], and Ghana, Malawi and Tanzania allow private facilities to set their own fee schedules [29,30,46]. As discussed earlier, designing incentives requires consideration of the roles of public and private healthcare providers, understanding of how the parallel funding flows from government are structured, and awareness of how multiple funding flows operate in the health system.…”

Section: Price and Payment Regulationmentioning

confidence: 99%

Payment Arrangements for Private Healthcare Purchasing Under Publicly Funded Systems in Low- and Middle-Income Countries: Issues and Implications

Honda

Obse

2020

Appl Health Econ Health Policy

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This paper examines private healthcare purchasing under publicly financed health systems in low-and middle-income countries (LMICs) to argue that the payment methods and rates applied to private and public health providers need careful attention to ensure equity, efficiency and quality in healthcare service provision. Specifically, public purchasers should develop a clear mechanism to establish justifiable payment rates for the purchase of private health services under publicly funded systems, using cost information and appropriate engagement with private health providers. In order to determine the validity of payment arrangements with private providers, clarification of the shared roles and responsibilities of public and private healthcare providers is required, including specification of types of services to be delivered by public and private providers, and the services for which public providers receive government budget and salaries above payments for other publicly funded services. In addition, carefully designed payment methods should include incentives to encourage healthcare providers to deliver efficient, equitable and quality health services, which requires consideration of how the healthcare purchasing market is structured. Furthermore, governments should establish sound legal frameworks to ensure that public purchasers establish 'strategic' payment arrangements with healthcare providers and that healthcare providers are able to respond to the incentives sent by the payment arrangements. To deepen understanding of public purchasing of private healthcare services and gain further insight in the LMIC context, in-depth empirical studies are necessary on the payment methods and rates used by public purchasers in a range of settings and the implications of payment arrangements on efficiency, equity and quality in healthcare service provision.

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Section: Price and Payment Regulationmentioning

confidence: 99%

Payment Arrangements for Private Healthcare Purchasing Under Publicly Funded Systems in Low- and Middle-Income Countries: Issues and Implications

Honda

Obse

2020

Appl Health Econ Health Policy

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Health seeking behaviour and its determinants in urban areas of developing countries: A primary survey in Kolkata city, India

Patra

Bandyopadhyay

2020

Health Planning & Management

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The aim of universal access to health care for most of the developing countries seems more challenging nowadays with rapid urbanization. We analyzed the health seeking behavior, as an indicator of the health access situation, its determinants and equitability among slum vs non-slum population in Kolkata. Public hospitals, found to be preferred by less-educated and uninsured people and provided cheaper service, although struggled with high indirect-costs and access barriers. People with high opportunity cost and higher social background were found to be more serious about treatment. However, the slum and non-slum people did not differ significantly in their health-seeking behaviour. A strengthened public health system with reduced access barrier is recommended. K E Y W O R D S health seeking behaviour, India, private vs public hospital, slum vs non-slum, urban health 1 | INTRODUCTION For most of the developing countries, the declared aim of the universal access to health care 1 becomes more challenging with the rapid urbanization. Reports showed that 54% of world population in 2015 lived in urban areas 1 and 828 Million of slum population of the world lived in developing countries. 2 Moreover, health care access situation in urban area is more complex than, and different from, the rural one in many ways, and hence, the question arises The work was carried out in the

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An Ethical Analysis of the ‘Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna (PM-JAY)’ Scheme using the Stakeholder Approach to Universal Health Care in India

Dholakia

2020

ABR

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Challenges of Rasthryia Swasthya Bima Yojana (RSBY) in West Bengal, India: An exploratory study

Cited by 6 publications

References 21 publications

Payment Arrangements for Private Healthcare Purchasing Under Publicly Funded Systems in Low- and Middle-Income Countries: Issues and Implications

Payment Arrangements for Private Healthcare Purchasing Under Publicly Funded Systems in Low- and Middle-Income Countries: Issues and Implications

Health seeking behaviour and its determinants in urban areas of developing countries: A primary survey in Kolkata city, India

An Ethical Analysis of the ‘Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna (PM-JAY)’ Scheme using the Stakeholder Approach to Universal Health Care in India

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