Equity in Health and Health Care in the Philippines

Son, Hyun H.

doi:10.2139/ssrn.1616951

Cited by 15 publications

(12 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In other words, people with similar healthcare needs continue to receive varying levels of healthcare depending on their income i.e. the ability to pay, which is consistent with findings from other studies conducted in LMICs (5,6,16,27). The income-related differences in outpatient care utilization varied considerably from state to state.…”

Section: Discussionsupporting

confidence: 87%

Equity in the utilization of healthcare services in India: evidence from National Sample Survey

Ghosh

2014

Int J Health Policy Manag

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 87%

Equity in the utilization of healthcare services in India: evidence from National Sample Survey

Ghosh

2014

Int J Health Policy Manag

View full text Add to dashboard Cite

show abstract

“…However, two consecutive national surveys in 2001 and 2005 demonstrated that the inequity gap was closing, although the pro-rich and pro-poor utilisation between the two health sectors persisted (18). In contrast, gaps were widening between the rich and the poor from 1998 to 2007 in healthcare utilisation in the Philippines (19). Nonetheless, the lack of recent findings on equity in the Philippines limits the comparison to be drawn with Malaysia.…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic Status Affecting Inequity of Healthcare Utilisation in Malaysia

Bakar

Manual

Hamid

2019

MJMS

View full text Add to dashboard Cite

Background Equity is one of the important aspects of universal health coverage. Variation in socioeconomic status (SES) has been proved to contribute discrepancies in the use of healthcare services. This study aimed to assess equity for inpatient, outpatient and dental care utilisation by household SES over time. Methods This study used five series of National Health and Morbidity Survey data from 1986 to 2015. Healthcare utilisation for inpatient, outpatient and dental care were analysed. SES was grouped based on household expenditure variables accounting for total number of adults and children in the household using consumption per adult equivalents approach. The determination of healthcare utilisation across the SES segments was measured using concentration index. Results The overall distribution of inpatient utilisation tended towards the pro-poor, although only data from 1996 ( P -value = 0.017) and 2006 ( P -value = 0.021) were statistically significant ( P < 0.05). Out-patient care showed changing trends from initially being pro-rich in 1986 ( P < 0.05), then gradually switching to pro-poor in 2015 ( P < 0.05). Dental care utilisation was significantly pro-rich throughout the survey period ( P < 0.05). Public providers mostly showed significantly pro-poor trends for both in- and out-patient care ( P < 0.05). Private providers, meanwhile, constantly showed a significantly pro-rich ( P < 0.05) trend of utilisation. Conclusion Total health utilisation was close to being equal across SES throughout the years. However, this overall effect exhibited inequities as the effect of pro-rich utilisation in the private sector negated the pro-poor utilisation in the public sector. Strategies to improve equity should be consistent by increasing accessibility to the private sectors, which has been primarily dominated by the richest population.

show abstract

“…In the study of Holzer et al (2014), hot spots were defined as "sources of high hospital costs" a geographical location which where most of the hospital costs come from. 23 This can be a community or even a small set of households located in a single place that availed most of the hospital services over a certain period of time. Throughout their study, Holzer et al identified hot spots as specific addresses where costs are the highest identified through the use of hospital data identifying a patient's address.…”

Section: B Hot Spotting As a Decision-making Tool For Health Investmentmentioning

confidence: 99%

A Call for an Evidence-informed Criteria Selection to Guide Equitable Health Investments in the Era of Universal Health Care: Policy Analysis

Silva¹,

Zarsuelo²,

Naria-Maritana³

et al. 2020

Acta Med Philipp

View full text Add to dashboard Cite

Background. The passage of the Universal Health Care (UHC) Act in the Philippines in early 2019 intensified the need to ensure equitable health investments by the government. Exploring the different criteria and indicators that are used to determine areas that are most in need of health services can help local and national health authorities determine priorities for health investments given finite resources. Methods. A systematic review of literature on determinants of health equity and other indicators was conducted as pre-work to generate discussion points to the roundtable discussion participated by all major key stakeholders. Shared insights and expertise were thematically analyzed to produce a policy paper with consensus policy recommendations. Results. Based on the review of the literature and the discussion, indicators (mainly physical inaccessibility and socio-economic factors) for identifying Geographically Isolated and Disadvantaged Areas (GIDA) in DOH Administrative Order 185, s. 2004 is used to prioritize municipalities for health investments. Review of other policies and guidelines to determine the level of health needs and prioritizing investments yielded to four laddered domains: geographic, population characteristics (e.g., social and cultural determinants of access), health system (e.g., health service delivery), and health status. These domains may provide a more equitable set of metrics for health investment. The Local Investment Plan for Health (LIPH) is the current process used for health-related investments at the local level and may be revised to be more responsive to the requirements set by the UHC Act 2018. Hot spotting to concentrate health services by communities may be a more rapid approach to investment planning for health. Bed capacity as a specific metric in the UHC Act 2018 highlights the need for a review of the Hospital Licensure Act 2004. Conclusion and Recommendations. To aid in determining priorities for health investments, a comprehensive integrated analysis of resources, determinants, and indicators should be done to determine the need and the gaps in the available resources. Innovative strategies can also be best implemented such as mathematical models or formulas. Lastly, current strategies in the development, monitoring, and evaluation of investment planning for health at different levels should be strengthened, expanded, and harmonized with other existing development plans.

show abstract

Equity in Health and Health Care in the Philippines

Cited by 15 publications

References 10 publications

Equity in the utilization of healthcare services in India: evidence from National Sample Survey

Equity in the utilization of healthcare services in India: evidence from National Sample Survey

Socioeconomic Status Affecting Inequity of Healthcare Utilisation in Malaysia

A Call for an Evidence-informed Criteria Selection to Guide Equitable Health Investments in the Era of Universal Health Care: Policy Analysis

Contact Info

Product

Resources

About