Financing of health care in four Caribbean territories: a comparison with reforms in Europe

Diabetes‐related inequalities in health status and financial barriers to health care access in a population‐based study

“…This might suggest that the more affluent were able to access additional care in the private sector. In Trinidad the uptake of private health insurance is low, and private providers mainly receive out‐of‐pocket payments from patients [35]. This tends to present greater financial barriers to those on lower incomes [36].…”

“…The higher uptake of private health insurance among the more affluent will tend to accentuate this effect. To address these problems, the Trinidad and Tobago government has recently passed legislation to introduce a national insurance scheme which will provide a choice of private or public providers through the publicly funded system, but this proposed development has not yet been implemented [35,39].…”

Primary care in Caribbean Small Island Developing States

“…Previous studies have compared two to four small islands in the Caribbean region [20,21,22,23]. This review, where the structure of PC of Caribbean SIDS is evaluated and compared to one another, is the first of its kind.…”

“…The majority of documentation was available on Trinidad and Tobago. Information about these islands was included in five articles and four grey literature documents [7,8,[17][18][19][20][21][22][23][24].…”

“…For the islands Anguilla, Aruba, Bahamas, Montserrat and Puerto Rico, there was no information retrieved on the indicator "Expenditure of primary care as a % of total health expenditure". It is unknown if they have a budget and how high this possible budget for PC is, therefore they were scored "0"in this category [7,8,17,[19][20][21][24][25][26][27][28].…”