2010
DOI: 10.1111/j.1365-3156.2010.02529.x
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Social protection in health: the need for a transformative dimension

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Cited by 11 publications
(8 citation statements)
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References 10 publications
(10 reference statements)
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“…Direct payment for care by users compensates for shortfalls in state funding since the supply of health care generally involves financial costs to be recovered [ 10 , 21 , 23 – 28 ]. In the absence of a financial protection system, these costs become high relative to household income, reducing households’ access to care [ 10 , 21 , 23 – 30 ] and/or becoming catastrophic or impoverishing expenses [ 22 , 31 – 33 ].…”
Section: Discussionmentioning
confidence: 99%
“…Direct payment for care by users compensates for shortfalls in state funding since the supply of health care generally involves financial costs to be recovered [ 10 , 21 , 23 – 28 ]. In the absence of a financial protection system, these costs become high relative to household income, reducing households’ access to care [ 10 , 21 , 23 – 30 ] and/or becoming catastrophic or impoverishing expenses [ 22 , 31 – 33 ].…”
Section: Discussionmentioning
confidence: 99%
“…Such road necessarily includes what Michielsen and colleagues term ‘the dimension of transformation’ of social protection in health: “transforming the social and institutional context (…) to counteract exclusion and deprivation of the right to health and quality care” [ 85 ]. To be substantive, transformation needs realisation of citizenship and political action at state level.…”
Section: Resultsmentioning
confidence: 99%
“…Direct payment for care by users compensates for shortfalls in state funding since the supply of health care generally involves nancial costs to be recovered [9,[21][22][23][24][25][26][27]. In the absence of a nancial protection system, these costs become high relative to household income, reducing households' access to care [9,[21][22][23][25][26][27][28][29][30] and/or becoming catastrophic or impoverishing expenses [20,[31][32][33].…”
Section: Discussionmentioning
confidence: 99%
“…Direct payment for care by users compensates for shortfalls in state funding since the supply of health care generally involves nancial costs to be recovered [9,[21][22][23][24][25][26][27]. In the absence of a nancial protection system, these costs become high relative to household income, reducing households' access to care [9,[21][22][23][25][26][27][28][29][30] and/or becoming catastrophic or impoverishing expenses [20,[31][32][33]. Several surveys around the world have shown that this method of payment constitutes a barrier to access to quality health care [19,[34][35][36][37][38][39] and leads to a lack of equity and universal health coverage [2,6,10,14,[19][20][21][22].The same is true for interventions that reduce the case fatality rate among women with obstetric complications, which in this case cause high, unaffordable, catastrophic and impoverishing costs for households in resource-poor countries.…”
Section: Discussionmentioning
confidence: 99%