The role of institutional design and organizational practice for health financing performance and universal coverage

Mathauer, Inke; Carrin, Guy

doi:10.1016/j.healthpol.2010.09.013

Cited by 53 publications

(60 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some of the differences could be attributed to the specific characteristics of the PC systems operating in the health services of both countries. Although both are universal and access-based, and use the Beveridge model of funding (Mathauer and Carrin, 2011), the PC model is more physician-based in Spain and more teamwork-based in Brazil (community-orientated PC model) (Melo et al, 2015). In addition, the PC system in Brazil was implemented more recently than in Spain, which may also explain some differences.…”

Section: Discussionmentioning

confidence: 99%

Self-Criticism: A Measure of Uncompassionate Behaviors Toward the Self, Based on the Negative Components of the Self-Compassion Scale

et al. 2016

View full text Add to dashboard Cite

Background: The use of the Self-Compassion Scale (SCS) as a single measure has been pointed out as problematic by many authors and its originally proposed structure has repeatedly been called into question. The negative facets of this construct are more strongly related to psychopathology than the positive indicators. The aim of this study was to evaluate and compare the different structures proposed for the SCS, including a new measure based only on the negative factors, and to assess the psychometric features of the more plausible solution.Method: The study employed a cross-sectional and cross-cultural design. A sample of Brazilian (n = 406) and Spanish (n = 416) primary care professionals completed the SCS, and other questionnaires to measure psychological health-related variables. The SCS factor structure was estimated using confirmatory factor analysis by the maximum likelihood method. Internal consistency was assessed by squaring the correlation between the latent true variable and the observed variables. The relationships between the SCS and other constructs were analyzed using Spearman's rs.Results: The structure with the best fit was comprised of the three negative first-order factors of “self-judgment”, “isolation” and “over-identification”, and one negative second-order factor, which has been named “self-criticism” [CFI = 0.92; RMSEA = 0.06 (90% CI = 0.05–0.07); SRMR = 0.05]. This solution was supported by both samples, presented partial metric invariance [CFI = 0.91; RMSEA = 0.06 (90% CI = 0.05–0.06); SRMR = 0.06], and showed significant correlations with other health-related psychological constructs. Reliability was adequate for all the dimensions (R ≥ 0.70).Conclusions: The original structure proposed for the SCS was not supported by the data. Self-criticism, comprising only the negative SCS factors, might be a measure of uncompassionate behaviors toward the self, with good psychometric properties and practical implications from a clinical point of view, reaching a stable structure and overcoming possible methodological artifacts.

show abstract

Section: Discussionmentioning

confidence: 99%

Self-Criticism: A Measure of Uncompassionate Behaviors Toward the Self, Based on the Negative Components of the Self-Compassion Scale

et al. 2016

View full text Add to dashboard Cite

show abstract

“…Such pooling also can help the villagers cope with the additional cost of climate change exuberated health impacts and help achieve funding for universal coverage [46]. The lack of socialized fund-pooling mechanisms exacerbates the situation as high costs might exclude poor people from access to effective health care [47]. Latko B et al 2011 stated that “taking money from poor people when they are sick is not a good idea” [48], this inequality needs to be addressed by health system reform [49].…”

Section: Discussionmentioning

confidence: 99%

Health coping strategies of the people vulnerable to climate change in a resource-poor rural setting in Bangladesh

et al. 2013

View full text Add to dashboard Cite

BackgroundAmong the many challenges faced by the people of Bangladesh, the effects of climate change are discernibly threatening, impacting on human settlement, agricultural production, economic development, and human health. Bangladesh is a low-income country with limited resources; its vulnerability to climate change has influenced individuals to seek out health coping strategies. The objectives of the study were to explore the different strategies/measures people employ to cope with climate sensitive diseases and sickness.MethodsA cross-sectional study was conducted among 450 households from Rajshahi and Khulna districts of Bangladesh selected through multi-stage sampling techniques, using a semi-structured questionnaire supplemented by 12 focus group discussions and 15 key informant interviews.ResultsRespondents applied 22 types of primary health coping strategies to prevent climate related diseases and sickness. To cope with health problems, 80.8% used personal treatment experiences and 99.3% sought any treatments available at village level. The percentage of respondents that visited unqualified health providers to cope with climate induced health problems was quite high, namely 92.7% visited village doctors, 75.9% drug stores, and 67.3% self-medicated. Ninety per cent of the respondents took treatment from unqualified providers as their first choice. Public health facilities were the first choice of treatment for only 11.0% of respondents. On average, every household spent Bangladesh Currency Taka 9,323 per year for the treatment of climate sensitive diseases and sickness. Only 46% of health expenditure was managed from their savings. The rest, 54% expenditure, was supported by using 24 different sources, such as social capital and the selling of family assets. The rate of out-of-pocket payment was almost 100%.ConclusionPeople are concerned about climate induced diseases and sickness and sought preventive as well as curative measures to cope with health problems. The most common and widely used climate health coping strategies among the respondents included self-medicating and seeking the health service of unqualified private health care providers. Per family spending to cope with such health problems is expensive and completely based on out of pocket payment. There is no fund pooling, community funding or health insurance program in rural areas to support the health coping of the people. Policies are needed to reduce out-of-pocket payment, to improve the quality of the unqualified providers and to extend public health services at rural areas and support climate related health coping. Collection of such knowledge on climate related health coping strategies can allow researchers to study any specific issue on health coping, and policy makers to initiate effective climate related health coping strategies for climate vulnerable people.

show abstract

“…The institutional design of health insurance refers to the set of legal provisions and regulations that prescribe how an insurer undertakes the collection of contributions, pooling and purchasing [72]. This has direct implications on administrative costs.…”

Section: Insurance Design Aspectsmentioning

confidence: 99%

A global overview of health insurance administrative costs: what are the reasons for variations found?

Mathauer

Nicolle

2011

Health Policy

Self Cite

View full text Add to dashboard Cite

The role of institutional design and organizational practice for health financing performance and universal coverage

Cited by 53 publications

References 9 publications

Self-Criticism: A Measure of Uncompassionate Behaviors Toward the Self, Based on the Negative Components of the Self-Compassion Scale

Self-Criticism: A Measure of Uncompassionate Behaviors Toward the Self, Based on the Negative Components of the Self-Compassion Scale

Health coping strategies of the people vulnerable to climate change in a resource-poor rural setting in Bangladesh

A global overview of health insurance administrative costs: what are the reasons for variations found?

Contact Info

Product

Resources

About