A body of research on patterns, determinants and consequences of
public and private health expenditures in developing countries is
emerging, much of it linked to efforts to develop health accounts at
the national or regional levels. On this page, we post links or citations for current articles related to the theme.
The IDB, USAID, PAHO and the World
Bank are working together to identify sources of funding for
research that would contribute new knowledge about health spending in Latin America and the Caribbean.
See below for links and check back for updates on
our progress.
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Research Articles |
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Author
|
Publication
date |
Title
[Format,
Language] |
Description |
Publisher |
| Barraza-Llorens,
M.; Bertozzi, S., Gonzalez-Pier, E.; Gutierrez, J. P. |
2002 |
Addressing
inequity in health and health care in Mexico [PDF,
English] |
Despite the fact that life expectancy at birth
in Mexico has improved from forty-two years in 1940 to
seventy-three in 2000, major inequalities persist in health
and access to health care. The Mexican health care system has
evolved into a series of disjointed subsystems that are
incapable of delivering universal health insurance. Without
greatly restructuring the way health care is financed,
performance with respect to equity will remain poor. This
paper presents the inequities of the system and describes how
the current system contributes to the status quo rather than
redressing the situation. After tracing the origins of the
present system, we discuss policy initiatives for moving
toward universal health insurance. |
Health
Affairs |
| Deaton, A. |
2001 |
Counting
the World's Poor: Problems and Possible Solutions
[PDF, English] |
The apparent lack
of poverty reduction in the face of historically high rates of
economic growth-both in the world as a whole and in specific
countries-provides fuel for the argument that economic growth
does little to reduce poverty. At the international level, the
regular revision of purchasing power parity exchange rates
plays havoc with the poverty estimates, changing them in ways
that have little or nothing to do with the actual experience
of the poor. At the domestic level, the problems in measuring
poverty are important not only for the world count but also
for tracking poverty within individual countries. Yet in many
countries there are large and growing discrepancies between
the survey data-the source of poverty counts-and the national
accounts-the source of measure of economic growth. Thus
economic growth, as measured, has at best a weak relationship
with poverty, as measured. |
The
World Bank Research Observer |
| Medici, A. C. |
2005 |
Public
and Private Health Financing in Latin American and The
Caribbean During the Nineties: A Brief Analysis [PDF, Portuguese] |
The purpose of this paper
is to analyze the public and private financing to the health
sector in Latin America and the Caribbean (LAC) during the
nineties. It begins by explaining how public and private
financing works in the health sector, describing some of the
particularities of both sectors and the synergies between them.
Next, it analyses how both sectors had been financed in
Latin America, discussing some characteristics and trends, and evaluates the scarce
evidence available
about the contribution of both sectors to better
performance and equity in health. The last part of the paper
summarizes its findings and presents the main conclusions. |
Sustainable
Development Department, IDB |
|
Medici, A. C.
|
2003
|
Family
Spending on Health in Brazil: Some Indirect Evidence of the
Regressive Nature of Public Spending in Health [ PDF,
English] |
The analysis presented in this report
compares the structure of family spending on health in Brazil
between 1987 and 1996, while indirectly identifying the impact
of universal access to health care on family spending. |
Sustainable
Development Department, IDB |
| Medici, A. C. |
2002 |
Financing
Health Policies in Brazil [ 81 kB, PDF, English] |
This article assesses the decentralization process of the
Brazilian health sector, evaluating the principal measures
used by the government to address financing and equity issues
in the composition and distribution of the expenditures. Based
on this analysis, it describes some of the problems that still
persist in relation to the public financing of health services
in Brazil, pointing out some of the possible solutions. |
Sustainable
Development Department, IDB |
| Musgrove, P.;
Zeramdini, R. |
2001 |
A
Summary Description of Health Financing in WHO Member States
[PDF, English]
|
This paper is meant to provide a descriptive
analysis of what WHO Member States are currently spending on
health and how it is financed. The objective is to see what
patterns, if any, emerge from simple comparisons and to
comment on what such patterns imply for the adequacy of
spending and the distribution of the financial burden among
sources of finance and among households. |
Commission
on Macroeconomics of Health Working Paper Series |
| Reinhardt,
Uwe E.; Hussey, Peter S.; Anderson, Gerard F. |
2002 |
Cross-national
comparisons of health systems using OECD data, 1999
[PDF, English] |
This paper presents selected
components of the 1999 OECD Health Data. Previous trends in
spending for health care, supply and use of health care
resources, and health status are updated for the thirty
industrialized countries in the OECD. In 1999 the United
States spent 53 percent more on health care than any other
OECD country spent. The paper reviews two possible reasons for
the difference: economic development and population aging. It
discusses spending, supply, and utilization for specific
categories of health care services: pharmaceuticals,
physicians, hospitals, and high-technology services. The paper
concludes with a consideration of the strengths and weaknesses
of using OECD data to compare health systems. |
Health
Affairs |
| Schieber,
G.; Maeda, A. |
1999 |
Health
care financing and delivery in developing countries [PDF,
English] |
Developing countries account for 84%
of world population and 93% of the worldwide burden of
disease; however, they account for only 18% of global income
and 11% of global health spending. Limited resources and
administrative capacity coupled with strong underlying needs
for services pose serious challenges to governments in the
developing world. This paper analyzes health spending, health
outcomes, and health delivery system characteristics for the
six developing regions of the world as well as for low-,
medium-, and high-income country groupings. |
Health
Affairs |
|
Research Organizations |
| Alliance for
Health Policy and Systems Research (AHPSR) |
AHPSR is an initiative of the Global
Forum for Health Research, with the collaboration of the World
Health Organization. It aims to promote the use of
knowledge for enhancing health system performance, and
provides a space for sharing of the best practices on how to
achieve health goals, plan, manage and finance activities to
improve health.
|
| European
Health Policy Research Network (EHPRN) |
The EHPRN, founded by the late Professor Brian Abel-Smith,
comprises a distinguished list of academics from centres of
excellence throughout Europe. It builds on the work of
established centres of excellence and aims to develop a
continuous liaison between researchers and policy makers at
the heart of Europe. To this end, scholars and researchers
from the Network's institutions meet periodically to
participate in workshops, conferences, and training and
research activities.
|
|
José Luis Bobadilla Health Policies Prize |
The José Luis Bobadilla Health Policies Prize has been
created to stimulate research in health policy and into the
health system reform processes in Latin America and the
Caribbean.
|
| International Health Systems Program (IHSP) at the Harvard
School of Public Health
|
Harvard’s IHSP
has contributed to the development of methods for measuring
and analyzing health expenditure, as well as to the
application of those methods in more than 30 countries.
|
| Nucleus
of Collection, Analysis and Diffusion on Initiatives in Health
System Reform (NAADIIR) |
The website, available in Spanish and
English, describes an initiative that aims to:
- Promote comparative analysis of
international healthcare reform efforts.
- Obtain, classify and publicize documentation on healthcare
policies and their reform.
- Support discussion of subjects relating to health care
reform in developing countries.
|
| PAHO
Research Coordination Program |
The Research Coordination Program of
the Division of Health and Human Development cooperates with
the countries of the Region to develop knowledge that
contributes to alleviate relevant public health problems of
their populations. The Strategic and Programmatic Orientations
approved by the Pan-American Sanitary Conference and the
recommendations of the PAHO's Advisory Committee on Health
Research (ACHR) are the main guidelines to orient the work of
this Program. |
| World
Bank Trust Fund for Statistical Capacity Building |
The Trust Fund for Statistical
Capacity Building (TFSCB) has been established by the
Development Data Group of the World Bank to strengthen the
capacity of statistical systems in developing countries. It
provides a global facility, administered by the World Bank on
behalf of donors, to make investments at the national,
regional and global levels to improve the collection,
processing, analysis, storage, dissemination and use of
timely, good quality statistics to support poverty reduction
and economic and social development. |
| World
Bank Institute's
Flagship On-Line Journal |
This 'Online Journal' disseminates
short articles on new and promising approaches to improving
health, nutrition and population outcomes, as well as lessons
learned about approaches that did not perform as expected.
Many of the articles describe experiences with innovative
health care financing strategies. |
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