Governing a single-payer mandatory health insurance system: the case from Estonia

Autorid: Habicht T
Märksõnad: tervishoid, tervishoiureformid, ravikindlustus, tervishoiukorraldus, sotsiaalmajanduslikud näitajad, finantseerimine, terviseteenused, seadused
Välja antud: 2007
Avaldamise koht: Chapter in Sawedoff WD and Gottret P eds. Governing mandatory health insurance: Learning from experience. Washington, DC: World Bank
Tüüp: Raamat
Nimi SuurusFormaat
Habicht2007.doc2.06 MBMicrosoft Word
Alamvaldkonnad:Tervisepoliitika rakendamine ja hindamine
Terviseteenuste korraldus, kättesaadavus ja kvaliteet
Kirjeldus: Mandatory health insurance schemes are being proposed or expanded in many developing countries, yet problems with governing such systems have emerged in countries with longer experiences of them. This manuscript looks at the institutional and political forces that affect the behavior of mandatory health insurance entities within their social and historical context. It considers how coherent decision-making structures; stakeholder participation; supervision and regulation; consistency and stability; and transparency and information influence such entities- coverage, financial protection, and efficiency. It addresses these questions with experiences from four countries- Chile, Costa Rica, Estonia, and the Netherlands and develops lessons for developing countries related to these important dimensions of governance with special attention to questions of assuring solvency, financial protection, and quality health care services.