No user fees, but perhaps user fees

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Abolishing User Fees in Africa

In its 2008 annual report, the World Health Organization (WHO) urged countries to " resist the temptation to rely on user fees " [1, p. 26]. Indeed, the consensus in the scientific community is that user fees have harmful effects on health care use and household budgets, especially for the poorest [2]. Still, as the WHO observes, " …most of the world's health-care systems continue to rely on th...

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Global Health Systems: Pricing and User Fees

This chapter is concerned with the issue of user fees (or user charges) for public health services. We discuss the implications of user fees for cost-e¤ectiveness, allocative e¢ ciency, equity, progressivity of public health care spending, and quality of service. Each of these is a desirable end in itself, and so each is an important factor in the optimal pricing decision. They are not always c...

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How Have User Fees Affected the FDA?

Some policy experts answer that question by arguing that budget constraints contributed to regulatory delays in the past. The reform simply relaxed those constraints by increasing the resources for new-drug review. However, there is little empirical evidence to suggest that changes in the fda’s budget influenced regulatory delays and the speed of review prior to user fees. Other policy experts ...

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ژورنال

عنوان ژورنال: Canadian Medical Association Journal

سال: 2011

ISSN: 0820-3946,1488-2329

DOI: 10.1503/cmaj.109-3988