User Fees as a Form of Cost Sharing In Developing World
نویسنده
چکیده
1990’s were marked by massive introduction of user fee health care plans as a mean of improving efficiency by moderating demand, containing cost, and mobilize more funds for health care than existing sources provided. Introduction of user fees raised a lot of controversy with common claims that their implementation reinforced the poverty trap in developing world, which has considerable health and livelihood impacts. Opponents of user fees argue that their introduction decreases service utilization, do not improve the quality of care and cause medical services to be priced higher than those charged by private healthcare providers. Proponents of user fees relate inter alia to cost recovery, improved equity and greater efficiency. This paper will examine the effect of user charges on the medical care.
منابع مشابه
User fees, health staff incentives, and service utilization in Kabarole District, Uganda.
OBJECTIVE To determine the impact of user fees on the utilization of health services in a community-based cost-sharing scheme in Kabarole District, western Uganda. METHODS Of the 38 government health units that had introduced user-fee financing schemes, 11 were included in the study. Outpatient utilization was assessed as the median number of visits per month before and after cost sharing beg...
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