The main asset of farmers is their labour and the utilization of healthcare services will help to improve their health and thus productivity. Some of the problems inhibiting proper utilization of healthcare services in Nigeria include non-availability, inaccessibility and high cost of medical care. The aim of this paper is to examine the determinants of the Utilization of Healthcare Services am...

For more than three decades healthcare decentralization has been promoted in developing countries as a way of improving the financing and delivery of public healthcare. Decision autonomy under healthcare decentralization would determine the role and scope of responsibility of local authorities. Jalal Mohammed, Nicola North, and Toni Ashton analyze decision autonomy within decentralized services...

This article analyses the redistributive effect caused by health financing and the distribution of healthcare utilization in Argentina before and during the severe 2001/2002 economic crisis. Both dramatically changed during this period: the redistributive effect became much more positive and utilization shifted from pro-poor to pro-rich. This clearly demonstrates that when utilization is contin...

Research objectives Singapore introduced Casemix-based financing for inpatient and day-surgery cases in the public sector in 1999. The application of Casemix has since been extended beyond financing to fields such as benchmarking, clinical quality and utilization review. Casemix data has been invaluable in enabling the tracking and better understanding of quality of care of healthcare providers...

Across the world, the healthcare industry is under tremendous pressure to meet the needs of patients who are no longer passive consumers but active participants; of physicians who are struggling to meet the needs of these patients; and of insurance providers that have to streamline payments and healthcare models to align with emerging healthcare delivery and financing models. In such challengin...

The papers featured in this issue of the Health Care Financing Review were presented at "Eliminating Racial, Ethnic, and SES Disparities in Health Care: A Research Agenda for the New Millennium." This conference was held on October 15, 1999, in the Washington, DC., area and was co-sponsored by the Health Care Financing Administration (HCFA), the Agency for Healthcare Research and Quality (AHRQ)...

This article presents a model of the healthcare value chain which consists of a schematic representation of the Brazilian healthcare system. The proposed model is adapted for the Brazilian reality and has the scope and flexibility for use in academic activities and analysis of the healthcare sector in Brazil. It places emphasis on three components: the main activities of the value chain, groupe...

The chronic nature of many prescription drugs used by Medicare beneficiaries suggests that adverse selection could pose a problem in the market for stand-alone prescription drug plans that were created under the Medicare Modernization Act of 2003. Using panel data on the Medicare population from the Medical Expenditure Panel Survey, we find that prescription drug expenditures are less concentra...

BACKGROUND When a country's health system is faced with fundamental flaws that require the redesign of financing and service delivery, primary healthcare payment systems are often reformed. OBJECTIVES This study was conducted with the purpose of exploring the experiences of risk-adjusted capitation payment of urban family physicians in Iran when it comes to providing primary health care (PHC)...

Fixed assets in public and private healthcare 1999-2018 The presented article deals with the subject of fixed healthcare: their gross value, condition degree wear, broken down into sectors. Above value grew extremely strongly analysed period, particularly impressive healthcare. financing this growth seems to have largest share funds obtained from EU EEA Financial Mechanism Norwegian as well pay...