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首页> 外文期刊>Journal of health economics >Financial protection of patients through compensation of providers: The impact of Health Equity Funds in Cambodia
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Financial protection of patients through compensation of providers: The impact of Health Equity Funds in Cambodia

机译：通过提供者补偿为患者提供财务保护：柬埔寨健康公平基金的影响

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摘要

Public providers have no financial incentive to respect their legal obligation to exempt the poor from user fees. Health Equity Funds (HEFs) aim to make exemptions effective by giving NGOs responsibility for assessing eligibility and compensating providers for lost revenue. We use the geographic spread of HEFs over time in Cambodia to identify their impact on out-of-pocket (OOP) payments. Among households with some OOP payment, HEFs reduce the amount paid by 35%, on average. The effect is larger for households that are poorer and mainly use public health care. Reimbursement of providers through a government operated scheme also reduces household OOP payments but the effect is not as well targeted on the poor. Both compensation models raise household non-medical consumption but have no impact on health-related debt. HEFs reduce the probability of primarily seeking care in the private sector.
机译：公共提供者没有经济动机去尊重其免除穷人使用费的法律义务。卫生公平基金（HEF）的目的是通过赋予非政府组织责任来评估资格并补偿提供者的收入损失，从而使豁免有效。我们使用HEF在柬埔寨随时间的地域分布来确定其对自付费用（OOP）付款的影响。在有一定的自付额付款的家庭中，HEF将支付的金额平均降低35％。对于较贫穷且主要使用公共卫生保健的家庭而言，影响更大。通过政府运作的计划对提供者进行的补偿也减少了家庭自用支出，但效果并不完全针对穷人。两种补偿模式都增加了家庭的非医疗消费，但对与健康有关的债务没有影响。 HEF降低了主要在私营部门寻求护理的可能性。

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  • 来源
    《Journal of health economics》 |2013年第6期|1180-1193|共14页
  • 作者

    Gabriela Flores; Por Ir; Chean R.Men; Owen ODonnell; Eddy van Doorslaer;

  • 作者单位

    Institute of Health Economics and Management, University of Lausanne. Switzerland,Institute of Health Policy and Management, Erasmus University Rotterdam, The Netherlands;

    Institute of Tropical Medicine, Antwerp, Belgium,National Institute of Public Health, Ministry of Health, Cambodia;

    URC& Centre for Advanced Studies, Cambodia;

    University of Macedonia, Greece,Erasmus School of Economics, Erasmus University Rotterdam, The Netherlands,Tinbergen Institute, The Netherlands;

    Institute of Health Policy and Management, Erasmus University Rotterdam, The Netherlands,Erasmus School of Economics, Erasmus University Rotterdam, The Netherlands,Tinbergen Institute, The Netherlands;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Health Financing; User fees; Financial protection; Health care; Cambodia;

    机译：卫生筹资;使用费;财务保护;卫生保健;柬埔寨;

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