...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of health services research & policy >Assessing the effects of removing user fees in Zambia and Niger
【24h】

Assessing the effects of removing user fees in Zambia and Niger

机译：评估消除赞比亚和尼日尔的用户费用的影响

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives: This study aims to overcome some of the limitations of previous studies investigating the effects of fee removal, by looking at heterogeneity of effects within countries and over time, as well as the existence of spillover effects on groups not targeted by the policy change. Methods: Using routine district health services data before and after recent abolitions of user charges in Zambia and Niger, we examine the effects of the policy change on the use of health services by different groups and over time, using an interrupted timeseries design. Results: Removing user fees for primary health care services in rural districts in Zambia and for children over five years old in Niger increased use of services by the targeted groups. The impact of the policy change differed widely across districts, ranging from + 12% and +194% in Niger to -39% and +108% in Zambia. Eighteen months after the policy change, some of these effects had been eroded. There was evidence that abolishing user fees can both have positive and negative spillover effects. Conclusion: These results highlight the importance of paying attention to implementation challenges and monitoring the effects of policy reforms which are often more mixed and complicated that they appear. The comparison of these reforms in two countries also sheds light on the potentially different ways in which free care can be used as a tool to improve access.
机译：目的：本研究旨在克服先前研究调查费用拆除影响的一些局限性，通过看着国家内部的影响和随着时间的推移，以及对政策变化没有针对的团体的溢出效应的存在。方法：在赞比亚和尼日尔近期取消用户费用前后使用日常区卫生服务数据，我们使用中断的时期设计来检查政策变化对不同群体使用卫生服务使用的影响。结果：在青赞比亚农村地区和尼日尔五岁多年儿童中删除初级保健服务的费用增加了目标群体的使用。政策变化的影响在地区的广泛不同，尼日尔的+ 12％和+ 194％+ 194％，在赞比亚的-39％和+ 108％。政策变化的十八个月后，一些这些效果被侵蚀。有证据表明，废除用户费用都可以具有正负溢出效应。结论：这些结果突出了关注实施挑战并监测政策改革的影响，这些改革往往更加混合，并复杂化。两国这些改革的比较也阐明了潜在的不同方式，其中自由护理可以用作改善进入的工具。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号