What Can Financing Schemes and Payment Systems Do to Improve Pandemic Response?
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World Bank, Washington, DC
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The budget allocation in response to
the COVID-19 pandemic indicates an increase in both health
and non-health sectors, together with policy prioritization
to mitigate socioeconomic damage globally. In contrast with
responses to previous economic crises, many governments
instead expanded their budget, resulting in increased
support for the health care sector. However, a significant
portion of the budget was allocated to economic stimulus and
industrial investment. Accordingly, the budget allocated to
prevention and response to infectious diseases in the health
care sector was relatively small, or it was spent from
ear-marked resources such as social health insurance.
However, health crises such as the pandemic required an
essential workforce and additional services to protect
population health and expedite the socioeconomic recovery.
In this sense, strengthening the sustainability and
resilience of the health care system was a way toward
national security and economic growth. Governments would
need to allocate additional budgets to the health sector in
response to health crisis, and mobilize earmarked funds
collected from social insurance contributions. The latter
enables the provision of essential health services with or
without governments’ financial support. A mixed payment
system could boost surge capacity in the health care system
and provide incentives for medical providers.
Palabras clave
POST-COVID PUBLIC SPENDING, POST-PANDEMIC HEALTH CARE SECTOR SUPPORT, HEALTH FINANCING, SOCIOECONOMIC RECOVERY FROM COVID, INFECTIOUS DISEASE PREVENTION