Beyond Survival : Protecting Households from Health Shocks in Latin America

Baeza, Cristian C.; Packard, Truman G.

Beyond Survival : Protecting Households from Health Shocks in Latin America

Autores

Baeza, Cristian C.

Packard, Truman G.

Editor

Palo Alto, CA: Stanford University Press
Washington, DC: World Bank

Descripción

This book breaks new ground in the ongoing debate about health finance and financial protection from the costs of health care. The evidence and discussion support the need to consider financial protection, in addition to health status, as a policy objective when setting priorities for health systems. This book reviews the Latin American experience with health reform in the last 20 years and the fundamentals of health system financing, using new evidence to show the magnitude and mechanisms that determine the impoverishing effects of health events (diseases, accidents, and those of the life cycle). It provides options for policy makers on how to protect, and help household to protect themselves, against this impoverishment. The authors use empirical evidence from six case studies commissioned for this report, on Argentina, Chile, Colombia, Ecuador, Honduras, and Mexico. This book provides policy makers with a solid conceptual basis for decisions on the contents of mandatory health insurance benefit packages, choices of financing mechanisms, and the roles of public policy in this field. It provides an in-depth analysis of, and organizational alternatives for, risk pooling and health insurance for financial protection. It analyzes the urgent need to extend risk pooling to the informal sector, the challenges for current social insurance arrangements, and options for policy makers to effectively extend risk pooling to the informal sector.

Palabras clave

ACCESS TO HEALTH SERVICES, ACCOUNTING, ADVERSE SELECTION, AGED, AUTONOMY, CENTER FOR HEALTH, CITIZENS, CIVIL SERVICE, COMMUNITY HEALTH, COST OF CARE, COST OF HEALTH CARE, COST OF HEALTH SERVICES, COSTS OF HEALTH CARE, DEVELOPING COUNTRIES, DISABILITY, DISADVANTAGED GROUPS, DISSEMINATION, ECONOMIC ANALYSIS, ECONOMIES OF SCALE, FAMILY MEMBERS, FINANCIAL IMPACT, FINANCIAL PROTECTION, FINANCIAL RESOURCES, FINANCIAL RISK, FINANCIAL VIABILITY, FORMAL LABOR MARKET, GENERAL HEALTH SYSTEM, GROSS DOMESTIC PRODUCT, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE PROVIDERS, HEALTH CARE SERVICES, HEALTH CARE SYSTEM, HEALTH CARE SYSTEMS, HEALTH COSTS, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH FINANCE, HEALTH FINANCING, HEALTH INSURANCE, HEALTH MANAGEMENT, HEALTH OUTCOMES, HEALTH POLICY, HEALTH RISKS, HEALTH SECTOR, HEALTH SECTOR REFORM, HEALTH SERVICE, HEALTH SERVICES, HEALTH SPENDING, HEALTH STATUS, HEALTH SYSTEM, HEALTH SYSTEM FINANCING, HEALTH SYSTEM PERFORMANCE, HEALTH SYSTEM REFORM, HEALTH SYSTEMS, HEALTH SYSTEMS RESEARCH, HOUSEHOLD INCOME, HUMAN CAPITAL, HUMAN DEVELOPMENT, ILL HEALTH, ILLNESS, INCENTIVES FOR PROVIDERS, INCENTIVES TO SAVE, INCOME GROUPS, INCOME SECURITY, INFORMAL SECTOR, INFORMATION PROBLEMS, INSURANCE, INSURANCE COMPETITION, INSURANCE CONTRIBUTIONS, INSURANCE SCHEMES, INTEGRATED HEALTH CARE, INTERNATIONAL LABOR ORGANIZATION, INTERVENTION, LABOR MARKETS, LABOR SUPPLY, LATIN AMERICAN, LEGAL STATUS, LIFE EXPECTANCY, LOW-INCOME COUNTRIES, LOW-INCOME COUNTRY, MACROECONOMICS, MANAGED CARE, MANDATES, MATERNITY LEAVE, MEDICAL CARE, MEDICAL DOCTOR, MINISTRIES OF HEALTH, MINISTRY OF HEALTH, MINORITY, MORTALITY, NATIONAL HEALTH, NATIONAL HEALTH EXPENDITURES, NATIONAL HEALTH SERVICE, NATIONAL HEALTH SERVICES, NATIONAL HEALTH SYSTEM, NUMBER OF PEOPLE, OLD AGE, OLD-AGE, PATIENT, PATIENT INFORMATION, PATIENT RIGHTS, PENSIONS, POCKET PAYMENTS, POLICY FORMULATION, POLICY IMPLICATIONS, POLICY MAKERS, POOR HOUSEHOLDS, POPULATION GROUPS, POVERTY ALLEVIATION, PREVENTION ACTIVITIES, PRIMARY CARE, PRIVATE HEALTH SERVICES, PRIVATE INSURANCE, PRIVATE SECTOR, PROBABILITY, PUBLIC EXPENDITURES, PUBLIC HEALTH, PUBLIC POLICIES, PUBLIC POLICY, PUBLIC PROVIDERS, PUBLIC SECTOR, PURCHASING POWER, PURCHASING POWER PARITY, REGULATORY FRAMEWORK, REGULATORY FRAMEWORKS, RESOURCE ALLOCATION, RISK MANAGEMENT, SAVINGS, SECURITY POLICY, SERVICE DELIVERY, SERVICE PROVIDERS, SOCIAL DEVELOPMENT, SOCIAL EXCLUSION, SOCIAL HEALTH INSURANCE, SOCIAL INSURANCE, SOCIAL POLICY, SOCIAL SECURITY, SOCIAL SECURITY BENEFITS, SOCIETAL LEVEL, SUBSIDIARY, TAXATION, UNEMPLOYMENT, VACCINATIONS, WORKERS, WORLD HEALTH ORGANIZATION