Mitigating the Impact of the Global Economic Crisis on Household Health Spending
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World Bank, Washington, DC
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The ongoing financial and economic
crisis has hit hard the lives of citizens in Eastern Europe
and Central Asian (ECA) countries. Economic growth has
started to dip, unemployment is rising and government
revenues are expected to fall. The crisis is having a direct
impact on the ability of households to pay for health care,
a situation that will likely be exacerbated as real
government spending on health care declines in many
countries due to reduced revenues from the general
government budget and payroll-funded health insurance.
Patients may have to pay higher prices for health care, make
do with reduced access to necessary health services and
medicines, and face other health-related financial hardships
as well. This brief draws on the experience of countries
(outside ECA) in coping with public financing shortfalls, to
provide suggestions for mitigating the impact on ECA
households of reduced public health spending. First,
however, it is important to examine private health spending
patterns in the ECA region.
Palabras clave
ACCESS TO CARE, ACCESS TO HEALTH CARE, ACCESS TO SERVICES, CHILD HEALTH, COMMUNICABLE DISEASES, COST SHARING, COST-SHARING REQUIREMENTS, DECISION MAKING, DRUGS, FAMILIES, FINANCIAL BARRIERS, FINANCIAL CATASTROPHE, GROWTH IN HEALTH SPENDING, HEALTH CARE, HEALTH CARE DELIVERY, HEALTH CARE FACILITIES, HEALTH CARE FINANCE, HEALTH CARE PROVIDERS, HEALTH CARE SERVICES, HEALTH EXPENDITURE, HEALTH EXPENDITURES, HEALTH FINANCING, HEALTH INSURANCE, HEALTH ORGANIZATION, HEALTH PROFESSIONALS, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE USE, HEALTH SERVICES, HEALTH SYSTEMS, HEALTH-CARE, HEALTH-CARE SYSTEMS, HOMELESS PEOPLE, HOSPITALS, HOUSEHOLD EXPENDITURE, HOUSEHOLD INCOME, INCOME, INCOME COUNTRIES, INCOME GROUPS, INFORMAL PAYMENTS, INFORMAL SECTOR, INFORMAL SECTOR WORKERS, INFORMATION CAMPAIGNS, INFORMATION SYSTEM, INPATIENT CARE, INSURANCE, MEDICAL TECHNOLOGIES, MEDICINES, NUTRITION, OUTPATIENT CARE, PATIENTS, PAYMENTS FOR HEALTH SERVICES, PAYMENTS FOR INSURANCE, POCKET PAYMENTS, POCKET PAYMENTS FOR HEALTH CARE, PREGNANCY, PREVENTIVE HEALTH CARE, PRIMARY CARE, PRIMARY HEALTH CARE, PRIVATE HEALTH INSURANCE, PRIVATE INSURANCE, PRIVATE SECTOR, PRIVATE SPENDING, PUBLIC EXPENDITURE, PUBLIC EXPENDITURE ON HEALTH, PUBLIC HEALTH, PUBLIC HEALTH SERVICES, PUBLIC HEALTH SPENDING, PUBLIC SECTOR, PUBLIC SPENDING, REIMBURSEMENT RATES, SPECIALIST, TREATMENTS, TUBERCULOSIS, UNEMPLOYMENT, WORKERS