Making Fair Choices on the Path to Universal Health Coverage

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dc.creatorVoorhoeve, Alex
dc.creatorTan-Torres Edejer, Tessa
dc.creatorKapiriri, Lydia
dc.creatorNorheim, Ole Frithjof
dc.creatorSnowden, James
dc.creatorBasenya, Olivier
dc.creatorBayarsaikhan, Dorjsuren
dc.creatorChentaf, Ikram
dc.creatorEyal, Nir
dc.creatorFolsom, Amanda
dc.creatorTun Hussein, Rozita Halina
dc.creatorMorales, Cristian
dc.creatorOstmann, Florian
dc.creatorOttersen, Trygve
dc.creatorPrakongsai, Phusit
dc.creatorSaenz, Carla
dc.creatorSaleh, Karima
dc.creatorSommanustweechai, Angkana
dc.creatorWikler, Daniel
dc.creatorZakariah, Afisah
dc.date2017-11-02T20:17:45Z
dc.date2017-11-02T20:17:45Z
dc.date2017-06
dc.date.accessioned2026-07-01T00:46:28Z
dc.descriptionProgress toward universal health coverage (UHC) requires making difficult trade-offs. In this journal, Dr. Margaret Chan, the World Health Organization (WHO) Director-General, has endorsed the principles for making such decisions put forward by the WHO Consultative Group on Equity and UHC. These principles include maximizing population health, priority for the worse off, and shielding people from health-related financial risks. But how should one apply these principles in particular cases, and how should one adjudicate between them when their demands conflict? This article by some members of the Consultative Group and a diverse group of health policy professionals addresses these questions. It considers three stylized versions of actual policy dilemmas. Each of these cases pertains to one of the three key dimensions of progress toward UHC: which services to cover first, which populations to prioritize for coverage, and how to move from out-of-pocket expenditures to prepayment with pooling of funds. Our cases are simplified to highlight common trade-offs. Though we make specific recommendations, our primary aim is to demonstrate both the form and substance of the reasoning involved in striking a fair balance between competing interests on the road to UHC.
dc.formatapplication/pdf
dc.identifierHealth Systems & Reform
dc.identifier2328-8604
dc.identifierhttps://hdl.handle.net/10986/28627
dc.identifier10.1596/28627
dc.identifier.urihttp://hdl.handle.net/123456789/410780
dc.publisherWashington, DC: World Bank
dc.rightsCC BY-NC-ND 3.0 IGO
dc.rightshttp://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.rightsWorld Bank
dc.subjectHEALTHCARE JUSTICE
dc.subjectUNIVERSAL HEALTH CARE
dc.subjectPRIORITIES
dc.subjectFINANCIAL RISK PROTECTION
dc.titleMaking Fair Choices on the Path to Universal Health Coverage
dc.titleApplying Principles to Difficult Cases
dc.typeJournal Article
dc.typeArticle de journal
dc.typeArtículo de revista

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