Beyond Survival : Protecting Households from Health Shocks in Latin America

Baeza, Cristian C. ; Packard, Truman G.

Palo Alto, CA:Stanford University Press

关键词: ACCESS TO HEALTH SERVICES;    ACCOUNTING;    ADVERSE SELECTION;    AGED;    AUTONOMY;   

DOI  :  10.1596/978-0-8213-6571-7
RP-ID  :  36801

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

This book breaks new ground in theongoing debate about health finance and financial protectionfrom the costs of health care. The evidence and discussionsupport the need to consider financial protection, inaddition to health status, as a policy objective whensetting priorities for health systems. This book reviews theLatin American experience with health reform in the last 20years and the fundamentals of health system financing, usingnew evidence to show the magnitude and mechanisms thatdetermine the impoverishing effects of health events(diseases, accidents, and those of the life cycle). Itprovides options for policy makers on how to protect, andhelp household to protect themselves, against thisimpoverishment. The authors use empirical evidence from sixcase studies commissioned for this report, on Argentina,Chile, Colombia, Ecuador, Honduras, and Mexico. This bookprovides policy makers with a solid conceptual basis fordecisions on the contents of mandatory health insurancebenefit packages, choices of financing mechanisms, and theroles of public policy in this field. Itprovides anin-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 theinformal sector, the challenges for current social insurancearrangements, and options for policy makers to effectivelyextend risk pooling to the informal sector.