Challenges in the organization and financing of healthcare systems: countries with an average level of development face a difficult choice
- Authors: Shestakova Y.1
-
Affiliations:
- Institute of Economics (RAS)
- Issue: No 7 (2025)
- Pages: 68-83
- Section: SOCIAL ISSUES
- URL: https://bakhtiniada.ru/0207-3676/article/view/314801
- DOI: https://doi.org/10.31857/S0207367625070041
- ID: 314801
Open Access
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Abstract
The article examines the issues of finding approaches to organizing and financing healthcare that meet the conditions of countries with an average level of development, reducing the size of direct payments by households for services and medical goods and increasing the share of public resources. The main attention is paid to assessing the experience of introducing mixed and insurance financing models, including state support for voluntary health insurance, in a number of Latin American and East Asian countries of this group.
About the authors
Y. Shestakova
Institute of Economics (RAS)
Email: EEShestakova1956@yandex.ru
Moscow, Russian Federation
References
- Bazyar M., Yazdi-Eeyzabadi V., Rashidian A., Behzadi A. The experience of merging health insurance funds in South Korea, Turkey, Thailand and Indonesia: a cross-country comparative study // International journal for equity in health 2021. 20:66 URL: http://doi.org/10.1186/s12939-021-01382-w
- Bossert T., Blanchet N., Sheetz S., Pinto P., Cali J. Comparative review of health system integration in selected countries in Latin America. //Inter-American Development Bank. Social Protection and health division technical note 2014. N IDB-TN-585. 47 p.
- Cashin C., Sparkes S., Bloom D. Earmarking for health. From theory to practice // Health financing working paper WHO 2017. N 5. URL: https://www.who.int/health_financing/documents/earmarking-for-health/en/
- Cylus J., Evetovits T. New evidence on financial protection in Europe. WHO 2019. 144 p.
- Financing for universal health coverage: dos and don’ts. WHO 2019.
- Global spending on health: Emerging from the pandemic. WHO 2024. 96 p.
- Gonzalez Block M.A., Reyes Morales H., Hurtado L.C., Balandran A., Mendez E. Mexico Health system review // Health system in transition. 2020. Vol. 22. N2. 260 p.
- Health at a glance. Latin America and the Caribbean OECD/WB. 2023. 184 p. URL: https://doi.org/10.1787/532b0e2d-en
- International health care funding report. 2020. American Academy of Actuarios. 50 p.
- Janlov N., Blume S., Glenngard A.H., Hanspers K., Anell A., Mercur S. Sweden Health System review // Health systems in transition. 2023. Vol. 25. N 4. 236 p.
- Mathauer I., Behrendt T. State budget transfers to health insurance to expand coverage to people outside formal sector work in Latin America // BMC Health services and research. 2017. № 17 (145). P. 1–25.
- Mathauer I., Kutzin J. Voluntary health insurance: potentials and limits. Geneva: WHO. 2018. 136 p.
- Mathaues I., Saksena P., Kutzin J. Polling arrangements health financing systems: a proposed classification // International journal for equity in health. 2019. N18.
- OECD Reviews of Health Systems: Brazil. 2021. Paris: OECD Publishing. 207 p. URL: https://doi.org/10.1787/146d0dea-en
- Sakamoto H. The role of the private sector in Asia: challenges and opportunities for achieving universal health coverage. Asia Pacific Observatory on health systems WHO // Comparative country studies. 2023. Vol. 6. N 1. 100 p.
- Selevaraj S., Karan A.K., Srivastava S., Bhan N., Mukhopadhyay I. India Health system review. WHO Regional office for South-East Asia // Health system in transition. 2022. Vol. 1.
- Vilcu I., Probst L., Bayarsalkhan D., Mathauer I. Subsidized health insurance coverage of people in the informal sector and vulnerable population groups: trends in the institutional design in Asia // International journal of equity in health. 2016. N 15(165). P. 1–29. URL: https://equityhealthj.biomedcentral.com/track/pdf/10.1186/s12939-016-0436-3.
- Zhang J., Zhao D., Zhang X. China’s universal medical insurance scheme: progress and perspectives // BMC Global and Public Health. 2024. 2:62. URL: https://doi.org/10.1186/s44263-024-00096-9.
