Section: Module 3 - Health Care Financing | Health Economics | NextGenU.org
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Headline Competence (learning outcome): - Describe the 3 core functions of health financing.
- Identify and describe the basic principles and rationales for the main methods of health financing including taxation, social insurance, and out-of-pocket payments.
- Analyze the challenges associated with these major methods of revenue raising for health financing.
- Describe the main methods of payment of healthcare providers and analyse their strengths and weaknesses.
- Evaluate the track record of these financing methods and provider payment mechanisms in terms of efficiency and equity
- Understand the principle of universal health coverage and its significance in promoting equitable access to healthcare services.
- Analyze the major challenges to achieving universal healthcare coverage and propose potential solutions to overcome these obstacles.
- Describe recent healthcare reform attempts such as pay-for-performance, health equity funds, and community-based health insurance, and evaluate their potential impact on healthcare access and quality.
- Assess the evolving roles of donors in healthcare financing and discuss their implications for healthcare access and quality in LMICs (Analysis).
Assessment Criteria:
- What are the basic principles and rationale for the main methods of health financing (taxation, social insurance, OOP), and what challenges are associated with them?
- Analyse the different purchasing of services methods (the payment or allocation of resources to health service providers and health workers: capitation, fee-for-service, pay for performance)
- What is the track record of various financing methods AND provider payment mechanisms in your country, and in other LMICs? What are the pros and cons of each method in terms of efficiency and equity?
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Required Learning Resources and Activities
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Read entire chapter. (50 minutes)
NCBI - 2022 -
Read entire article. (45 minutes)
HEALTH AFFAIRS - 2021 -
Read entire excerpt. (60 minutes)
School of Health and Related Research - University of Sheffield, Sheffield, UK - 2019 -
Read entire excerpt. (38 minutes)
Health Systems & Reform - 2022 -
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Read entire article. (28 minutes)
Universal Health Coverage 3 - 2012 -
Read entire article. (30 minutes)
WHO - 2013 -
Read entire article. (45 minutes)
Health Affairs - 2014 -
Read entire article. (35 minutes)
Elsevier - 2018 -
Enter the: Chapter 2: More money for health (pdf, 622kb) and read from the beginning of the article in page 3, until the end of the tittle: Ensuring a fair share of total government spending on health; in page 8. (16 minutes)
WHO - 2010 -
Watch entire video. (10 minutes)
WHO - 2013 -
This is a new slide set for Topic 3. It is the only required resource. (30 minutes)
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We refer to this key recent article on achieving UHC in several of the Topics in HealthE14a. (5 minutes)
The Lancet -
The entire module is now framed around this paper, and section 6 is directly related to this topic. The Lancet
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This is a new slide set for Topic 3. It is the only required resource.
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Mr. Rob Yates, a Senior Fellow at Chatam House compiled this video about health systems financing. It is part of the "Public Health Lectures" videos.
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The video is part of a series on the Thai health system. The history of health financing in Thailand and how it led to the major health reforms of 2001, the details of Thailand’s 3 health financing schemes that collectively provide universal coverage, and the implications of payment mechanisms and other features on the health system.
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Quiz 3 - Health Care Financing
This quiz is based on the materials for Topic 3, Health Care Financing. Once you submit the quiz, it will be automatically graded and you can see detailed explanations of the answers.
TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 80%.