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1

Abdelrahim, Mahgoub. "Sudan social health insurance : challenges towards universal access to health care." Thesis, University of Manchester, 2014. https://www.research.manchester.ac.uk/portal/en/theses/sudan-social-health-insurance-challenges-towards-universalaccess-to-health-care(cd798918-f63f-4d3d-8019-2229c89ca3dc).html.

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To achieve effective access to health care, countries have adopted various policies to improve the populations' legitimate right to obtain health care when needed. Social health insurance has been proposed by the WHO as a means to securing sustainable access to health care particularly for developing countries. As one of the developing countries, Sudan launched SHI in 1994; however, population coverage still does not exceed 28.7% of the total population. Given the complexities of access to health care, the issue of achieving universal access by the adoption of SHI is faced with various challen
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2

Hammond, Terry Richard. "Feasible Models of Universal Health Insurance in Oregon According to Stakeholder Views." PDXScholar, 2012. https://pdxscholar.library.pdx.edu/open_access_etds/500.

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This study collects the views of 38 health policy leaders, answering one open-ended question in a 1-hour interview: What state-level reforms do you believe are necessary to implement a feasible model of universal health insurance in Oregon? Interviewees represented seven groups: state officials, insurers, purchasers, hospitals, physicians, public interest, and experts. About 370 coded arguments in the interview transcripts were condensed into 95 categorical topics. A code outline was constructed to present a dialogue among stakeholders in one comprehensive narrative. Topical sections include t
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Garabedian, Laura Faden. "Quasi-Experimental Health Policy Research: Evaluation of Universal Health Insurance and Methods for Comparative Effectiveness Research." Thesis, Harvard University, 2013. http://dissertations.umi.com/gsas.harvard:10764.

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This dissertation consists of two empirical papers and one methods paper. The first two papers use quasi-experimental methods to evaluate the impact of universal health insurance reform in Massachusetts (MA) and Thailand and the third paper evaluates the validity of a quasi-experimental method used in comparative effectiveness research (CER).
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Nkosi, Mbhekeni Sabelo. "National Health Insurance (NHI) – towards Universal Health Coverage (UHC) for all in South Africa: a philosophical analysis." University of the Western Cape, 2020. http://hdl.handle.net/11394/7703.

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Philosophiae Doctor - PhD<br>This study is a philosophical analysis of the National Health Insurance (NHI) policy and legislation, including the related NHI Fund, with a view to assessing its prospects in realising Universal Health Coverage (UHC). The NHI system is about ensuring universal access to quality healthcare for all. The rationale is to provide free healthcare for all at the point of care/service. This legislation has the potential to transform, on the one hand, the relationship between the public and private healthcare sectors and, on the other, the nature of public funding for heal
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Mee-Udon, Farung. "The contribution of universal health insurance coverage scheme to villagers' wellbeing in northeast Thaila." Thesis, University of Bath, 2009. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.512326.

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Ouedraogo, Lisa-Marie [Verfasser]. "Approaching Universal Health Coverage in Kenya : the Potential of integrating Community Based Health Insurance Schemes / Lisa-Marie Ouedraogo." Greifswald : Universitätsbibliothek Greifswald, 2017. http://d-nb.info/1129900789/34.

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Park, Ju Moon Aday Lu Ann. "The determinants of physician and pharmacist utilization and equity of access under Korean universal health insurance /." See options below, 1994. http://proquest.umi.com/pqdweb?did=741485541&sid=1&Fmt=2&clientId=68716&RQT=309&VName=PQD.

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8

Nandi, Sulakshana. "Equity, access and utilisation in the state-funded universal insurance scheme (RSBY/MSBY) in Chhattisgarh State, India: What are the implications for Universal Health Coverage?" University of the Western Cape, 2019. http://hdl.handle.net/11394/7393.

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Philosophiae Doctor - PhD<br>Universal Health Coverage (UHC) has provided the impetus for the introduction of publicly-funded health insurance (PFHI) schemes, involving the private sector, especially in low-and middle-income countries with mixed health systems. Although equity is considered as being core to UHC, the implication of UHC interventions for equity in access (availability, affordability and acceptability) beyond financial protection is inadequately researched. India introduced a national PFHI scheme (Rashtriya Swasthya Bima Yojana) in 2007 which has since then be
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Yip, Pui-lam. "Quantifying the impact of private insurance in a tax-funded system with universal entitlement : observations from the mixed medical economy of Hong Kong /." View the Table of Contents & Abstract, 2007. http://sunzi.lib.hku.hk/hkuto/record/B38297012.

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10

Nguyen, Mai Phuong. "Contribution of private healthcare to universal health coverage: an investigation of private over public health service utilisation in Vietnam." Thesis, Queensland University of Technology, 2021. https://eprints.qut.edu.au/225903/1/Mai%20Phuong_Nguyen_Thesis.pdf.

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Achievement of Universal Health Coverage (UHC) is a desirable goal for all countries. Complementary public and private services are essential. This study examined factors that influence consumer choice for private and public health care services in Vietnam. Thirty senior healthcare professionals were interviewed and secondary data on over 35,000 episodes of healthcare gathered during national health surveys in households were analyzed. For Vietnam and similar low and middle-income countries to achieve UHC, it is necessary to overcome incomplete social health insurance coverage, variable qualit
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Nguyen, Duc Thanh. "The impact of the health insurance program on the near-poor in Vietnam." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/86081/1/Thanh_Nguyen_Duc_Thesis.pdf.

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This thesis is a cross-sectional study of a health insurance scheme for a representative sample of the near-poor in Cao Lanh district, Dong Thap province, Vietnam. It examines insurance coverage, health service utilisation, out-of-pocket expenditures and their associated factors. The research findings contribute evidence for policy makers who seek to improve the health insurance scheme for socioeconomically disadvantaged people in Vietnam, which is an important component of national efforts to implement universal health insurance. This community-level research adds to the evidence-base needed
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James, Candice. "The impact and constitutionality of the proposed National Health Insurance scheme with regard to the provision of health services by subnational governments." University of Western Cape, 2020. http://hdl.handle.net/11394/7345.

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Magister Legum - LLM<br>In South Africa, there are two health systems through which health services are delivered,1 namely private and public. These two systems were inherited from the apartheid regime.2 With South Africa’s political change from a system of parliamentary sovereignty to a constitutionally supreme system in 1996, huge changes were bound to come including changes to the health sector.3 This meant the overhauling of health legislation, as the right of access to health care services became guaranteed in the Constitution of the Republic of South Africa, 1996.4 In 1997, the White Pap
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Nguyen, Thi Thuy Nga. "Family-based social health insurance for informal workers in Vietnam: Willingness to pay and its determinants." Thesis, Queensland University of Technology, 2018. https://eprints.qut.edu.au/119003/1/Thi%20Thuy%20Nga_Nguyen_Thesis.pdf.

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This project aimed to estimate the willingness to pay for family-based Health insurance among informal sector workers in Vietnam in the interests of achieving universal health coverage. Applying a mixed method design, the study indicates that 48.8% of 391 uninsured households were willing to pay for family health insurance. The main barriers to enrolment are the inability to pay premiums, inadequate understanding of the HI scheme, ineffective enrolment procedures, and poor perception of the quality of health care services. A premium subsidised by the government and improvements of the quality
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Abiiro, Gilbert Abotisem. "Universal financial protection through national health insurance : a stakeholder analysis of the proposed one-time premium payment (OTPP) policy in Ghana." Master's thesis, University of Cape Town, 2011. http://hdl.handle.net/11427/9993.

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Extending coverage to the informal sector is a key challenge to achieving universal coverage through contributory health insurance schemes. Ghana introduced a mandatory National Health Insurance scheme in 2004 to provide financial protection for both the formal and informal sectors through a combination of taxes and annual premium payments. As part of its election campaign in 2008, the current government (then in opposition) promised to make the payment of premium "one-time". This has been a very controversial policy issue in Ghana.
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Tseky, Tenzin. "Do the Best Things Really Come To Those Who Wait? An Analysis of Canadian Wait Times and the Decision to Leave." Scholarship @ Claremont, 2013. http://scholarship.claremont.edu/cmc_theses/546.

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This thesis investigates whether variations in wait times for different medical specialties have a significant impact on the proportion of people who choose to opt out of the public insurance system in their country. Canada presents an interesting case study because it is one of the few nations with a single-payer system for all procedures covered by the public health system. As a result, leaving Canada is the equivalent of opting into the private system in other countries where socialized medicine is available side by side to a private market provider. The results provide some evidence of a p
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Makhloufi, Khaled. "Towards universal health coverage in Tunisia : theoretical analysis and empirical tests." Thesis, Aix-Marseille, 2018. http://www.theses.fr/2018AIXM0025/document.

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La présente thèse explore, à travers quatre papiers, la possibilité d’étendre le régime d’assurance maladie sociale (SHI) vers la couverture santé universelle (CSU) et ce en présence d’obstacles structurels économiques.Les effets moyens de deux traitements, les deux assurances MHI et MAS, sur l’utilisation des soins de santé (consultations externes et hospitalisations) sont estimés. L’actuel régime d’assurance sociale en Tunisie (SHI), malgré l’amélioration de l’utilisation des soins de santé procurée aux groupes couverts, reste incapable d’atteindre une couverture effective de tous les membre
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Urrunaga-Pastor, Diego, Vicente A. Benites-Zapata, and Edward Mezones-Holguín. "Factors associated with self-medication in users of drugstores and pharmacies in Peru: An analysis of the national survey on user satisfaction of health services, ENSUSALUD 2015." F1000 Research Ltd, 2020. http://hdl.handle.net/10757/652460.

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Background: Irresponsible self-medication is a problem for health systems in developing countries. We aimed to estimate the frequency of self-medication and associated factors in users of drugstores and pharmacies in Peru. Methods: We performed a secondary data analysis of the 2015 National Survey on User Satisfaction of Health Services (ENSUSALUD), a two-stage probabilistic sample of all regions of Peru. Non self-medication (NSM), responsible self-medication (RSM) and irresponsible self-medication (ISM) were defined as the outcome categories. Demographic, social, cultural and health system va
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Yip, Pui-lam, and 葉沛霖. "Quantifying the impact of private insurance in a tax-funded system with universal entitlement: observations fromthe mixed medical economy of Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2007. http://hub.hku.hk/bib/B45012957.

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Pham, Tan Phu. "Differences in Access to Care and Healthcare Utilization Among Sexual Minorities: A Master's Thesis." eScholarship@UMMS, 2014. https://escholarship.umassmed.edu/gsbs_diss/719.

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BACKGROUND: The barriers in accessing healthcare for gay, lesbian and bisexuals individuals are not well explored. These challenges as well as a lack of knowledge concerning this understudied group has prompted the Institute of Medicine to create a research agenda to build a foundational understanding of gay, lesbian and bisexual health and the barriers they encounter.1 the primary aim of this study will be to compare the differences in health care access and utilization between gay/lesbian, bisexual and heterosexual individuals using a large, nationally representative dataset of the U.S. popu
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Pham, Tan Phu. "Differences in Access to Care and Healthcare Utilization Among Sexual Minorities: A Master's Thesis." eScholarship@UMMS, 2006. http://escholarship.umassmed.edu/gsbs_diss/719.

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BACKGROUND: The barriers in accessing healthcare for gay, lesbian and bisexuals individuals are not well explored. These challenges as well as a lack of knowledge concerning this understudied group has prompted the Institute of Medicine to create a research agenda to build a foundational understanding of gay, lesbian and bisexual health and the barriers they encounter.1 the primary aim of this study will be to compare the differences in health care access and utilization between gay/lesbian, bisexual and heterosexual individuals using a large, nationally representative dataset of the U.S. popu
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Cortes, Antoine. "Une vision socialiste de la politique contemporaine de santé : la couverture maladie universelle." Thesis, Aix-Marseille, 2014. http://www.theses.fr/2014AIXM1095.

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La loi du 27 juillet 1999 portant création de la couverture maladie universelle est intervenue dans le cadre d'une politique générale de lutte contre l'exclusion. Afin d'améliorer l'accès aux soins d'un nombre croissant de personnes pauvres, les socialistes ont élaboré un dispositif comportant deux volets. Le premier volet visait la généralisation de l'assurance maladie, en permettant l'affiliation au régime général sur un critère subsidiaire de résidence. Le second volet avait pour ambition d'offrir une couverture santé complémentaire, aux millions de personnes qui n'en bénéficiaient pas. Cet
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Toyana, Mbali Minah. "A national health insurance management model to promote universal healthcare in South Africa." Thesis, 2014. http://hdl.handle.net/10210/10385.

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M.A. (Public Management and Governance)<br>The study deals with the nature and problems of the proposed National Health Insurance system in South Africa in order to develop a management and governance model to promote universal healthcare in South Africa. The general aim of the study is, therefore, to analyse the concepts and policy initiatives related to the resolution on the National Health Insurance (NHI) scheme being passed at the ANC’s 52nd National Conference in Polokwane in 2009. Calls for a NHI together with relevant legislation and programmes, have consistently formed an integral part
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Chen, Tzu-I., and 陳慈怡. "Utilization factors and effects of universal health insurance on cervical Pap smear test in Taiwan." Thesis, 2002. http://ndltd.ncl.edu.tw/handle/80982921221831300972.

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碩士<br>國立台北護理學院<br>醫護管理研究所<br>90<br>In Taiwan, although cervical cancer is one of female common cancer diseases, it is the easiest to detect early and therefore treat effectively by the cervical Papnicolaou (Pap) smear test. The national health insurance had performed free service for the Pap smear screening test since July 1995 to establish the need of long-term regular follow up of cervical pre-cancerous diseases. Dose this effort really increase women’s medical utilization and decrease the occurrence of cervical invasive cancer?Therefore, the purpose of this study is to evaluate utilization
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Liau, Chun-Hui, and 廖俊惠. "Drug Use Disorders and Psychiatric Co-morbidity in An Universal Health Insurance Population in Taiwan." Thesis, 2008. http://ndltd.ncl.edu.tw/handle/79846051579854890628.

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碩士<br>中國醫藥大學<br>環境醫學研究所<br>96<br>Purpose: This study investigated the trend of drug abuse care in a national representative sample, and estimated the risk for co-occurring mental disorders among abusers. We also investigated schizophrenia and affective disorders and their co-morbidity relationship with alcohol and drug use disorders. Method: Using a randomly selected cohort with 200,000 persons in 2000 from the insured in the National Health Insurance (NHI) program, the Department of Health, Taiwan, we assessed the annual prevalence and new claims rates for drug abuse treatment in 1996-2003, a
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Mahmood, Shehrin Shaila. "Micro health insurance in Bangladesh: prospects and challenges." Phd thesis, 2015. http://hdl.handle.net/1885/106397.

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Micro health insurance (MHI), a healthcare financing tool in the developing world, is the focus of this thesis. MHI is increasingly being seen as a transitional mechanism to establish large-scale health insurance systems, which can potentially turn out-of-pocket (OOP) payments into a pre-payment system that spreads the financial risks associated with ill health across a wide range of clients. Globally, developing countries have the largest proportion of healthcare spending financed by OOP payments. Bangladesh displays characteristics typical of the developing world, including low public spendi
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Li, I.-KO, and 李宜珂. "The Effect of Wage Rate on Female Labor Force Participation Rate – Pre and Post Universal Health Insurance." Thesis, 2015. http://ndltd.ncl.edu.tw/handle/km4zjt.

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碩士<br>世新大學<br>經濟學研究所(含碩專班)<br>103<br>Female labor force participation rate (LFPR) in Taiwan has been increasing due to economic development and changes of social structure for the past several decades. However, the rate of growth is slowed around several years when the Universal Health Insurance (UHI) was implemented in March 1995. Is this phenomenon caused by UHI’s coverage of marginal labor resulting their exiting out of labor force, so that female’s LFPR growth is slowed? This is the purpose of this study. The study uses database from National Statistics of Directorate-General of Budget
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Brooks, Mohamad Ibrahim. "The effects of pro-poor health insurance on health facility delivery and skilled birth delivery in Indonesia: a mixed-methods evaluation." Thesis, 2016. https://hdl.handle.net/2144/17093.

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PROBLEM: As part of Indonesia’s strategy to achieve the goal of Universal Health Coverage (UHC), large investments have been made to increase health access for the poor. These have resulted in the implementation of various public health insurance (PHI) schemes, including Jamkesmas, the largest health insurance program in Indonesia in 2012, targeted towards the poor and near-poor. In the backdrop of Indonesia’s aspiration to reach UHC is the high rate of maternal mortality that disproportionally affects poor women. With the implementation of various pro-poor PHI programs in Indonesia, there is
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Gani, Shenaaz. "Factors influencing the financing of South Africa's National Health Insurance." Diss., 2015. http://hdl.handle.net/10500/19998.

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With the advent of the new National Health Act, health care in South Africa is at a critical point as this will be the first time in history that a National Health Insurance is being implemented in this country. Globally National Health Insurance has been around for more than a hundred years, however some countries with long established national health schemes are currently grappling with funding issues surrounding their health systems. South Africa should take note of these issues as it embarks on this journey. The objective of this study was to perform a literature review on how South Afric
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Dahms, Joani. "Financing South Africa's national health insurance :|bthe impact on the taxpayer / Joani Dahms." Thesis, 2014. http://hdl.handle.net/10394/11535.

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The tax system in South Africa makes provision for every South African citizen to contribute to a greater or lesser extent to funding the National Health Insurance (NHI), either through VAT or PAYE. However, as a result of the high unemployment rate, a large gap exists between tax and non-tax contributors. The question can now be asked whether it is fair that just a small percentage of taxpayers are responsible for the total funding of the NHI. Furthermore, it could be asked whether the taxpayer is aware of the additional tax burden the NHI will impose on him/her. The purpose of this research
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Eunice, Bosede Avong. "Prescribing practices in the social health insurance programme at secondary hospitals in the federal capital territory, Abuja, Nigeria." Thesis, 2012. http://hdl.handle.net/11394/3956.

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Master of Public Health - MPH<br>The World Health Organisation estimates that more than 50% of medicines are inappropriately used globally. The situation is worst in developing countries such as Nigeria, where irrational prescribing practices account for wastage of resources, catastrophic medicines costs and poor access to health services. In 2005, the Social Health Insurance Programme was launched as a financially sustainable model to achieve cost effective and affordable health care services including medicines. This study investigated prescribing practices and availability of medicines in t
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Madisha, Phethogo. "Assessing the readiness to implement national health insurance at a clinic in Soweto / Phethogo Madisha." Thesis, 2015. http://hdl.handle.net/10394/15381.

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The South African government intends to overhaul the entire public health system by introducing the National Health Insurance (NHI) system. The implementation of the NHI has created concerns amongst the majority of South African citizens who have a poor image of the quality of services provided by the public sector. One of the major questions that this study attempted to address was whether one of the largest clinics in Soweto could deliver quality healthcare in terms of the proposed NHI system. The study conducted is quantitative in nature and two-pronged. The first part of the study involved
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"中國城鎮職工醫保覆蓋面影響因素的縱貫分析, 1999-2005". Thesis, 2009. http://library.cuhk.edu.hk/record=b6075320.

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The background variables, GDP per capita, marketization, industrialization and urbanization are used to control different levels of development across provinces. The role of the state is measured in the following ways. First, financial capacity, administrative capacity and coercive capacity are used to measure the role of state capacity in BMI extension. The study examines whether there is a difference in choosing different agencies to collect social insurance premiums: one is local taxation agency and the other is social insurance agency. Third, the performance of BMI is measured through the
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Lawal, Afeez Folorunsho. "Between policy and reality: a study of a community based health insurance programme in Kwara State Nigeria." Thesis, 2020. http://hdl.handle.net/10500/27847.

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Bibliography: leaves 268-317<br>The challenge of accessing affordable healthcare services in the developing countries prompted the promotion of community-based health insurance (CBHI) as an effective alternative. CBHI has been implemented in many countries of the South over the last three decades for the purpose of improving access and attaining universal health coverage. However, the sudden stoppage of a CBHI programme in rural Nigeria raised a lot of concerns about the suitability of the health financing scheme. Thus, this thesis examines the stoppage of the CBHI programme in rural
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Vigan, Medji Doreen Peggy Rose. "Analyse de l’implantation du régime d’assurance maladie universelle (RAMU) au Bénin : obstacles et facteurs facilitants." Thèse, 2017. http://hdl.handle.net/1866/20566.

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Usher, Kimberley. "The politics of health care reform: a comparative analysis of South Africa, Sweden and Canada." Diss., 2015. http://hdl.handle.net/10500/20077.

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Text in English<br>South Africa is currently in the process health care reform as the Government has undertaken the task of providing universal health care to all South Africans through the implementation of the National Health Insurance Scheme (NHI). This study took an in-depth look at the history and progression of the post-1994 South African health care policy, and applied the Power Resources Theory to the political economy of the current health care reform process in South Africa. Through a comparative study of the pivotal elements in the phases of health reform in Canada and Sweden this s
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Usher, Kimberley Ann. "The politics of health care reform: a comparative analysis of South Africa, Sweden and Canada." Diss., 2015. http://hdl.handle.net/10500/20077.

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Text in English<br>South Africa is currently in the process health care reform as the Government has undertaken the task of providing universal health care to all South Africans through the implementation of the National Health Insurance Scheme (NHI). This study took an in-depth look at the history and progression of the post-1994 South African health care policy, and applied the Power Resources Theory to the political economy of the current health care reform process in South Africa. Through a comparative study of the pivotal elements in the phases of health reform in Canada and Sweden this s
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