Academic literature on the topic 'Division of Health Care Financing'

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Journal articles on the topic "Division of Health Care Financing"

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Baugh, Christine M., Emily Kroshus, Bailey L. Lanser, Tory R. Lindley, and William P. Meehan. "Sports Medicine Staffing Across National Collegiate Athletic Association Division I, II, and III Schools: Evidence for the Medical Model." Journal of Athletic Training 55, no. 6 (May 4, 2020): 573–79. http://dx.doi.org/10.4085/1062-6050-0463-19.

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Context The ratio of clinicians to patients has been associated with health outcomes in many medical contexts but has not been explored in collegiate sports medicine. The relationship between administrative and financial oversight models and staffing is also unknown. Objective To (1) evaluate staffing patterns in National Collegiate Athletic Association sports medicine programs and (2) investigate whether staffing was associated with the division of competition, Power 5 conference status, administrative reporting structure (medical or athletic department), or financial structure (medical or athletic department). Design Cross-sectional study. Setting Collegiate sports medicine programs. Patients or Other Participants Representatives of 325 universities. Main Outcome Measure(s) A telephone survey was conducted during June and July 2015. Participants were asked questions regarding the presence and full-time equivalence of the health care providers on their sports medicine staff. The number of athletes per athletic trainer was determined. Results Responding sports medicine programs had 0.5 to 20 full-time equivalent staff athletic trainers (median = 4). Staff athletic trainers at participating schools cared for 21 to 525 athletes per clinician (median = 100). Both administrative and financial oversight from a medical department versus the athletics department was associated with improved staffing across multiple metrics. Staffing levels were associated with the division of competition; athletic trainers at Division I schools cared for fewer athletes than athletic trainers at Division II or III schools, on average. The support of graduate assistant and certified intern athletic trainers varied across the sample as did the contributions of nonphysician, nonathletic trainer health care providers. Conclusions In many health care settings, clinician : patient ratios are associated with patient health outcomes. We found systematic variations in clinician : patient ratios across National Collegiate Athletic Association divisions of competition and across medical versus athletics organizational models, raising the possibility that athletes' health outcomes vary across these contexts. Future researchers should evaluate the relationships between clinician : patient ratios and athletes' access to care, care provision, health care costs, health outcomes, and clinician job satisfaction.
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Burrows, Anthony M., Richard P. Moser, John P. Weaver, Demetrius E. Litwin, and Julie G. Pilitsis. "Massachusetts health insurance mandate: effects on neurosurgical practice." Journal of Neurosurgery 112, no. 1 (January 2010): 202–7. http://dx.doi.org/10.3171/2009.6.jns09499.

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Object Massachusetts' health insurance mandate and subsidized insurance program, Commonwealth Care, have been active for 2 years. Methods The financial impact on the neurosurgery division and demographics of the relevant patient groups were assessed. The billing records of neurosurgical patients from January 2007 to September 2008 were collected and analyzed. Results Commonwealth Care comprised 2.2% of neurosurgical inpatients, and these patients did not have significantly different acuity or lengths of stay from the average. Length of stay of MassHealth patients was significantly greater, although acuity was significantly lower than the average. Increased free care reimbursement and increased MassHealth/Commonwealth Care enrollment resulted in a net gain in reimbursement of hospital charges. Conclusions The increased insurance rates have resulted in increased reimbursement for the neurosurgical division.
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El Moussawi, M. A. E., Zh V. Mironenkova, S. Z. Umarov, O. I. Knysh, and O. D. Nemyatykh. "COMPARATIVE ANALYSIS OF LEBANON DEVELOPMENT. PROSPECTS FOR COOPERATION WITH THE RUSSIAN FEDERATION." Pharmacy & Pharmacology 8, no. 3 (December 21, 2020): 205–18. http://dx.doi.org/10.19163/2307-9266-2020-8-3-205-218.

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The objective of the research was to conduct a comparative analysis of the development of Lebanon based on a number of demographic, economic and social indicators characterizing the health care of Lebanon, and to determine the prospects for the cooperation with the Russian Federation (RF) in the pharmacy field.Materials and methods. The studies were conducted from 2009 to 2016. The objects were the statistical data accumulated on the basis of the data from national institutions and international organizations. These data were published annually in the reports of the Department of Economic and Social Affairs, the United Nations Population Division for 11 countries in the Middle East: Bahrain, Jordan, Yemen, Kuwait, Lebanon, United Arab Emirates, Oman, Saudi Arabia (Asian countries); Egypt, Sudan, Tunisia (North African countries). The research methods were: a comparative analysis, analytical grouping of data, ranking.Results. A comparative analysis of demographic, economic and social indicators revealed that low mortality rates and high life expectancy in Lebanon were achieved both due to a satisfactory level of health care financing (Rank 5) and due to the adoption of adequate decisions in organizing and managing the Lebanese health care system. The positive trends that were inherent in the Lebanese health care system in previous decades continued to operate within the framework of earlier inertia, while migration flows intensified. However, there has been a slowdown in the decline in infant mortality in the dynamics of growth rates, which is a signal of the emergence of negative processes in the social sphere of the country.Conclusion. The current situation in the Lebanese health care system, associated with limited financial resources, poses new challenges in the search for managerial decisions in the field of organizational management. The import of drugs from the Russian Federation will provide a significant reduction in the financial costs of providing the population of Lebanon and migrants with medicines which will increase the monetary costs of providing medical care.
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Paim, Ana, Prakhar Vijayvargiya, Zerelda Esquer Garrigos, Eugene Tan, and John O’Horo. "1637. Improving Transitions of Care in the Division of Infectious Diseases." Open Forum Infectious Diseases 5, suppl_1 (November 2018): S44—S45. http://dx.doi.org/10.1093/ofid/ofy209.107.

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Abstract Background Patients dismissed from the hospital on oral or intravenous antibiotics frequently need follow-up appointments with the Division of Infectious Diseases (ID). Follow-up appointments may be inappropriately scheduled with respect to timing and indication. Suboptimal transitions of care may lead to increased no-shows and ultimately poor patient outcomes. Methods The baseline sample included 102 patients seen by the inpatient ID services at Mayo Clinic’s Rochester Methodist and Saint Mary’s Hospitals between January 1, 2017 and June 30, 2017. Defects in transitions of care were categorized as those pertaining to sign-off templates, sign-off labels, follow-up priority, and timing. The current transfer of care system from our institution is outlined in Figure 1. Results Out of 102 patients, 75 (74%) had at least one defect identified. Root cause analysis revealed multiple factors contributing to this performance gap (Figure 2). Patients often have variable health literacy and social or financial difficulties. There are often multiple ID providers with inadequate time to properly orchestrate follow-up. There are undefined checkpoints and triaging in the department’s scheduling policies. Interventions involved reformatting the ID sign-off template and clarifying the roles of providers in the transitions-of-care process. Analysis after 6 months of implementation revealed improvement of communication among teams, decline in improper sign off by 13% and decrease in antibiotic prescription errors by 2%. Conclusion This study demonstrates that well-designed sign-off templates can help with effective communication of the final treatment plan among providers and possibly improve patient outcomes. The target goal is to reduce the number of improper sign-offs by 50% within 1 year. Disclosures All authors: No reported disclosures.
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Moore, Amy, and Verity Hawarden. "Discovery Digital Health strategy: COVID-19 accelerates online health care in South Africa." Emerald Emerging Markets Case Studies 10, no. 3 (July 31, 2020): 1–18. http://dx.doi.org/10.1108/eemcs-06-2020-0197.

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Learning outcomes The broad teaching objective is underpinned by the themes of purpose and partnerships. This is taught through application of business model innovation for sustainability where the value proposition is broadened to social and environmental, and multi-stakeholder partnerships in a time of crisis. Students will be expected to analyse the above concepts through a meso (sustainable value), micro (business models) and macro (ecosystems) lens. Upon completion of the case study discussion, successful students will be able to better understand the three features that support sustainable value, explore how a global pandemic can create new business models and partnerships to create social value and analyse how business ecosystems operate against the 6 C framework. Case overview / synopsis Discovery Holdings Limited is a leading financial service organisation in South Africa, and its Digital Health division is responsible for the platform which delivers telemedicine offerings to doctors and patients. The case highlights the development of the telemedicine offering and the period that is covered spans from the launch of the Discovery DrConnect platform in 2017 to April 2020. Adrian Moss is the protagonist in the case. He is a manager in the Special Projects, Digital Health team of Discovery Health, responsible for the DrConnect project. His challenge is how to raise more awareness of the DrConnect offering and how to enhance uptake from doctors and patients. COVID-19 and the lockdown in South Africa in March and April of 2020 presented an opportunity for both doctors and patients to use telemedicine as a new way of engagement and treatment. Complexity academic level This case is appropriate for masters, MBA and executive education students focusing on the fields of study of environment of business, strategy, business model innovation and social entrepreneurship. Supplementary materials Teaching Notes are available for educators only. Subject code CSS: 11 Strategy.
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Hurley, Catherine, Elizabeth Kalucy, and Malcolm Battersby. "General Practitioners' Collaboration with Service Coordinators: What Makes it Work? Lessons from the SA HealthPlus Coordinated Care Trial." Australian Journal of Primary Health 8, no. 1 (2002): 45. http://dx.doi.org/10.1071/py02007.

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In the past, a number of factors have been identified that discourage collaboration between GPs and other health professionals in providing care to patients with chronic illness. These include financing arrangements, lack of time and lack of knowledge of the role of other professions. This paper uses data from the independent evaluation of the SA HealthPlus Coordinated Care Trial to examine the factors that encourage and inhibit collaboration between general practitioners (GPs) and Service Coordinators (a role introduced by the trial and carried out by nurses and allied health professionals). Both quantitative and qualitative methods were used to evaluate the role of the GP and the Service Coordinator in the trial. These data were analysed to determine what factors encouraged and inhibited collaboration. Results indicated that effective communications, knowledge of and respect for each other's roles and responsibilities, and a clearly perceived benefit from collaboration were the most important predictors of successful collaboration for both parties. These results also suggest strategies for increasing the likelihood of collaboration between GPs and others such as the location of the Service Coordinator in the practice and ways of dealing with GP workloads and communication needs. These findings are relevant to recent policy initiatives including the MBS Enhanced Primary Care item numbers, the employment of practice nurses, and allied health staff via Divisions of General Practice.
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Kabiesz, Patrycja, and Joanna Bartnicka. "Spatial Analysis of the Availability of Health and Social Services for People with Special Needs." Multidisciplinary Aspects of Production Engineering 4, no. 1 (September 1, 2021): 442–52. http://dx.doi.org/10.2478/mape-2021-0040.

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Abstract The health care system should offer and provide a variety of services without undue delay. Due to numerous technical, financial and human resource constraints, not all services can be offered both without restrictions and in equal measure in places of different sizes of residence. As a result of qualitative and quantitative research, a map of accessibility to social and health services was drawn up, taking into consideration the division of the country into voivodeships with different population. Spatial analysis showed great diversity in terms of service availability. Voivodships with the highest accessibility of health and social services are Dolnośląskie, Opolskie and Świętokrzyskie, while the worst situation is in Wielkopolskie. Moreover, the article identifies the main problems that people with limited functionality encounter when using health and social services.
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Muralidharan, Shrikanth, Astha Chauhan, Srinivasa Gowda, Rutuja Ambekar, Bhupendra S. Rathore, Sakshi Chabra, Afsheen Lalani, and Harsh Harani. "Assessment of orthodontic treatment need among tribal children of Indore division, Central India." Medicine and Pharmacy Reports 91, no. 1 (January 30, 2018): 104–11. http://dx.doi.org/10.15386/cjmed-795.

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Introduction. India is home to many tribes which have an interesting and varied history of origins, customs and social practices. Oral health care in tribal areas is limited due to shortage of dental manpower, financial constraints and the lack of perceived need for dental care among tribal masses.Objective To assess orthodontic treatment need among tribal children of Indore division, Central India.Methods. A cross-sectional house to house survey was carried out among 800 tribal children aged 5 to 15 years old in two major tribal districts of Indore division. Permissions and consent were obtained from local administrative authorities, ethical committee and parents respectively. A structured proforma was used to record demographic data. Examination for dentofacial anomalies was conducted according to WHO 1997 survey methods. Descriptive tables and analytical tests like ANOVA, post-hoc and chi-square test were employed.Results. The mean age was 9.75(±2.43) years. The mean DAI score among 12 to 15 years old children was 23.19±5.22. Female exhibited higher (24.51±5.34) mean DAI score compared to males (22.12±4.87) (p<0.05). The Patelia tribes (24.38±5.13) reported higher mean DAI score than Bhilala (23.02±5.69) and Bhil tribe (22.73±4.79) (p<0.005).Conclusion. The tribal children had minor malocclusion with no or slight treatment need. Categorization of orthodontic treatment need according to malocclusion severity is particularly important for the planning of corresponding public policies. The isolation of the villages, lack of transportation options imposes limitations on the availability of health professionals to provide dental services.
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Faruque, Omar, and Md Motiur Rahman. "Development of Small Scale Industry in Rangpur Division of Bangladesh: Employee Perception." Asian Journal of Humanity, Art and Literature 8, no. 1 (June 30, 2021): 43–54. http://dx.doi.org/10.18034/ajhal.v8i1.572.

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The financial result of a business largely depends on the employees’ satisfaction. When employees feel happy, then they contribute more attention to the work, show more sincerity. As a result, the production of the organization is increased, and finally, the profit is increased. The study has attempted to find out the perception of employees towards the growth and development of small scale industry in the Rangpur Division of Bangladesh during 2013-14 to 2017-18. The study is empirical. An interview was taken for 400 small-scale industry workers from 16 upazilas through a questionnaire. They were asked about their perception of the growth and development of this industry. The perception of the employee is measured by the Likert scale. The result shows that the participation in decision-making/ implementation perception contains the highest value of 51.0% satisfactory level and the excellent level of satisfaction holds the lowest value of 3.25%. Perquisites structure perception holds the highest value of 48% at a satisfactory level, health, and safety facility perception holds that 36.0% of employees are satisfied. On the other hand, 48% of employees are satisfied in job security perception and the bonus and incentive contain 56.0% of employees are satisfied. For day-care center facilities, 83.0% of employees are dissatisfied. The result concludes that employees show very poor satisfaction in perquisites structure, health, and safety facility, bonus and incentive, day-care center, termination policy, leave policy, and entertainment opportunities. It is mathematically proved that, if the employees are satisfied, then the growth of the organization will be increased. As a result, it is important to satisfy employees properly for the growth and development of the SSI. If that can be done properly, the sustainable development of small-scale industries is possible.
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Akhtar, Adil Jamal, Jeffrey H. Margolis, Karna Sheth, Karma Maxwell, Andrew A. Muskovitz, Richard Philip Zekman, George Howard, et al. "A community oncology practice financial experience in oncology care model pilot (OCM)." Journal of Clinical Oncology 38, no. 15_suppl (May 20, 2020): e19379-e19379. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.e19379.

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e19379 Background: Oncology Division of Michigan Health Professionals (MHP) participates in OCM, which requires effort from all MHP OCM providers to coordinate care at same or lower cost to Medicare. Palliative Care, Care Management, and End of Life Care programs established by MHP, in collaboration with Premiere Hospice and Integra Connect, have shown cost and quality benefits in the OCM patients. Quality improvement initiatives included monthly OCM provider meetings to review OCM results, identify cost & quality opportunities, and to design training and education sessions. In order to assess the impact of such a concerted initiative, this study aims to evaluate MHP OCM provider impact in OCM total cost of care relative to historical period. Methods: Retrospective review of reconciliation results provided by Centers for Medicare and Medicaid Innovation (CMMI) for OCM performance periods 1-4 (pp1-4). Total cost of care (ACTUAL) and cost categories were the summarized and adjusted expenditures during 6-month OCM period as reported by CMMI. ACTUAL and cost category experience was compared by OCM performance period to the trended-mean of matched historical OCM-eligible patients (Baseline Episodes from CMMI). Patients were matched by cancer type, comorbidity count, age group, radiation, surgery, and low-intensity/-risk cancer sub-type for prostate, bladder and breast cancers. Results: The largest pp1-4 cost category reductions were acute inpatient ($2.2M), physician services excluding drug-cost, imaging and labs ($1.2M), skilled nursing facility ($0.5M), ancillary which consists of imaging and lab ($0.5M), inpatient rehab ($0.3M), home health agency ($0.3M), radiation oncology ($0.1M). The largest pp1-4 increase in OCM expense relative to historical was Part D Drugs ($1.7M). Conclusions: MHP decreased non-drug costs by $5.1M compared to historical cost for matched patients. OCM costs were lower in facility (hospital and SNF) and physician sites of care. Drug costs increased by $1.7M. Study was limited by OCM claims available as of December 2019. Results may be refreshed as more data becomes available. [Table: see text]
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Dissertations / Theses on the topic "Division of Health Care Financing"

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Miraldo, Marisa. "Essays in health care financing." Thesis, University of York, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.441019.

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Woode, Maame Esi. "Health care financing and the macroeconomy." Thesis, Aix-Marseille, 2013. http://www.theses.fr/2013AIXM1101.

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Cette thèse examine différents aspects du financement de la santé et ses effets sur l'accumulation de variables stratégiques pour le développement. Le deuxième chapitre analyse les effets des risques de maladie sur l'éducation des enfants en utilisant un model théorique et empirique qui lie les risques (pour les parents) de tomber malade et le choix de l'éducation. Nous trouvons que, s'il est impossible pour les parents de demander plus d'argent en cas de maladie, une augmentation de la probabilité de tomber malade implique une réduction de l'éducation des enfants. Le chapitre trois étudie empiriquement l'effet de l'assurance maladie sur l’enfant en employons la méthode de scores de propension pour analyser l'effet moyen du traitement (chef de ménage ayant une assurance santé ou non) sur les traités. Nous trouvons que l'assurance maladie favorise l'éducation des enfants. Le chapitre quatre étudie, en utilisant le modèle de générations imbriquées, les effets du financement de la santé sur la croissance économique. Le gouvernement a deux possibilité: soit de co-financer la santé, soit la financer tout seul en utilisant une taxe sur la production. Nous trouvons que, s'il y a hétérogénéité des préférences des agents, le financement public domine le co-financement public-privé. Le dernier chapitre étudie les effets d’épidémies sur la pauvreté, dans un modèle de générations imbriquées continu. Nous trouvons que l'investissement dans les variables qui réduisent la transmission de la maladie est nécessaire pour pousser d'un état stationnaire avec faible consommation/niveau d'actifs vers un état stationnaire avec un mixe consommation-niveau d'actifs plus élevé
This thesis explores different aspects of the financing of health care and how it affects various facets of the economy. Chapter two we studies the relationships between health risks and education using both a theoretical and an empirical model. We find that considering a child's income as an insurance asset can reverse the usual negative relationship between disease prevalence and educational investment. Chapter three empirically looks at the impact of health insurance on the child using the propensity score matching technique. We find that while the health insurance status of the household has a positive effect on the enrolment of children, its effect on child work is negative. In chapter four we analyse the impact of health care financing on economic growth, focusing on the issue of joint public-private financing of health care using an overlapping-generations model with endogenous growth based on health human capital accumulation, where families pay for childhood preventive care and the government can either fully finance or co-finance adulthood curative care. From a growth maximising perspective, if agents are assumed have heterogeneous preferences, full public financing can become the best option. Finally in chapter five we study how health shocks in the form of epidemics affects the economy in a continuous OLG model by focusing on how the economy could be pushed to a higher consumption-assets combination. We find that it is necessary for the government to invest more in the reduction of transmission rates if its goal is to eradicate the disease from the economy, achieving a higher consumption-assets mix
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Wu, Yaping. "Essays on health care financing and health services." Thesis, Toulouse 1, 2014. http://www.theses.fr/2014TOU10007.

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Le monde dépense une part significative et en augmentation constante de ses ressources sur les soins de santé. Les débats sur les modèles de financement des soins de santé et sur les méthodes de paiement des praticiens se déroulent dans le monde. Néanmoins, il n’existe toujours pas de consensus sur le choix idéal des mécanismes de financement. Cette thèse vise à contribuer aux débats sur le financement des soins de santé et sur la politique des services de santé. Le chapitre premier examine la règle de compensation non-linéaire optimale des praticiens, le principe selon le paiement à la performance, le paiement à l’acte et la capitation en présence à la fois l’antisélection et l’aléa moral au niveau de l’offre. Nous avons trouvé que lorsque l’aléa moral est le seul problème, le paiement à l’acte ne peut que conduire à la substitution de la quantité de traitement par rapport à l’effort du praticien, ce qui est inefficace. En conséquence, le paiement à l’acte ne devrait être utilisé dans ce cas. Toutefois, lorsque l’aléa moral se combine au problème de l’antisélection, un screening efficace requiert une utilisation continue du système de paiement à l’acte pour les praticiens à faible productivité et un moindre recours au système du paiement à la performance. L’élaboration de l’utilisation du paiement améliore le screening. Nous apportons des arguments sur l’analyse critique des points faibles du paiement à l’acte. Et, plus important encore, nous établissons les raisons de l’utilisation continue du paiement à l’acte malgré le fait que de sérieux problèmes concernant ce système aient été largement reconnus. Le chapitre deux analyse le problème du contrat trilatéral entre le payeur, le patient et le praticien, lorsque le praticien et le patient peuvent s’entendre pour exploiter des opportunités avantageuses à l’un et à l’autre. En prenant pour hypothèse qu’un transfert secondaire entre le patient et le praticien est exclu, nous analysons le problème de la mise en place du mécanisme où le praticien et le patient soumettent la réclamation du diagnostic au payeur par un jeu de déclaration. Nous en déduisons aussi le schéma optimal de l’assurance et du paiement pour le patient et le praticien. Le schéma optimal de l’assurance et du paiement qui est collusion-proof (faible) est tel que l’un des deux dise la vérité ; mais l’arbitrage du payeur est différent selon les différentes manières qu’il choisit pour répartir les incitations entre le patient et le praticien. De plus, nous montrons que si le payeur parvient à demander aux deux parties de présenter le diagnostic de manière séquentielle, l’avantage du pouvoir de veto du second agent permet au payeur de réaliser le meilleur résultat. Mon domaine d’étude secondaire traite de l’économie du développement. Le troisième chapitre a pour but d’examiner si la migration des villages vers les villes entraîne une éviction des contrats informels de partage de risque et conduit des ménages à une moindre (auto-)assurance de consommation des villages Thai. Pour ce qui concerne la motivation théorique, notre idée est que la migration peut être utilisée comme un contrat d’investissement réalisé à l’avance entre le ménage et l’enfant. Le ménage investit en payant d’avance en échange de versements futurs dépendants des circonstances, ce qui change le processus de revenus du ménage. Pour l’estimation, nous avons utilisé le tableau de Townsend Thai Annual Surveys (1997-2010). L’hypothèse d’aucun biais de sélection est rejetée au niveau du marché de l’assurance du village, ce qui conforte notre conjecture selon laquelle la migration change le statut de partage des risques des ménages à l’intérieur du village. Lorsque les biais sont corrigés, nos résultats montrent que la migration entraîne une éviction du partage des risques informels dans le village et conduit même à une diminution de l’(auto)assurance de consommation des ménages Thai
The world spends a significant and increasing share of its resources on health care. The debates on the models of health care financing and the methods of payment for the physician continue all over the world. Nevertheless, there is still no consensus on the ideal choice of financing mechanisms. This thesis aims at contributing to the debates on the health care financing and health service policy. Chapter one examines the optimal non-linear compensation rule of physicians under pay-for-performance, fee-for-service and capitation in the presence of both adverse selection and moral hazard on the supply side. We found that when moral hazard is the only problem, fee-for-service can only lead to the substitution of treatment quantity to physician’s effort, which is inefficient. Consequently, fee-for-service payments should not be used in this case. However, when moral hazard is combined with the adverse selection issue, an efficient screening requires a continued use of fee-for-service for the lower productivity physicians and less pay-for-performance. The design of the use of fee-for-service effectively improves screening. We provide an argument for the criticism on the shortcomings of fee-for-service. More importantly, we also provide a rationale for the continued use of fee-for-service payment even though the serious problems with fee-for-service have been widely acknowledged. Chapter two analyzes the three-party contracting problem among the payer, the patient and the physician when the patient and the physician may collude to exploit mutually beneficial opportunities. Under the hypothesis that side transfer is ruled out, we analyze the mechanism design problem when the physician and the patient submit the claim to the payer through a reporting game. We also derive the optimal insurance payment scheme for the patient and the physician. The insurance payment scheme which is (weak) collusion-proof is such that it is sufficient that one of them tells the truth ; but the payer’s trade-offs are different when he chooses different manners of splitting incentives between the patient and the physician. Moreover, we show that if the payer is able to ask the two parties to report the diagnosis sequentially, the advantage of the veto power of the second agent allows the payer to achieve the first best outcome. My secondary field is Development Economics. The third chapter examines whether migration crowds out informal risk-sharing contracts and leads to less consumption insurance for households in Thai villages. For the theoretical motivation, our idea is that migration may be used as a cash-in-advance contract between the household and the child. The household invests upfront in exchange for future state-contingent remittance which changes the income process of the household. For the estimation, We use the panel from Townsend Thai Annual Surveys (1997-2010). The hypothesis of no selection bias is rejected at within village insurance market level, which supports our conjecture that migration changes the risk-sharing status of households within village. After the bias are corrected, our results show that migration crowds out informal risk-sharing within village and even leads to less consumption insurance for households in Thai villages
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何知行 and Chi-hang Bruce Ho. "Health care financing options for Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31966822.

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Ho, Chi-hang Bruce. "Health care financing options for Hong Kong." Hong Kong : University of Hong Kong, 2002. http://sunzi.lib.hku.hk/hkuto/record.jsp?B25139526.

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Chan, David C. (David Cchimin). "Essays on health care delivery and financing." Thesis, Massachusetts Institute of Technology, 2013. http://hdl.handle.net/1721.1/81038.

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Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Economics, 2013.
Cataloged from PDF version of thesis.
Includes bibliographical references (p. 167-172).
This thesis contains essays on health care delivery and financing. Chapter 1 studies the effect of organizational structure on physician behavior. I investigate this by studying emergency department (ED) physicians who work in two organizational systems that differ in the extent of physician autonomy to manage work: a "nurse-managed" system in which physicians are assigned patients by a triage nurse "manager," and a "self-managed" system in which physicians decide among themselves which patients to treat. I estimate that the self-managed system increases throughput productivity by 10-13%. Essentially all of this net effect can be accounted for by reducing a moral hazard I call "foot-dragging": Because of asymmetric information between physicians and the triage nurse, physicians delay discharging patients to appear busier and avoid getting new patients. Chapter 2 explores the development of physician practice styles during training. Although a large literature documents variation in medical spending across areas, relatively little is known about the sources of underlying provider-level variation. I study physicians in training ("housestaff") at a single institution and measure the dynamics of their spending practice styles. Practice-style variation at least doubles discontinuously as housestaff change informal roles at the end of the first year of training, from "interns" to "residents," suggesting that physician authority is important for the size of practice-style variation. Although practice styles are in general poorly explained by summary measures of training experiences, rotating to an affiliated community hospital decreases intern spending at the main hospital by more than half, reflecting an important and lasting effect of institutional norms. Chapter 3, joint with Jonathan Gruber, examines insurance enrollee choices in a "defined contribution exchange," in which low-income enrollees are responsible for paying for part of the price of insurance. Estimating the price-sensitivity of low-income enrollees for insurance represents a first step for understanding the implications of such a system that will soon become widespread under health care reform. Using data from Massachusetts Commonwealth Care, we find that low-income enrollees are highly sensitive to plan price differentials when initially choosing plans but then exhibit strong inertia once they are in a plan.
by David C. Chan.
Ph.D.
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Akazili, James. "Equity in Health Care Financing in Ghana." Doctoral thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/9390.

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Financial risk protection against the cost of unforeseen ill health has become a global concern as expressed in the 2005 World Health Assembly resolution (WHA58.33), which urges its member states to "plan the transition to universal coverage of their citizens". The study (the first of kind in Ghana) measured the relative progressivity of health care financing mechanisms, the catastrophic and impoverishment effect of direct health care payments, as well as evaluating the factors affecting enrolment in the national health insurance scheme (NHIS), which is the intended means for achieving equitable health financing and universal coverage in Ghana. To achieve the purpose of the study, secondary data from the Ghana Living Standard Survey (GLSS) 2005/2006 were used. This was triangulated with data from the Ministry of Finance and other ministries and departments, and further complemented with primary household data collected in six districts. In addition 44 focus group discussions with different groups of people and communities were conducted. In-depth interviews were also conducted with six managers of District NHI schemes as well as the NHIS headquarters. The study found that generally Ghana's health care financing system is progressive. The progressivity of health financing is driven largely by the overall progressivity of taxes which account for over 50% of health care funding. The national health insurance levy is mildly progressive as indicated by a Kakwani index of 0.045. However, informal sector NHI contributions were found to be regressive. Out-of-pocket payments, which account for 45% of funding, are associated with significant catastrophic and impoverishment effects on households. The results also indicate that high premiums, ineffective exemptions, fragmented funding pools and perceived poor quality of care affect the expansion of the NHIS. For Ghana to attain adequate financial protection and ultimately achieve universal coverage, it needs to extend cover to the informal sector, possibly through funding their contributions entirely from tax, and address other issues affecting the expansion of the NHI. Furthermore, the funding pool for health care needs to grow and this can be achieved by improving the efficiency of tax collection and increasing the budgetary allocation to the health sector.
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Mak, Yuen-yung, and 麥菀容. "Hong Kong's health financing system." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B50255745.

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Despite attempts to contain health care cost, healthcare expenditure has been surging worldwide. Healthcare financing remains high on the political agenda and nations are struggling hard to balance cost containment with service quality, accessibility, efficiency, etc (Froetschel 2011). Hong Kong, of no exception, faces increasing pressure to raise public expenditure on health and is seeking new ways to finance healthcare. This paper attempts to provide an overview of Hong Kong’s existing health financing system and identify possible reform options.
published_or_final_version
Politics and Public Administration
Master
Master of Public Administration
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Chan, Hung-yee. "Health care delivery and financing in Hong Kong." Hong Kong : University of Hong Kong, 2001. http://sunzi.lib.hku.hk:8888/cgi-bin/hkuto%5Ftoc%5Fpdf?B23294735.

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Bogg, Lennart. "Health care financing in China : equity in transition /." Stockholm, 2002. http://diss.kib.ki.se/2002/91-7349-270-1/.

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Books on the topic "Division of Health Care Financing"

1

Utah. Office of the Legislative Auditor General. A performance audit of the Division of Health Care Financing. Salt Lake City, Utah (412 State Capitol, Salt Lake City 84114): Office of Legislative Auditor General, State of Utah, 1986.

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Auditor, Nevada Legislature Legislative. Audit report, State of Nevada, Department of Health and Human Services, Division of Health Care Financing and Policy. Carson City, Nev: Legislative Counsel Bureau, 2008.

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Auditor, Nevada Legislature Legislative. Audit report, State of Nevada, Department of Health and Human Services, Division of Health Care Financing and Policy. Carson City, Nev: Legislative Counsel Bureau, 2008.

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Scanlon, William. Medicare, options for reform: Statement of William J. Scanlon, Director, Health Financing and Public Health Issues, Health, Education, and Human Services Division, before the Committee on Finance, U.S. Senate. Washington, D.C. (P.O. Box 37050, Washington, D.C. 20013): The Office, 1999.

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Group, Health Dimensions. Status report for Colorado PACE expansion project for the Colorado Department of Health Care Policy and Financing, Long Term Benefits Division. Minneapolis, MN: Health Dimensions Group, 2003.

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Colorado. Office of State Auditor. Nursing facility quality of care: Department of Public Health and Environment, Department of Heath Care Policy and Financing : performance audit, February 2007. [Denver, Colo: Office of State Auditor, 2007.

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United States. Congress. Senate. Special Committee on Aging. and United States. General Accounting Office., eds. Medicare reform: Issues associated with general revenue financing : statement of Paul L. Posner, Director, Budget Issues, Accounting and Information Management Division, before the Special Committee on Aging, U.S. Senate. [Washington, D.C.]: The Office, 2000.

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Scanlon, William. Managed care: State approaches on selected patient protections : statement of William J. Scanlon, Director, Health Financing and Public Health Issues, Health, Education, and Human Services Division, before the Committee on Health, Education, Labor, and Pensions, U.S. Senate. Washington, D.C: The Office, 1999.

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Aronovitz, Leslie G. Health insurance: How health care reform may affect state regulation : statement of Leslie G. Aronovitz, Associate Director, Health Financing Issues, Human Resources Division, before the Subcommittee on Health. Committee on Ways and Means, House of Representatives. Washington, D.C: The Office, 1993.

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Scanlon, William. Medicaid, questionable practices boost federal payments for school-based services: Statement of William J. Scanlon, Director, Health Financing and Public Health Issues, Health, Education, and Human Services Division, before the Committee on Finance, U.S. Senate. Washington, D.C. (P.O. Box 37050, Washington 20013): The Office, 1999.

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Book chapters on the topic "Division of Health Care Financing"

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Altinanahtar, Alper. "Health-Care Financing." In Encyclopedia of Gerontology and Population Aging, 1–7. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-69892-2_989-1.

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Goodman, Hilary, and Catriona Waddington. "Prelims - Financing Healthcare." In Financing Health Care, i—5. Oxford, United Kingdom: Oxfam Publishing, 1993. http://dx.doi.org/10.3362/9780855987190.000.

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Goodman, Hilary, and Catriona Waddington. "1. Financing Healthcare." In Financing Health Care, 6–84. Oxford, United Kingdom: Oxfam Publishing, 1993. http://dx.doi.org/10.3362/9780855987190.001.

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Chletsos, Michael, and Anna Saiti. "Financing Hospitals." In Strategic Management and Economics in Health Care, 207–32. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-35370-4_10.

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Merrill, Jeffrey C. "Financing and Organizing Health Care." In The Road to Health Care Reform, 129–83. Boston, MA: Springer US, 1994. http://dx.doi.org/10.1007/978-1-4899-5994-2_6.

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Donaldson, Cam, Karen Gerard, Stephen Jan, Craig Mitton, and Virginia Wiseman. "Methods of Funding Health Care." In Economics of Health Care Financing, 55–72. London: Macmillan Education UK, 2005. http://dx.doi.org/10.1007/978-0-230-21573-3_4.

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Donaldson, Cam, Karen Gerard, Stephen Jan, Craig Mitton, and Virginia Wiseman. "Economic Objectives of Health Care." In Economics of Health Care Financing, 73–88. London: Macmillan Education UK, 2005. http://dx.doi.org/10.1007/978-0-230-21573-3_5.

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Palmer, George R., and Stephanie D. Short. "Health Insurance and the Financing of Health Services." In Health Care & Public Policy, 53–77. London: Macmillan Education UK, 1989. http://dx.doi.org/10.1007/978-1-349-11092-6_5.

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Donaldson, Cam, Karen Gerard, Stephen Jan, Craig Mitton, and Virginia Wiseman. "Health Care Financing Reforms: Moving Into the New Millenium." In Economics of Health Care Financing, 3–14. London: Macmillan Education UK, 2005. http://dx.doi.org/10.1007/978-0-230-21573-3_1.

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Donaldson, Cam, Karen Gerard, Stephen Jan, Craig Mitton, and Virginia Wiseman. "Future Considerations: Setting the Health Care Budget." In Economics of Health Care Financing, 201–18. London: Macmillan Education UK, 2005. http://dx.doi.org/10.1007/978-0-230-21573-3_10.

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Conference papers on the topic "Division of Health Care Financing"

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Lazareva, N. V. "Financing Health Care In Various Countries." In 18th International Scientific Conference “Problems of Enterprise Development: Theory and Practice”. European Publisher, 2020. http://dx.doi.org/10.15405/epsbs.2020.04.126.

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Fitria, Ana Riskhatul. "Health Care Financing in Developing Countries: Major Challenges." In Indonesian Health Economics Association. SCITEPRESS - Science and Technology Publications, 2017. http://dx.doi.org/10.5220/0007025001180122.

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Sharma, Raman, Ravinder Yadav, Meenakshi Sharma, Varinder Saini, and Vipin Koushal. "Health Care Financing for Below Poverty Line Population: An Analysis of Health Care Insurance Policy in India." In Annual Global Healthcare Conference. Global Science and Technology Forum (GSTF), 2012. http://dx.doi.org/10.5176/2251-3833_ghc12.07.

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Gavurova, Beata. "IMPORTANCE OF DAY SURGERY CLINICS SPECIALIZATION TO THE FINANCING ON HEALTH CARE." In SGEM 2014 Scientific SubConference on PSYCHOLOGY AND PSYCHIATRY, SOCIOLOGY AND HEALTHCARE, EDUCATION. Stef92 Technology, 2014. http://dx.doi.org/10.5593/sgemsocial2014/b12/s2.051.

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Emerling, Izabela. "Health care financing in the European Union countries versus the gross domestic product." In The 4th Human and Social Sciences at the Common Conference. Publishing Society, 2016. http://dx.doi.org/10.18638/hassacc.2016.4.1.216.

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Shor, Dmitriy, Inna Shor, and Dildarakhon Shelestova. "The financing of the health care of a region through the public-private partnership." In International Scientific Conference "Competitive, Sustainable and Secure Development of the Regional Economy: Response to Global Challenges" (CSSDRE 2018). Paris, France: Atlantis Press, 2018. http://dx.doi.org/10.2991/cssdre-18.2018.107.

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Lazareva, Natalia Vladimirovna. "THE ROLE OF HEALTH FINANCING IN VARIOUS COUNTRIES OF THE WORLD." In Russian science: actual researches and developments. Samara State University of Economics, 2020. http://dx.doi.org/10.46554/russian.science-2020.03-1-903/907.

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In this article, the authors consider the state of the health care system of various countries that were included in the sample based on their place in the ranking on the quality of life index of the population.
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Meparishvili, Davit, Manana Maridashvili, and Ekaterine Sanikidze. "FINANCING AND EFFECTIVENESS OF GEORGIAN HEALTHCARE SYSTEM." In Proceedings of the XXXI International Scientific and Practical Conference. RS Global Sp. z O.O., 2021. http://dx.doi.org/10.31435/rsglobal_conf/30082021/7650.

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Assessing the effectiveness of the Georgian healthcare system in the modern period and conditions, takes into account the results achieved, as well as the main problems that hinder the effective functioning of this important field; At the same time, it is important to develop the main directions of their solution, where we consider the improvement of the state policy-making process during the implementation of reforms in the healthcare sector, which should take into account the state of health of the population, quality of healthcare services, results, health care; furthermore disease prevention, equality, financial provision, access to health care, efficiency, rational allocation of health care system resources and other key features of the health care system.
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Japarova, Damira. "Formation of a Market Model in the Financing of Health Care in the Kyrgyz Republic." In International Conference on Eurasian Economies. Eurasian Economists Association, 2019. http://dx.doi.org/10.36880/c11.02235.

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Due to the collapse of the Union, there was a reduction in funding for health care costs, as well as deterioration in the infrastructure and quality of medical services. The transitional economy in the Kyrgyz Republic has identified additional features in the health system. The main ones are the low level of funding, the presence of the shadow market of medical services, inefficient structure and the prevalence of high-cost hospital treatment. The market mechanism is developing, however, without state regulation. The Kyrgyz Republic continues to reform its health-care system. The task was to improve the methods of their financing. New mechanisms for financing medical services have been introduced. Despite the reduction in the number of hospitals, the number of patients treated in hospitals has increased.
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Samuel, Liji. "TRANSFORMING THE HEALTHCARE SYSTEM: THE PUBLIC-PRIVATE HEALTHCARE DICHOTOMY IN INDIA IN THE ERA OF DIGITAL HEALTH." In International Conference on Public Health. The International Institute of Knowledge Management, 2021. http://dx.doi.org/10.17501/24246735.2020.6103.

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Digital health initiatives have become popular in all jurisdictions across the globe. The digital health move, though it is envisioned as a cost-effective way to ensure the availability of health care services especially for the people who live in rural areas, its success depends on the response of the health care system and the state control and regulation. India lacks a comprehensive statesponsored or state-regulated health care system and more than 70 percent of people utilise the private sector medical services. In this backdrop, the implementation of the National Digital Health Mission (NDHM), announced by the Government of India very recently, will be critical. Thus, this research paper strives to bring out the public-private disjunction in the availability and utilisation of public and private health care facilities, issues of health care financing and legal regulation of clinical establishments in the public and private sector. This study uses the doctrinal method and analyses the Five-Year Plans, National Sample Survey Reports, National Health Profile, National Health Accounts Estimates for India and other Government Reports and independent studies to detail the public-private dichotomy. However, this study finds limitations in presenting the current position of private health care service providers due to the unavailability of updated authoritative government reports/ studies/ surveys. On reviewing the currents trends in the public and private health care sector, the study finds that the private sector has surpassed the public sector in all means, including health provisioning, utilisation, and financing. The NDHM is a laudable initiative to ensure affordable health care to millions of people in India. However, any move to implement it, leaving the fundamental issue of deep-rooted public-private dichotomy existing in the healthcare sector will be detrimental. It will result in a digital divide in the public and private healthcare sector and gross violation of patients’ rights and mismanagement of health information. Keywords: digital health, National Digital Health Mission, private healthcare sector, utilisation of healthcare service
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Reports on the topic "Division of Health Care Financing"

1

Glied, Sherry. Health Care Financing, Efficiency, and Equity. Cambridge, MA: National Bureau of Economic Research, March 2008. http://dx.doi.org/10.3386/w13881.

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Faleychik, L. M., and K. V. Parfenova. On Financing Health Care in the Trans-Baikal Territor. ZO RGO notes, 2019. http://dx.doi.org/10.18411/2304-7356-2019-136-225-231.

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Stabile, Mark, and Sarah Thomson. The Changing Role of Government in Financing Health Care: An International Perspective. Cambridge, MA: National Bureau of Economic Research, September 2013. http://dx.doi.org/10.3386/w19439.

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Appleford, Gabrielle, and Saumya RamaRao. Health financing and family planning in the context of Universal Health Care: Connecting the discourse. Population Council, 2019. http://dx.doi.org/10.31899/rh6.1021.

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Appleford, Gabrielle, and Saumya RamaRao. Health financing and family planning in the context of universal health care: Connecting the discourse in Kenya. Population Council, 2019. http://dx.doi.org/10.31899/rh6.1022.

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Gertler, Paul, Luis Locay, and Warren Sanderson. Are User Fees Regressive? The Welfare Implications of Health Care Financing Proposals in Peru. Cambridge, MA: National Bureau of Economic Research, June 1987. http://dx.doi.org/10.3386/w2299.

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Fukui, Tadashi, and Yasushi Iwamoto. Policy Options for Financing the Future Health and Long-Term Care Costs in Japan. Cambridge, MA: National Bureau of Economic Research, August 2006. http://dx.doi.org/10.3386/w12427.

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Chernichovsky, Dov, and Sara Markowitz. Toward a Framework for Improving Health Care Financing for an Aging Population: The Case of Israel. Cambridge, MA: National Bureau of Economic Research, August 2001. http://dx.doi.org/10.3386/w8415.

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Dor, Avi, Mark Pauly, Margaret Eichleay, and Philip Held. End-stage Renal Disease and Economic Incentives: The International Study of Health Care Organization and Financing. Cambridge, MA: National Bureau of Economic Research, May 2007. http://dx.doi.org/10.3386/w13125.

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Frank, Richard, and Martin Gaynor. Organizational Failure and Government Transfers: Evidence From an Experiment in the Financing of Mental Health Care. Cambridge, MA: National Bureau of Economic Research, December 1991. http://dx.doi.org/10.3386/w3923.

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