Financing Health Care: Concepts, Challenges and Practices
Health financing systems are critical for reaching universal health coverage. This course provides an overview on the history of health care financing and the basic features of health care financing mechanisms in high-, middle-, and low-income countries. Among others it addresses the universal health coverage in regards to the Migration/Refugee Crisis.
It looks at the positive and normative foundations of health care financing and the features of different health care financing arrangements, e.g. resources collection and risk pooling, benefit package, provider contracting, and quality assurance.
Participants also learn about options and innovations in health care financing and discuss advantages and disadvantages of different systems, such as out-of-pocket systems, tax-based systems, insurance systems, and performance-based financing.
- Health economics theory relevant to health financing
- The role of health financing in a health system
- Basic health financing functions (collection, pooling, purchasing)
- Historical development in health financing in low and middle income countries: from free health care to user fees to social health protection
- Concept and practice of Universal Health Coverage – health financing and equity considerations
- Universal Health Coverage and the Migration/Refugee Crisis
- Health insurance development in high and low middle income countries: micro-health insurance, tax-based insurance, social health insurance
- Innovative purchasing options in the health sector: from passive to strategic purchasing
By the end of this course participants will be able to:
- Recognise the positive and normative foundations of health care financing, with specific reference to the discourse on health systems reform, universal health coverage and equity
- Differentiate health financing functions and models in any given health system context.
- Compare and analyse the basic features of health care financing mechanisms in high-, middle-, and low-income countries, including situations pertaining to migrant and refugee crises
- Critically appraise the roles of the public and private sector in health care financing in different contexts
- Differentiate the tools used in the development and assessment of financing mechanisms and evaluate their strengths and weaknesses
- Compare and appraise the value of alternative viable health financing options to answer health system challenges in their respective countries
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