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In 2015, building on the advances of the Millennium Development Goals, the United Nations adopted Sustainable Development Goals that include an explicit commitment to achieve universal health coverage by 2030. However, enormous gaps remain between what is achievable in human health and where global health stands today, and progress has been both incomplete and unevenly distributed. In order to meet this goal, a deliberate and comprehensive effort is needed to improve the quality of health care services globally. Crossing the Global Quality Chasm: Improving Health Care Worldwide focuses on one particular shortfall in health care affecting global populations: defects in the quality of care. This study reviews the available evidence on the quality of care worldwide and makes recommendations to improve health care quality globally while expanding access to preventive and therapeutic services, with a focus in low-resource areas. Crossing the Global Quality Chasm emphasizes the organization and delivery of safe and effective care at the patient/provider interface. This study explores issues of access to services and commodities, effectiveness, safety, efficiency, and equity. Focusing on front line service delivery that can directly impact health outcomes for individuals and populations, this book will be an essential guide for key stakeholders, governments, donors, health systems, and others involved in health care.
This book presents the first comprehensive review of all major government-supported health insurance schemes in India and their potential for contributing to the achievement of universal coverage in India are discussed.
With a low Tax to GDP ratio of only 17%, despite allocating 10% of its revenues to healthcare, India will be unable to finance all of her healthcare needs from public expenditures. Therefore, the only way to ensure that all of her citizens get good healthcare, is for the Indian government to emerge as a single payer and design a high quality, primary care centric health care system which is free for all citizens at the point of service, whether provided by the public or the private sector. Such a health system would incorporate features such as gatekeeping at the primary care level so that all citizens are able to visit hospitals only if they have been referred to them by their primary care providers and would require participating healthcare networks to bear risk directly instead of transferring them to insurance companies. The government would use its general revenue resources to pay the premium for those that are poor and the non-poor would be required to mandatorily enrol themselves into this health system by paying the necessary premium upfront to the government.
40 pages AuthorsKurian, Oommen C.Publication date29 May 2015PublisherOxfam IndiaSeriesOxfam Working PapersTypeWorking paper This paper explores available evidence, contextualises and maps the debate in India around financing healthcare for all. While the focus is on healthcare in response to current policy debates, Oxfam India recognises the crucial importance of adopting a holistic approach to health, addressing factors such as nutrition and sanitation, and broader social determinants of health.
This book provides a comprehensive overview of universal health coverage in India. It starts by setting the historical context and politics of the debates around universal health coverage (UHC) in India and proceeds to analyze the present crisis of public health in the country. The book examines the present policies on the pharmaceutical industry, missing links in universalizing health, and the importance of social determinants of health. It is divided into five sections, and some of the topics covered include the difference between comprehensive primary health care and universal health care, public health and medical care, health service, and health system. The chapters are contributed by scholars and practitioners based on historical, interdisciplinary, empirical, and policy research. The book is insightful to academics, public health administrators, policymakers, practitioners, and students interested in health care and organization, looking to transform theory into policy and practice.
Universal health coverage (UHC) has been recognized by the World Health Organization as a key element in reducing social inequality and a critical component of sustainable development and poverty reduction. In most of the world UHC is sought through a combination of public and private-sector health care systems. In most low- and middle-income countries health systems are evolving to increasingly rely on the private sector because the public sector lacks the infrastructure and staff to meet all health care needs. With growing individual assets available for private-sector expenditure, patients often seek better access to technology, staff, and medicines. However, in low-income countries nearly 50 percent of health care financing is out-of-pocket. With the expected increase in the overall fraction of care provided through the private sector, these expenditures can be financially catastrophic for individuals in the informal workforce. In the global workforce of approximately 3 billion people, only 10 to 15 percent are estimated to have some type of access to occupational health services. The informal workforce is growing worldwide, and the degree to which its occupational health needs are satisfied depends on the capabilities of the general health care system. In July 2014, the Institute of Medicine held a workshop on approaches to universal health coverage and occupational health and safety for informal sector workers in developing countries. This report summarizes the presentations and discussions from this workshop. Approaches to Universal Health Coverage and Occupational Health and Safety for the Informal Workforce in Developing Countries identifies best practices and lessons learned for the informal workforce in developing countries in the financing of health care with respect to health care delivery models that are especially suitable to meeting a population's needs for a variety of occupational health issues, including the prevention of or mitigation of hazardous risks and the costs of providing medical and rehabilitation services and other benefits to various types of workers within this population. These experiences and lessons learned may be useful for stakeholders in moving the discussions, policies, and mechanisms forward to increase equitable access to quality health services without financial hardship for the informal workforce.
This book is about 24 developing countries that have embarked on the journey towards universal health coverage (UHC) following a bottom-up approach, with a special focus on the poor and vulnerable, through a systematic data collection that provides practical insights to policymakers and practitioners. Each of the UHC programs analyzed in this book is seeking to overcome the legacy of inequality by tackling both a “financing gap†? and a “provision gap†?: the financing gap (or lower per capita spending on the poor) by spending additional resources in a pro-poor way; the provision gap (or underperformance of service delivery for the poor) by expanding supply and changing incentives in a variety of ways. The prevailing view seems to indicate that UHC require not just more money, but also a focus on changing the rules of the game for spending health system resources. The book does not attempt to identify best practices, but rather aims to help policy makers understand the options they face, and help develop a new operational research agenda. The main chapters are focused on providing a granular understanding of policy design, while the appendixes offer a systematic review of the literature attempting to evaluate UHC program impact on access to services, on financial protection, and on health outcomes.
This book is a collection of fifteen contributions that undertake a detailed analysis of seven broad dimensions of India’s economy and society. All the contributions approach the problems in their respective areas empirically, while being theoretically informed. The book begins with a section containing detailed and empirically supported chapters on the recent crisis in India’s agricultural sector and the reforms in the agricultural markets. Another section is dedicated to the issue of infrastructure financing, and new ways of financing large infrastructural projects are critically examined. Other sections are related to innovations and technology impacts on industry; international trade; health and education; labor and employment; and the very important issue of gender. The selected discussion topics are both of contemporary importance and expected to remain so for some time. Most of the chapters introduce readers to data in addition to methods of analyzing this data, to arrive at policy-oriented conclusions. The rich collection carries learnings for researchers working on a wide range of topics related to development studies, as well as for policymakers and corporate watchers.
"The World Health Report: research for universal health coverage" focuses on the importance of research in advancing progress towards universal health coverage. In addition, it identifies the benefits of increased investment in health research by low- and middle-income countries using case studies from around the world, and proposes ways to further strengthen this type of research.