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Health care costs and financing in world perspective
1University of California, School of Public Health, Los Angeles.
The Yale Journal of Biology and Medicine
|September 1, 1991
Summary
Global health expenditures are rising as a percentage of gross national product (GNP). Governmental funding and social insurance are increasing, alongside patient cost-sharing measures to manage rising healthcare costs worldwide.
Area of Science:
- Health Economics
- Global Health Policy
Background:
- Global health expenditures are increasing relative to gross national product (GNP).
- Governmental funding and social insurance models for healthcare are expanding internationally.
- Rising healthcare costs present a significant challenge for nations worldwide.
Purpose of the Study:
- To analyze global trends in health expenditures and their funding sources.
- To examine the role of governmental spending and social insurance in healthcare.
- To understand the impact of patient cost-sharing on healthcare utilization.
Main Methods:
- Analysis of international data on health spending as a percentage of GNP.
- Review of governmental and social insurance models across 70 nations.
- Examination of healthcare payment mechanisms, including fee-for-service, capitation, and salaries.
Main Results:
- Health expenditures as a share of GNP are increasing globally.
- Governmental sources constitute a growing proportion of health spending.
- Hospitalization represents the largest component of health expenditures.
- Patient cost-sharing is a common strategy to control healthcare costs.
Conclusions:
- Global health spending is on an upward trajectory, with increased government involvement.
- Social insurance and varied payment models are prevalent globally.
- Strategies like patient cost-sharing are implemented to manage escalating healthcare expenses.
- International trends indicate a push towards greater equity in healthcare delivery.