Related Experiment Video
Updated: Jun 27, 2026
23:56
Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
Universal coverage of health services: tailoring its implementation
Guy Carrin1, Inke Mathauer, Ke Xu
1Department of Health Systems Financing, Health Systems and Services, World Health Organization, Geneva, Switzerland. carring@who.int
Bulletin of the World Health Organization
|November 26, 2008
Summary
Achieving universal health coverage requires moving away from out-of-pocket payments. This study proposes a framework for developing health financing systems, focusing on prepayment, fund pooling, and organizational structures to support countries.
Area of Science:
- Health Policy
- Health Economics
- Public Health
Background:
- WHO Member States aim for universal health coverage (UHC) by 2005.
- UHC ensures access to health services without financial hardship.
- Many countries rely heavily on out-of-pocket payments, hindering UHC.
Purpose of the Study:
- To propose a comprehensive framework for developing health financing systems.
- To guide countries in establishing sustainable prepayment and fund-pooling mechanisms.
- To support the achievement and maintenance of universal health coverage.
Main Methods:
- Analysis of health financing challenges and strategies.
- Development of a framework for health financing rules and organizations.
- Consideration of economic, social, and political contexts.
Main Results:
- Identified challenges in transitioning from out-of-pocket payments.
- Proposed a framework emphasizing prepayment, risk-pooling, and efficient fund utilization.
- Highlighted the need for tailored organizational structures for health financing.
Conclusions:
- A structured approach to health financing is crucial for UHC.
- Developing prepayment and pooling mechanisms requires careful planning.
- The proposed framework offers guidance for countries seeking to strengthen their health financing systems.
Related Concept Videos
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:30Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
01:18Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
01:11Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
01:30Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
01:26Traditional Level Of Health Care System
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...