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Related Experiment Videos

Purpose and function in government-funded health coverage.

B Freedman, F Baylis

    Journal of Health Politics, Policy and Law
    |January 1, 1987
    PubMed
    Summary

    Government health insurance funding using a purposive approach is inadequate, causing inequities. A functional approach is proposed to better align client expectations with realistic system capabilities for improved healthcare access.

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    Area of Science:

    • Health policy
    • Health economics
    • Public health administration

    Background:

    • Government-funded health insurance often uses a purposive (deductive) approach for healthcare funding.
    • This approach defines benefits based on
    • adequate
    • health definitions, limiting payment to medically required procedures.

    Purpose of the Study:

    • Critique the adequacy of the purposive approach in government health insurance funding.
    • Propose a functional (inductive) approach as a viable alternative.

    Main Methods:

    • Analysis of the structural deficiencies of the purposive (deductive) approach.
    • Outline of a functional (inductive) approach to healthcare funding.

    Main Results:

    • The purposive approach leads to service dislocation, inequities, and definitional challenges regarding health.
    • Structural issues, not definitional tweaks, cause these problems.

    Conclusions:

    • The purposive approach to health insurance funding is fundamentally flawed and inequitable.
    • A functional (inductive) approach offers a more realistic and equitable method for aligning client expectations with system capabilities.

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