week 7 notes
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This 2 page Class Notes was uploaded by Isabel Blalock on Saturday March 12, 2016. The Class Notes belongs to PHP 1100 at Brown University taught by Dr. Omar Galarraga in Winter 2016. Since its upload, it has received 39 views. For similar materials see Comparative Healthcare Systems in Public Health at Brown University.
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Date Created: 03/12/16
Lecture 7 03/12/2016 ▯ Social Health Insurance ▯ ▯ What is social health insurance (SHI)? Reliance n mandatory earmarked payroll contributions Government involvement o Perhaps part of ministry of health Enrolment for those in workplace and those outside of it Independent insurance funds o Quasi-independent status so that it can run its own revenue and also pay out to hospitals and providers Various levels of subsidy provided but need to sign up ▯ ▯ Why SHI? Most employment is informal in LMIC Financial protection: reduce OOP, CHE Goal: universal health care coverage Increase appropriate utilization of services Improve health status Changes in financial protection among LMIC After ten years, should be some progress in UHC index values o Difficult to reach UHC index of 100 because the communities are farther out, separated from society, niches Rural communities most difficult to reach ▯ Barrier addressed Lack of knowledge Lack of access Affordability o SHI Poor service responsiveness Self selection o Issue: there may be abuses in the program Two-by-two classification Actual beneficiary x intended beneficiary ▯ ▯ Ex: theory of change due to health insurance Enrollment utilization health status, lower decline in labor productivity, reduced OOP’s ▯ ▯ Regression discontinuity design- ▯ ▯ Integrated public use microdata series, international ▯ Idea: maternal and child health in cuba Reproductive health in ____
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