Financiamento da Saúde

Financial protection in health in rural China, 1978-2005: trends and current status.

This paper is a comprehensive review of journal articles as well as grey literature. PubMed, CINAHL, and EMBASE, published  March 2008  on Future healt public health sector reforms, China’s health care system is currently at a critical point, encountering unprecedented opportunities as well as challenges as a result of recent rapid economic development. The World Bank report identified acute serious illnesses to be the major risk factor for 30% of Chinese people who live below the official poverty line; other research studies have also indicated that chronic illnesses are major contributing factors for financial impoverishment in China. (World Bank, 1993; J. Chen, Lucas, & Gong, 2004) Unfortunately, the burden of health payment in China has been enormous and, according to the World Health Report 2000, China ranks 188 out of 191countries in ―fairness of financial contribution‖ in terms of health spending relative to income.In this paper, we focus on financial protection in rural China, where 745 million–57% of the Chinese people–reside (National Bureau of Statistics of China, 2006). First, we illustrate the degree of financial protection that rural residents have after a series of reforms and changes since 1978. Then we review the current rural health insurance reforms as well as the results from the pilot programs. We conclude with recommendations for future policies and programs. 

Tracking universal health coverage: First global monitoring report.

Livro editado em 2015, elaborado pela Organização Mundial de Saúde e Banco Mundial. Universal health coverage (UHC) means that all people receive the quality, essential health services they need, without being exposed to financial hardship.A significant number of countries, at all levels of development, are embracing the goal of UHC as the right thing to do for their citizens.  It is a powerful social equalizer and contributes to social cohesion and stability. Every country has the potential to improve the performance of its health system in the main dimensions of UHC: coverage of quality services and financial protection for all. Priorities, strategies and implementation plans for UHC will differ from one country to another. Moving towards UHC is a dynamic, continuous process that requires changes in response to shifting demographic, epidemiological and technological trends, as well as people’s expectations.But in all cases, countries need to integrate regular monitoring of progress towards targets into their plans.In May 2014, the World Health Organization and the World Bank jointly launched a monitoring framework for UHC, based on broad consultation of experts from around the world. The framework focuses on indicators and targets for service coverage – including promotion, prevention, treatment, rehabilitation and palliation – and financial protection for all. This report provides the first global assessment of the current situation and aims to show how progress towards UHC can be measured.  
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