International Conference on the Economics of health insurance in low and middle-income countries. Antwerp, BEL, 1997/01/17.
Many European and Asian economies are currently undergoing a process of economic transition away from state based command systems to market led economies.
The impact of transition, such as a decline in public expenditure, break up of state enterprises and economic recession, has affected levels of funding available for social sectors.
In the health sector, health insurance is being introduced as a way of alleviating the decline in funding arising from these processes.
Most of the Former Soviet Union and a number of other Asian transition economies are currently introducing, extending or considering payroll based systems of health insurance.
Comparisons with many Latin American countries, where social security based insurance has been encouraged since the first World War, can be illuminating.
Experience suggests that, various factors have impeded or permitted development in these countries.
General processes of economic change (transition factors) tend to affect all economies attempting to change the basis for public funding of services.
Structural factors, such as urbanisation and the level of state or industrial employment, act as longer term inhibitors to the extension of coverage.
These factors vary considerably across transition economies.
This suggests that while a social security base for insurance may be a viable option for smaller industrialised European transitional economies, this is not the case for many of larger less industrialised economies. (...)
Mots-clés Pascal : Asie, Pays en développement, Assurance maladie, Protection sociale, Développement économique, Système santé, Economie santé, Organisation, Politique sanitaire, Pays transition
Mots-clés Pascal anglais : Asia, Developing countries, Health insurance, Welfare aids, Economic development, Health system, Health economy, Organization, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0166586
Code Inist : 002B30A01B. Création : 16/11/1999.