International Conference on the Economics of health insurance in low and middle-income countries. Antwerp, BEL, 1997/01/17.
Health insurance schemes are usually assessed according to technical indicators.
This approach, however, neglects the dynamic perspective of insurance schemes as an element of people's mobilisation for participation in organising and managing health care delivery and financing.
The first part of this paper describes the technical performance and the level of community involvement in management of the two largest health insurance schemes in Bangladesh. both in the rural areas and in the non-government sector.
Part two discusses these achievements in light of the schemes'potential role as a mechanism for people's management of health care.
A review of documents and key-informant interviews were conducted.
Key findings include that (1) subscribers currently are not actively participating in scheme management.
However, existing family groups, involved in credit programmes may serve as entry-points for interaction.
This is sustained by the'natural link'between health insurance as a means of spreading the risks of treatment costs and credit programmes as a means of decreasing the relative impact of illness on household income. (2) The schemes'role could be further enhanced, by improving their technical performance and applying health care systems elements with the input of all partners involved. (...)
Mots-clés Pascal : Bengla Desh, Asie, Assurance maladie, Protection sociale, Organisation, Analyse sociologique, Communauté, Pauvreté, Economie santé, Développement économique, Politique sanitaire
Mots-clés Pascal anglais : Bangladesh, Asia, Health insurance, Welfare aids, Organization, Social analysis, Community, Poverty, Health economy, Economic development, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0167402
Code Inist : 002B30A01B. Création : 16/11/1999.