Ensuring access to health care with the introduction of user fees : a Kenyan example.
Many developing countries are considering or in the process of implementing user fees for government health care services.
These fees have the benefit of generating much needed revenue and discouraging unnecessary utilization, but have the potential negative effect of excluding low income individuals from necessary medical care.
In 1989, the Ministry of Health of the Government of Kenya briefly implemented user fees for government facilities which included a system for waiving fees for low income patients.
This paper examines how that system might have worked in theory and how it worked in practice.
Mots-clés Pascal : Accessibilité, Politique sanitaire, Coût, Soin, Pauvreté, Economie santé, Honoraires, Malade, Participation, Homme, Ambulatoire, Kenya, Afrique
Mots-clés Pascal anglais : Accessibility, Health policy, Costs, Care, Poverty, Health economy, Fees, Patient, Participation, Human, Ambulatory, Kenya, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 93-0278987
Code Inist : 002B30A01B. Création : 199406.