logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. A prepayment scheme for hospital care in the Masisi district in Zaire : a critical evaluation.

    Article - En anglais

    In most developing countries, government funding allocated to the health services is not sufficient to allow these services to provide appropriate health care accessible to all.

    Consequently, community financing has received much more attention in recent years and innovative schemes are being explored throughout the developing world.

    Risk-sharing schemes, like prepayment, are interesting because of their potential redistributive erects.

    At the end of the eighties, a prepayment scheme for hospital care was experimented with in the Masisi health district in Eastern Zaire.

    In the present paper, the experiment is described in a chronological way and the results are analyzed and discussed in detail.

    Although this particular case-study was not successful, it yields important lessons concerning the design, implementation and evaluation of prepayment schemes for hospital health care in developing countries.

    More specifically, phenomena like adverse selection and moral hazard are discussed.

    Finally, conditions for success of similar experiments are discussed.

    These conditions relate mainly to the organization pattern of the district health services system.

    The Masisi experiment is a nice illustration of the fact that prepayment is not a « magic bullet » : the lessons drawn from it may be of relevancy to health planners intending to implement hospital prepayment schemes in similar settings.

    Mots-clés Pascal : Hôpital, Organisation santé, Système santé, Accessibilité, Evaluation, Economie santé, Financement, Malade, Homme, Zaïre, Prépaiement, Afrique

    Mots-clés Pascal anglais : Hospital, Public health organization, Health system, Accessibility, Evaluation, Health economy, Financing, Patient, Human, Zaire, Africa

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0185286

    Code Inist : 002B30A01B. Création : 09/06/1995.