Improving Health Care Coverage, Equity, And Financial Protection Through A Hybrid System: Malaysia's Experience
| Autor: | Sondi Sararaks, C. Anuranga, Abdul J. Hamid, Ee H. Tan, R.P. Rannan-Eliya, Ara Darzi, Anis Syakira Jailani, Izzanie M. Razif, Adilius Manual |
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| Rok vydání: | 2016 |
| Předmět: |
Economic growth
03 medical and health sciences 0302 clinical medicine Universal Health Insurance Surveys and Questionnaires Health care Economics Global health Healthcare Financing Humans 030212 general & internal medicine Healthcare Disparities Developing Countries Health policy Government spending Finance HRHIS Insurance Health Public Sector business.industry 030503 health policy & services Health Policy Financial risk Public sector Malaysia Health promotion Private Sector Health Expenditures 0305 other medical science business Delivery of Health Care |
| Zdroj: | Health affairs (Project Hope). 35(5) |
| ISSN: | 1544-5208 |
| Popis: | Malaysia has made substantial progress in providing access to health care for its citizens and has been more successful than many other countries that are better known as models of universal health coverage. Malaysia's health care coverage and outcomes are now approaching levels achieved by member nations of the Organization for Economic Cooperation and Development. Malaysia's results are achieved through a mix of public services (funded by general revenues) and parallel private services (predominantly financed by out-of-pocket spending). We examined the distributional aspects of health financing and delivery and assessed financial protection in Malaysia's hybrid system. We found that this system has been effective for many decades in equalizing health care use and providing protection from financial risk, despite modest government spending. Our results also indicate that a high out-of-pocket share of total financing is not a consistent proxy for financial protection; greater attention is needed to the absolute level of out-of-pocket spending. Malaysia's hybrid health system presents continuing unresolved policy challenges, but the country's experience nonetheless provides lessons for other emerging economies that want to expand access to health care despite limited fiscal resources. |
| Databáze: | OpenAIRE |
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