Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–2050

Pasado, presente y futuro de la financiación sanitaria mundial: una revisión de la asistencia para el desarrollo, los gastos del gobierno, los desembolsos y otros gastos privados en salud para 195 países, 1995–2050

dc.creatorY Chang, Angela
dc.creatorCowling, Krycia
dc.creatorMicah, Angela E.
dc.creatorChapin, Abigail
dc.creatorChen, Catherine S
dc.creatorAlvis-Guzman, Nelson
dc.date2019-05-22T12:44:56Z
dc.date2019-05-22T12:44:56Z
dc.date2019
dc.date.accessioned2023-10-03T19:37:45Z
dc.date.available2023-10-03T19:37:45Z
dc.identifierhttp://hdl.handle.net/11323/4664
dc.identifierCorporación Universidad de la Costa
dc.identifierREDICUC - Repositorio CUC
dc.identifierhttps://repositorio.cuc.edu.co/
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/9170824
dc.descriptionFinancial resources are an essential input to health systems—at a minimum, these are necessary to purchase medicines and supplies, build health facilities, and pay health workers. However, limited financial resources are a universal constraint faced by all health systems. WHO has identified health financing as one of the six key building blocks of health systems and adequate financing is essential to the other five blocks.1 Health financing systems are tasked not only with raising sufficient financial resources to fund the health system, but doing so in a way that promotes equity.2 Health systems funded according to one's ability to pay, such as those based on income taxes, promote both financial equity and better health.3 Over-reliance on out-of-pocket spending diminishes access to care for those who are uninsured or underinsured, and risks exacerbating the burden of ill health and increasing poverty due to the high cost of care.4 The recognised importance of financial protection has led to its inclusion as one of two pillars of universal health coverage, alongside coverage of core health services, as outlined in Sustainable Development Goal 3.
dc.descriptionLos recursos financieros son un insumo esencial para los sistemas de salud; como mínimo, son necesarios para comprar medicamentos y suministros, construir instalaciones de salud y pagar a los trabajadores de salud. Sin embargo, los recursos financieros limitados son una restricción universal que enfrentan todos los sistemas de salud. La OMS ha identificado el financiamiento de la salud como uno de los seis componentes clave de los sistemas de salud, y un financiamiento adecuado es esencial para los otros cinco bloques.1 Los sistemas de financiamiento de la salud tienen la tarea no solo de recaudar recursos financieros suficientes para financiar el sistema de salud, sino también de hacerlo. una forma que promueve la equidad.2 Los sistemas de salud financiados de acuerdo con la capacidad de pago de una persona, como los que se basan en impuestos a la renta, promueven tanto la equidad financiera como una mejor salud.3 La excesiva dependencia de los gastos de bolsillo disminuye el acceso a la atención para aquellos quienes no tienen seguro o tienen un seguro insuficiente, y los riesgos que exacerban la carga de la mala salud y el aumento de la pobreza debido al alto costo de la atención4. La importancia reconocida de la protección financiera ha llevado a su inclusión como uno de los dos pilares de la cobertura de salud universal, junto con la cobertura de servicios básicos de salud, tal como se describe en el Objetivo 3 de Desarrollo Sostenible.
dc.formatapplication/pdf
dc.languageeng
dc.publisherThe Lancet
dc.relationDOI:https://doi.org/10.1016/S0140-6736(19)30841-4
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dc.rightshttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightshttp://purl.org/coar/access_right/c_abf2
dc.subjectRecursos financieros
dc.subjectSistemas de salud
dc.subjectFinancial resources
dc.subjectSystems of health
dc.titlePast, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–2050
dc.titlePasado, presente y futuro de la financiación sanitaria mundial: una revisión de la asistencia para el desarrollo, los gastos del gobierno, los desembolsos y otros gastos privados en salud para 195 países, 1995–2050
dc.typeArtículo de revista
dc.typehttp://purl.org/coar/resource_type/c_6501
dc.typeText
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typehttp://purl.org/redcol/resource_type/ART
dc.typeinfo:eu-repo/semantics/acceptedVersion
dc.typehttp://purl.org/coar/version/c_ab4af688f83e57aa


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