Monday, August 9, 2010

[EQ] Guidelines for Improving the Comparability and Availability of Private Health Expenditures Under the System of Health Accounts Framework

Guidelines for Improving the Comparability and Availability of Private Health Expenditures
Under the System of Health Accounts Framework

 

Rannan-Eliya, R. P. and L. Lorenzoni  

OECD Health Working Papers, No. 52, 2010OECD Publishing.doi: 10.1787/5kmbrcg0clvc-en

 

 

Available online PDF [68p.] at: http://bit.ly/bCuOk5

 

 

“…This paper reports on a project to improve the comparability and availability of private health expenditure under the joint health accounts questionnaire (JHAQ) data collection.

The joint health accounts questionnaire JHAQ is a framework for joint data collection in the area of health expenditure data developed by OECD, Eurostat, and WHO.

 

In particular, the study questions were:
How to overcome the inherent tendency for much private health care financing to occur without the generation of linked, reliable, and comprehensive routine data? How to tackle the issue of private providers likely to operate without reporting of routine data to statistical agencies?........”.
 

 

TABLE OF CONTENTS


EXECUTIVE SUMMARY

1. INTRODUCTION

2. DEFINITIONS

3. PROBLEMS AND CHALLENGES IN THE MEASUREMENT OF PRIVATE HEALTH EXPENDITURES

4. GENERAL APPROACH

4.1 Measurement strategy

4.2 Formulating the measurement strategy

4.3 Assessing data sources

4.4 Selecting approaches

4.4.1 Measurement from financing and provider perspectives

4.4.2 Integrative approach to expenditure measurement

5. METHODS FOR SPECIFIC EXPENDITURE FLOWS

5.1 A/B/C classification of methods

5.2 Methods specific to expenditure flows classified by financing agents

5.3 Methods specific to providers

5.3.1 Private expenditures at public providers (cost sharing)

5.3.2 Expenditures at private hospitals – HP.1

5.3.3 Expenditures at private providers of ambulatory care, including physicians – HP.3

5.3.4 Sales of pharmaceuticals through retail outlets – HC.5.1 and HP.4

6. METHODS SPECIFIC FOR ESTIMATION OF HOUSEHOLD OUT-OF-POCKET EXPENDITURE38

6.1 Determining when and how to use household survey data

6.2 Types of household surveys

6.2.1 Household budget surveys

6.2.2 Specialised surveys of household healthcare utilisation and expenditure

6.2.3 Specialised surveys of household health care utilisation only

6.2.4 Diary surveys

6.2.5 General limitations in coverage of household surveys

6.3 Assessing reporting biases in household survey data

6.4 Estimating household expenditures in the absence of reliable provider data

7. PRODUCING FINAL ESTIMATES OF PRIVATE EXPENDITURE BY RECONCILING AND INTEGRATING ESTIMATES

7.1 Estimation of expenditures as a time series

7.2 Organisation of data

7.3 Reconciliation and integration of the estimates

8. CONCLUSIONS

ANNEX 1: REPORTS ON IMPLEMENTING THE DRAFT GUIDELINES

Bulgaria

China

Ireland

Korea

Poland

Spain

Switzerland

BIBLIOGRAPHY

 

 


 
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[EQ] Social Policy in the Post-crisis Context of Small Island Developing States: a synthesis

Social Policy in the Post-crisis Context of Small Island Developing States: a synthesis

Leisa Perch and Rathin Roy

International Policy Centre for Inclusive Growth (IPC - IG)

Poverty Practice, Bureau for Development Policy

United Nations Development Programme UNDP - July 2010

 

Available online PDF [43p.] at: http://bit.ly/avy9bl

 

“….This paper provides a synthesis of the multifaceted impact of the global economic crisis on Small Island Developing States (SIDS), focusing on the Pacific and Caribbean regions. It shows that the social investment agenda, which has underpinned so much of the development progress of SIDS, has been particularly challenged by the global economic crisis and will require innovations and policy changes by SIDS in order to sustain and advance beyond current achievements.

 

Global action will be required to enhance the available fiscal space for these actions. Additionally, in the SIDS, particular attention needs to be paid to the design and implementation of social policies that reduce vulnerability, improve resilience to exogenous shocks, and thus lower the human and productivity costs of exposure to repeated shocks.

 

These include high unemployment and underemployment, rising crime and persistent inequalities across income groups and between rural and urban communities. The transitive effects of such exogenous shocks on the incomes, food security and access to basic public goods of poor and vulnerable households demonstrate the need for a new policy approach, one that is better placed than current approaches to increase SIDS’ resilience to future shocks.

 

The synthesis, based largely on experiences of and lessons learned from five countries in the Pacific and five in the Caribbean,1 seeks to advocate a “paradigm shift” in global and national level approaches to the development challenges facing SIDS….”

 

1 The focus countries for the paper are:
 i) for the Pacific: Fiji, Kiribati, Samoa, Solomon Islands and Vanuatu;
 ii) for the Caribbean: Antigua and Barbuda, Barbados, the Commonwealth of Dominica, Montserrat and St. Kitts and Nevis.


 
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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
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[EQ] Creating Adaptive Policies - A Guide for Policy-making in an Uncertain World

Creating Adaptive Policies - A Guide for Policy-making in an Uncertain World

 

Edited by Darren Swanson and Suruchi Bhadwal

Sage/IDRC 2009 - ISBN 978-81-321-0147-5 - e-ISBN 978-1-55250-467-3
International Development Research Centre (IDRC) Canada



Available online at: http://bit.ly/bFcJJe

“……….principles of complex adaptive systems and adaptive management into practical guidance for policy-makers. It describes the concept of adaptive policy-making and presents seven tools for developing such policies.

“….This book is the culmination of four years of research undertaken by the International Institute for Sustainable Development (IISD) based in Canada and The Energy and Resources Institute (TERI) in India. Financial support and advice for this initiative was provided by Canada’s International Development Research Centre (IDRC).

 

….The specific case examples drawn on throughout the book may resonate most closely with policy-makers working in agriculture and water resource management sectors, and for policy-makers dealing with climate change issues, because that is the context from which the cases were drawn. But the seven tools for creating adaptive policies are relevant to any complex policy issue, providing a means to craft and implement policies under dynamic and unpredictable socio-economic and ecologic circumstances….”
.

Content:

 

Foreword

Chapter 1. The Need for Adaptive Policies

Chapter 2. Seven Guidelines for Policy-making in an Uncertain World

Chapter 3. Integrated and Forward-looking Analysis

Chapter 4. Multi-stakeholder Deliberation

Chapter 5. Automatic Policy Adjustment

Chapter 6. Enabling Self-organization and Social Networking

Chapter 7. Decentralization of Decision-making

Chapter 8. Promoting Variation

Chapter 9. Formal Policy Review and Continuous Learning

Chapter 10. Insights into Implementing Adaptive Policies

Appendix: Policy Case Study Overviews

Bibliography


 
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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
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IMPORTANT: This transmission is for use by the intended
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transmission to the intended recipient, you may not
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in error, please dispose of and delete this transmission.

Thank you.