Health insurance and access to health care services in developing countries  

Oleh:

Domapielle, Maximillian Kolbe

Jenis: Article from Journal - ilmiah nasional - terakreditasi DIKTI
Dalam koleksi: Journal of government and Politics vol. 5 no. 1 (Feb. 2014), page 80-91.
Topik: access; developing countries; health insurance models; universal health coverage
Fulltext: 6-maxmillian.pdf (619.4KB)

Isi artikel

There is growing awareness of the fact that ill-health perpetuates poverty. In order to prevent the negative downward spiral of poverty and illness, developing countries in recent years are increasingly implementing various models of health insurance to increaseaccess to health care for poor households. While there is consistent evidence that health insurance schemes have caused an increase in access to health generally, the debate regarding the most appropriate health insurance scheme that suits the poor continues unabated. Drawing on relevant literature this paper adopts a framework for assessing access to health care services to explore four dimensions of access, including: geographic accessibility, availability, affordability, acceptability of services. The paper argues that irrespective of the model of health insurance being implemented these dimensions of access govern the poor and the poorest household decisions about enrolling in a health insurance scheme and utilizing health care services. Policy makers and planners need to pay attention to these important dimensions when making decisions regarding health insurance and health care services utilization to ensure that the peculiar needs of the poor are taken on board.

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