Health Financing Assessment and Policy Analysis toward Universal Health Coverage: A Systematic Review of Qualitative Research

Authors: Minoo Alipouri Sakha, Arash Rashidian, Mohammad Bazyar, Ali Akbari Sari, Shahram Yazdani, Abbas Vosough Moghadam

Global Journal of Health Science, Vol 9, No 5 (2017)
Published online: 28 September 2016

Abstract / Resumen:

BACKGROUND: The aim of this research was to explore policy options from assessing health financing policies toward universal health coverage so as to identify issues that need to be addressed and approaches that can fruitfully be pursued in future policy design. METHODS: We systematically searched the following databases: PubMed, SCOPUS, and COCHRANE up to January 2016 and included health financing policy assessment toward universal health coverage. These searches of scientific databases supplemented by the eligible reports available online. Two authors appraised the identified studies. A thematic and descriptive synthesis of data was undertaken. RESULTS: Twenty three papers in total served the scope of our review. We categorized dimensions that were important in health financing assessment to achieve UHC into nine groups as follows: stewardship, Raising Revenues and contribution methods, risk pooling and financial protection, Resource allocation& purchasing, human resources, policy stakeholders, Policy content, Policy context, and Policy process. CONCLUSION: As countries commit to expand universal health coverage, the dimensions identified from the literature can help policy makers to prioritize competing demands, make rational choices, and adapt their approaches. Policy transfer and adapting them to local condition help governments make better policy decisions, and proceed sensibly in the face of challenges.

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* The author/source alone is responsible for the views expressed in this article/publication or information resource, and they do not necessarily represent the positions, decisions or policies of the Pan American Health Organization. = El autor/fuente es el único responsable por las opiniones expresadas en este artículo/publicación o recurso de información y no necesariamente representan las posiciones, decisiones o políticas de la Organización Panamericana de la Salud.


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