Et stigende antal u-lande laver deres egen model på sygesikring i følge medicinskriftet The Lancet. Lande som Ghana, India og Rwanda har allerede skabt deres egen model og Syd Afrika er stærkt på vej
JOHANNESBURG, 11. september 2012 (IRIN): Global South leads the way towards universal healthcare coverage. Countries from the global South are creating their own models for universal healthcare, according to research published in The Lancet.
The research, which surveyed nine developing countries in Africa and Asia found that the new models vary considerably but have several common characteristics, including increased revenue (indtægt) and health budgets and use of the private sector.
The rationale for moving to universal healthcare is also largely the same:
“In most cases, the move to universal coverage is a response to people feeling like they’re paying too much out of pocket for healthcare that they can’t afford or can’t even get because it’s too expensive,” says Gina Lagomarsino, the lead author
Finding the funds
International aid accounted for more than a quarter of funding in only three countries – Mali, Kenya and Rwanda – where almost half of universal healthcare coverage was donor-funded, according to the research.
On average, countries had to increase government spending on health by as much as 11% to fund universal coverage efforts. Only in the Philippines did the government decrease spending, according to the research.
Bigger pools and the public-private mix
Most countries are also choosing to include the private sector. Of the nine countries surveyed, only Rwanda and Vietnam rely solely on public health providers.
The majority of countries surveyed purchase health services from public and private service providers, allowing for varying degrees of patient choice in providers.
Læs mere her: http://www.irinnews.org/Report/96280/HEALTH-Global-South-leads-the-way-towards-universal-healthcare-coverage
Begynd ved: “South Africa latest to join expanding club”
