Hello
This is an interesting question and there is a lot of evidence that direct
payment for medical care discourages individuals from using healtcare
services. I know many papers regarding this question in developing
countries and there is also some for the "developped" countries.
I'm not at the office today and my references are there, but, by memory,
you can see the following (mostly review literature)
-Saltman, R. B., Figueras, J., & Sakellarides, C. (1998). Critical
challenges for health care reform in Europe. Buckingham Philadelphia: Open
University Press.=>on chapter from Kutzin on the question
-Saltman, R. B., & Fugueras, J. (1997). European Health Care Reform -
Analysis of Current Strategies. Copenhagen: WHO Regional Office for Europe
-Evans R.G, 1993, User fees for health care : why a bad idea keeps coming
back, WP 26, Toronto, CIAR => one of the writer on the question in canada,
cf=> www.ciar.ca
-In England, Abel-smith b. write on that
-Arhin-Tenkorang, D. (2000). Mobilizing resources for health : the case for
user fees revisited (Commission on Macroeconomics and Health). Cambridge:
Centre for International Development at Harvard University. => see paper on
website of the CMH
-Reddy, S., & Vandemoortele, J. (1996). User Financing of Basic Social
Services, A review of theoretical arguments and empirical evidence (UNICEF
Staff Working Papers; Evaluation, Policy and Planning Series). New York,
N.Y., USA: UNICEF. => very good fot theory, see paper on website of UNICEF,
or id21.org
-van Doorslaer and Wagstaff, 1993, Equity in the finance and delivery of
health care : an international perspective, OUP => the bible
-see also books from T.Rice; G.Mooney and see the web site of WHO Europe to
find the web site of project regarding health reform (i will give you later
if you did not find it) because they will publish in february a book
specifically on financing.
-for France, see the web site on CREDES, the have just published some paper
regarding the CMU.
Hope this help
Best regards
Valéry
==================================================
Valéry RIDDE, PhD candidate, MSc, DESS
Université Laval, Faculté de médecine
Département de médecine sociale et préventive
Bureau 2138
QUEBEC (QC) G1K 7P4 - CANADA
tél : (418) 656-2131#12658 (418) 656-7759
courriel : [log in to unmask] et [log in to unmask]
===================================================
----------
> De : Ben Irvine <[log in to unmask]>
> A : [log in to unmask]
> Objet : Financial Barriers to Health Care in Switzerland
> Date : mercredi 30 janvier 2002 09:21
>
> Dear List Members,
>
> I'm carrying out research on the Swiss healthcare system. As many of you
> will know, health insurance must be purchased by all residents and is
> community rated. To assist those on low incomes and certain families, the
> Swiss receive means tested premium subsidies according to local cantonal
> rules. In 2001, thirty two percent of the population received these
> subsidies.
>
> The Swiss also pay a minimum deductible ("franchise") of SwF 230 (c £100)
> per year and beyond that pay for 10% of ambulatory care subject to an
annual
> threshold of SwF 600 (c£300). Does anyone know if these co-payments are
> waived for the least well off? If not, is there evidence (such as that
that
> led the French to introduce universal cover (CMU) in 2000), that direct
> payment for medical care discourages individuals from using healthcare
> services?
>
> Can anyone suggest materials that might help answer this question?
>
> Ben
>
> Benedict Irvine - Project Manager, Civitas Health Unit
> Civitas: The Institute for the Study of Civil Society
> The Mezzanine, Elizabeth House
> 39 York Road
> London, SE1 7NQ
> Tel: 020 7401 5472
> Fax: 020 7401 5471
> Mob: 07879 408084
> email: [log in to unmask]
> Website: www.civitas.org.uk
> ----- Original Message -----
> From: <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, January 30, 2002 1:26 PM
> Subject: Race/Health Update: January 2002 (Cross-postings)
>
>
> > Volume 5 No. 1
> > January, 2002
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