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Tracking primary health-care spending in selected countries. System of Health Accounts 2011 methodology / World Health Organization. Regional Office for Europe

Tác giả : World Health Organization. Regional Office for Europe

Nhà xuất bản : World Health Organization. Regional Office for Europe

Năm xuất bản : 2022

ISBN : 9789289058544

Tùng thư : Tracking health spending

Chủ đề : 1. Financing, Government. 2. Financing, Personal. 3. Health Policy. 4. Primary Health Care. 5. Universal Health Care. 6. Publications.

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Tóm tắt :

A health system rooted in primary health care (PHC) is at the core of the Universal Health Care (UHC) agenda. While countries have committed to strengthening PHC, a key barrier to further investment is a lack of reliable information on how much countries already spend. One reasonfor this dearth of evidence is that countries, as well as international organizations, use a range of definitions of PHC. Without clarity on the definitional boundaries of PHC, it is difficult to accurately estimate PHC spending levels, and any estimates generated may not be comparable across countries. Additionally, ambiguity over the goods and services that are included in PHC can make it difficult to attribute health system outputs or outcomes to expenditures, impeding efforts to monitor PHC performance. In this study we estimate PHC spending for four countries – Georgia, Kyrgyzstan, North Macedonia and Spain – using a range of internationally-recognized and country-specific definitions of PHC. We make use of the System of Health Accounts (SHA) 2011 framework, used internationally to track health expenditures, to develop expenditure estimates that are consistent with each PHC definition. We find substantial variability in how much countries purport to spend on PHC depending on the definition of PHC used. We conclude that in addition to developing estimates of PHC spending based on a common global definition, countries with sufficient expenditure tracking capacity can make use of the SHA 2011 framework to develop their own country-specific, policy relevant estimates of spending based on their own accepted definitions of PHC. ix, 52 p.

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https://iris.who.int/handle/10665/364680