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Strategies for pricing publicly provided health services

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Author Info
Gertler, Paul J.
Hammer, Jeffrey S.

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Abstract

The authors examine how governments finance and allocate public spending, with an eye to developing strategies for pricing publicly provided health services. They also examine the implications of current policy and the possibility for rationalizing competing government priorities. Because governments face budget constraints and cannot fully subsidize all programs and activities, the authors argue the following: a) Public spending on health can (1) improve health outcomes, (2) promote nonhealth aspects of well-being (for example, reducing individuals'risk of economic losses from random health crises), and (3) finance redistribution to the poor. Optimal subsidy and fee policy will depend on how much relative weight government places on those competing objectives. Subsidies need to be reallocated toward the poor and toward public health sector can financed by increasing public subsidies. b) Prices for curative services (user fee) have two distinct roles. They can raise revenue, freeing public resources to be reallocated to public health activities and for limited cofinancing to improve the quality of curative care. More important, they can improve efficiency in the use of public facilities and the health care system as a whole. But those gains must be weighed against evidence that increased fees can compromise public health's three main goals. The literature has focused largely on how raising revenue affects the poor, but the more important effect is likely to be the guidance of resources. User fees are important in cofinancing health care but shouldn't be the primary means of finance. c) Revenue generated from user fees is sometimes used to improve the quality of, and access to, curative medical care. There is some evidence that people are willing to pay some of the cost of improving health care (especially for drugs), but the wealthy are willing to pay a lot more than the poor. If governments charge the average"willingness to pay,"the wealthy will use the services more, the poor, less. d) Prepayment social insurance plans hold promise, but there is evidence that they may introduce inefficient inflation of medical care costs that lower- and middle- income countries cannot afford.

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Paper provided by The World Bank in its series Policy Research Working Paper Series with number 1762.

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Date of creation: 31 May 1997
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Handle: RePEc:wbk:wbrwps:1762

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Related research
Keywords: Public Sector Economics&Finance; Health Systems Development&Reform; Environmental Economics&Policies; Payment Systems&Infrastructure; Health Economics&Finance; Environmental Economics&Policies; Public Sector Economics&Finance; Health Systems Development&Reform; Health Economics&Finance; Urban Economics;

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Hammer, Jeffrey S, 1997. "Economic Analysis for Health Projects," World Bank Research Observer, Oxford University Press, vol. 12(1), pages 47-71, February. [Downloadable!]
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  2. Vogel, R.J., 1988. "Cost Recovery In The Health Care Sector - Selected Country Studies In West Africa," Papers 82, World Bank - Technical Papers.
  3. Lewis, Maureen A, 1993. "User Fees in Public Hospitals: Comparison of Three Country Case Studies," Economic Development and Cultural Change, University of Chicago Press, vol. 41(3), pages 513-32, April.
  4. Schwartz, J Brad & Akin, John S & Popkin, Barry M, 1988. "Price and Income Elasticities of Demand for Modern Health Care: The Case of Infant Delivery in the Philippines," World Bank Economic Review, Oxford University Press, vol. 2(1), pages 49-76, January.
  5. Mwabu, Germano, 1990. "Financing health services in Africa : an assessment of alternative approaches," Policy Research Working Paper Series 457, The World Bank. [Downloadable!]
  6. Akin, John S, et al, 1986. "The Demand for Primary Health Care Services in the Bicol Region of the Philippines," Economic Development and Cultural Change, University of Chicago Press, vol. 34(4), pages 755-82, July.
  7. Lavy, Victor & Strauss, John & Thomas, Duncan & de Vreyer, Philippe, 1996. "Quality of health care, survival and health outcomes in Ghana," Journal of Health Economics, Elsevier, vol. 15(3), pages 333-357, June. [Downloadable!] (restricted)
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  8. Besley, Timothy & Coate, Stephen, 1991. "Public Provision of Private Goods and the Redistribution of Income," American Economic Review, American Economic Association, vol. 81(4), pages 979-84, September. [Downloadable!] (restricted)
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  9. Alderman, Harold & Lavy, Victor, 1996. "Household Responses to Public Health Services: Cost and Quality Tradeoffs," World Bank Research Observer, Oxford University Press, vol. 11(1), pages 3-22, February.
  10. Alderman, H. & Gertler, P., 1989. "The Substitutability Of Public And Private Health Care For The Treatment Of Children In Pakistan," Papers 57, World Bank - Living Standards Measurement.
  11. Benefo, Kofi & Schultz, T Paul, 1996. "Fertility and Child Mortality in Cote d'Ivoire and Ghana," World Bank Economic Review, Oxford University Press, vol. 10(1), pages 123-58, January.
  12. Hammer, Jeffrey S., 1993. "Prices and protocols in public health care," Policy Research Working Paper Series 1131, The World Bank. [Downloadable!]
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  1. Orbeta, Aniceto Jr. C. & Alba, Michael M., 1998. "Macroeconomic Policy Change and Household Health Outomes: A Simulation of the Impact of the 1988-1992 Tariff Reform Program," Discussion Papers DP 1998-03, Philippine Institute for Development Studies. [Downloadable!]
  2. Bernadette Dia Kamgnia, 2008. "Distribution Impact of Public Spending in Cameroon: The Case of Health Care," Research Papers RP_179, African Economic Research Consortium. [Downloadable!]
  3. Lindelow, Magnus, 2002. "Health care demand in rural Mozambique," FCND discussion papers 126, International Food Policy Research Institute (IFPRI). [Downloadable!]
  4. Magnus Lindelow, 2004. "The Utilization of Curative Health Care in Mozambique: Does Income Matter?," Development and Comp Systems 0409057, EconWPA. [Downloadable!]
  5. Menno Pradhan & Fadia Saadah & Robert Sparrow, 2003. "Did the Healthcard Program ensure Access to Medical Care for the Poor during Indonesia's Economic Crisis?," Tinbergen Institute Discussion Papers 03-016/2, Tinbergen Institute. [Downloadable!]
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