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Social Health Insurance: Key Factors Affecting the Transition Towards Universal Coverage

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  • Guy Carrin
  • Chris James

Abstract

Several low‐ and middle‐income countries are interested in extending their existing health insurance for specific groups to eventually cover their entire populations. For those countries interested in such an extension, it is important to understand the factors that affect the transition from incomplete to universal coverage. This paper analyses the experience of eight countries in the implementation of social health insurance. It highlights the importance of the socioeconomic and political context, particularly in relation to the level of income, structure of the economy, distribution of the population, ability to administer and level of solidarity within the country, but also stresses the important stewardship role government can play in facilitating the transition to universal coverage via social health insurance.

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  • Guy Carrin & Chris James, 2005. "Social Health Insurance: Key Factors Affecting the Transition Towards Universal Coverage," International Social Security Review, John Wiley & Sons, vol. 58(1), pages 45-64, January.
    • Handle: RePEc:wly:intssr:v:58:y:2005:i:1:p:45-64
    DOI: 10.1111/j.1468-246X.2005.00209.x
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    Cited by:

    1. Robin Tiow Heng Tan & Siti Zaleha Abdul Rasid & Wan Khairuzzaman Wan Ismail & Janiza Tobechan & Edwin Tiow Yong Tan & Alia Natasha Yusof & Jia Hui Low, 2022. "Willingness to Pay for National Health Insurance: A Contingent Valuation Study Among Patients Visiting Public Hospitals in Melaka, Malaysia," Applied Health Economics and Health Policy, Springer, vol. 20(2), pages 255-267, March.
    2. Jung, Juergen & Tran, Chung, 2022. "Social health insurance: A quantitative exploration," Journal of Economic Dynamics and Control, Elsevier, vol. 139(C).
    3. Molina, Oswaldo, 2018. "Innovation in an unfavorable context: Local mining suppliers in Peru," Resources Policy, Elsevier, vol. 58(C), pages 34-48.
    4. William C. Hsiao & R. Paul Shaw, 2007. "Social Health Insurance for Developing Nations," World Bank Publications - Books, The World Bank Group, number 6860, December.
    5. Mohammad Abu‐Zaineh & Olivier Chanel & Khaled Makhloufi, 2022. "Estimating willingness to pay for public health insurance while accounting for protest responses: A further step towards universal health coverage in Tunisia?," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(5), pages 2809-2821, September.
    6. Weon-Young Lee & Ian Shaw, 2014. "The Impact of Out-of-Pocket Payments on Health Care Inequity: The Case of National Health Insurance in South Korea," IJERPH, MDPI, vol. 11(7), pages 1-15, July.
    7. Ying Zhang & Rui Wang & Xinyi Yao, 2019. "Assessing determinants of health care prepayment in China: Economic growth or government willingness? New evidence from the continuous wavelet analysis," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(1), pages 694-712, January.
    8. Simona Rodat, 2021. "Use of the Internet by Older People for Health-Related Issues: A Case Study of German Seniors," Anuarul Universitatii „Petre Andrei” din Iasi / Year-Book „Petre Andrei” University from Iasi, Fascicula: Drept, Stiinte Economice, Stiinte Politice / Fascicle: Law, Economic Sciences, Political Scien, Editura Lumen, Department of Economics, vol. 28, pages 216-244, December.

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