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Basic patterns in
national health
expenditure
By : Mohamed rameez
5th year 1st sem
group num 03
THE RESEARCH

WHO's 191 Member States spend on
health
and how it is financed from out-of-pocket
spending and prepayments...
FINDINGS
What do countries spend on health
• The THE%GDP rises from 2% to 9% as income
increases
• Some countries spend less than t...
How is prepayment financed
a. private insurance (voluntary or employment-related),
b. social health insurance contribution...
CONCLUSIONS
•

In many poor countries total health spending is very
low, even compared to the cost of a package of highly
...
MY POINT OF VIEW

Total health expenditure and
total public expenditure of all kinds
rise with income

.
As income rises...
• http://epp.eurostat.ec.europa.eu/statistics_explained/ima
ges/f/ff/Healthcare_expenditure_by_financing_agent,_20
09_(%25...
Basic patterns in national health expenditure
Basic patterns in national health expenditure
Basic patterns in national health expenditure
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Basic patterns in national health expenditure

  1. 1. Basic patterns in national health expenditure By : Mohamed rameez 5th year 1st sem group num 03
  2. 2. THE RESEARCH WHO's 191 Member States spend on health and how it is financed from out-of-pocket spending and prepayments, including social health insurance contributions, government "general revenue," and voluntary and employmentrelated insurance The three data categories are always distinguished in the graphical presentations which follow and in the statistical analyses.
  3. 3. FINDINGS
  4. 4. What do countries spend on health • The THE%GDP rises from 2% to 9% as income increases • Some countries spend less than the cost of a package of cost-effective services, estimated in 1993 to be US$ 12 per capita in very poor countries and US$ 22 in middle-income countries . • This is not enough to assure availability of even a few highly justified services to the whole population, whether the justification is based on costeffectiveness, protection from catastrophic expense, or other criteria. • Inadequate spending in this sense is distinct from low health expenditure causing loss of potential economic growth
  5. 5. How is prepayment financed a. private insurance (voluntary or employment-related), b. social health insurance contributions, and taxes (general revenue) All publicly financed health is prepaid; private spending is divided between insurance and out-of-pocket payments How much of public spending goes for health?  Public expenditure on health can be low because of low total public expenditure, or because a low share of public expenditure is devoted to health, or both  The share increases as income rises
  6. 6. CONCLUSIONS • In many poor countries total health spending is very low, even compared to the cost of a package of highly justified interventions. • Out-of-pocket spending is already catastrophic for several percent of households. Even if consumers were willing to pay more for better quality services, the poor could not pay much more and would require preferential treatment . • Prepayment via health insurance is limited to the wealthy and those with formal employment. The poor could afford meaningful insurance coverage only with public subsidy
  7. 7. MY POINT OF VIEW  Total health expenditure and total public expenditure of all kinds rise with income . As income rises there is a convergence in the average level of the shares of health spending represented by public expenditure (increasing) and by out-of-pocket spending (decreasing)
  8. 8. • http://epp.eurostat.ec.europa.eu/statistics_explained/ima ges/f/ff/Healthcare_expenditure_by_financing_agent,_20 09_(%25_of_current_health_expenditure)_YB2013.png • http://www.who.int/bulletin/en/ • http://www.scielosp.org/scielo.php?pid=S004296862002000200009&script=sci_arttext • http://www.scielosp.org/img/fbpe/bwho/v80n2/html/a09t0 1.htm

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