Volume 5, Issue 1 (3-2022)                   Iran J Health Insur 2022, 5(1): 6-17 | Back to browse issues page

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Alizadeh Razavian S M. Health Financing Systems in Selected Countries. Iran J Health Insur. 2022; 5 (1) :6-17
URL: http://journal.ihio.gov.ir/article-1-221-en.html
National Center for Health Insurance Research, Tehran, Iran , alizadeh.mo@ihio.gov.ir
Abstract:   (393 Views)
The limitation of resources in the face of the unlimited needs of society is the origin of economic decisionmaking. The characteristics of health needs and the economic situation and service delivery system have led to the development of different models in prioritizing needs and providing resources for health needs. Knowing the patterns can help you choose the right method. In the UK, Canada, Sweden and Chile the structure is tax-based. The structure in Germany and Turkey is based on two pillars, tax and premium. In the United States, with the exception of government-funded people with disabilities, the rest of society uses private insurance. Sri Lanka, Malaysia and Brazil were forced to provide universal health coverage through tax revenues. Low-income countries are in the same group. In Thailand, Mexico and Kyrgyzstan, premiums from official employees, along with tax revenues, are the basis for the general population's access to health services. In developing countries, financing is mainly through out-of-pocket payments, but due to the injustice created, they are moving to rely on tax resources. In developed countries, the private sector is growing gradually, and even governments with national medical systems have allowed out-of-pocket payments to increase. Financing is related to the level of economic development. In countries with low per capita incomes, high informal employment rates, and unfair wealth redistribution, tax regimes work better. A variety of other methods, such as labeled taxes, special duties, and bond sales, can help provide better financial resources for health.
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Type of Study: Review Article | Subject: Special
Received: 2022/02/6 | Revised: 2022/07/5 | Accepted: 2022/05/7 | ePublished: 2022/06/25

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