Health Financing Policy Analysis

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To our knowledge this is the first systematic review of health financing policy analysis and assessment toward universal health coverage. 23 articles were identified. We had two main objectives that we discuss in turn: (1) what assessment or policy analysis studies of health financing toward universal health coverage have been done and what did they imply? (2) And what are the policy options for health financing toward universal coverage?
Results from the studies included in this systematic review suggest that different issues in health financing systems should be considered to pave the way toward achieving universal health coverage. We have synthesized, using the thematic framework, these issues in nine dimensions. Most included studies assessed health financing using a conceptual or analytical framework. Some other studies analyzed health financing policy using a policy analysis model.
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It has become clear that international experiences help implement policy options by supporting them to learn about the “how” of the policy process, involvement of stakeholders, articulation of policies and consideration of political economy status to achieve UHC.
In recent years there has been a growing body of literature in favor of putting more emphasis on political economy, pressure groups role and lobbying which influence health financing policy towards universal coverage (Carrin, Mathauer, Xu, & Evans, 2008). Health financing functions need to be supported by transparent legislations and regulations with implicit policy options that ultimately promote sustainability of revenues, ensure risk pooling arrangements, and rationalize health spending both in the public and private sectors (Abiiro & McIntyre, 2012; Ahmed et al., 2013; Maeda & Naoki Ikegami,

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