Volume 23, Issue 3 (10-2020)
Hakim 2020, 23(3): 353-366 |
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Mosadeghrad A M, Tolouie Rakhshan S, Afshari M, Isfahani P. Health financing system indicators: A scoping review. Hakim 2020; 23 (3) :353-366
URL: http://hakim.tums.ac.ir/article-1-2031-en.html
URL: http://hakim.tums.ac.ir/article-1-2031-en.html
1- D. Associate professor, Health Economics and Management Department, Health Information Management Research Center, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2- Ph.D. student in Healthcare services management, Health economics and management department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- MSc in Health Economics, Saveh University of Medical Sciences, Saveh, Iran . Ph.D. student in Health policy, Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
4- Ph.D. Assistant professor, Healthcare services management department, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran ,p.isfehani@gmail.com
2- Ph.D. student in Healthcare services management, Health economics and management department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
3- MSc in Health Economics, Saveh University of Medical Sciences, Saveh, Iran . Ph.D. student in Health policy, Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
4- Ph.D. Assistant professor, Healthcare services management department, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran ,
Abstract: (1405 Views)
Introduction: Health system financing is the process of collecting, pooling, and managing financial resources for purchasing healthcare services needed by the society in order to promote, restore, or maintain their health, while financially protecting them against health costs. Financing, as one of the most important functions of the health system, plays an important role in achieving universal health coverage. Therefore, this study aimed to identify indicators for measuring health system financing.
Methodology: Following a scoping review approach, we systematically searched six databases to identify relevant documents for the period of January 1, 1975, to May 20, 2020. A total of 79 documents were reviewed and analyzed using MAXQDA software.
Results: Overall, 31 health financing indicators were identified, which were categorized into three categories of collecting financial resources, pooling financial resources, and purchasing healthcare services. Out-of-pocket health expenditures, catastrophic health expenditures, total health expenditure as a percentage of gross domestic product, global health spending, general government expenditure on health, medical impoverishment, domestic private health expenditure, and household financial contribution were the most frequently used health financing indicators.
Conclusion: Adequacy of financial resources, risk sharing, efficiency, equity, and sustainability are important criteria for evaluating the health financing system. The use of indicators is essential for evaluating the health financing system.
Please cite this article as follows:
Mosadeghrad AM, Tolouei Rakhshan Sh, Afshari A, Isfahani P. Health financing system indicators: A scoping review. Hakim Health Sys Res. 2020;20(3); 353-366.
*Corresponding Author: Healthcare Services management department, School of public health, Zabol University of Medical Science, Zabol, Iran.
Tel: 054322332190 Email: p.esfahani@zbmu.ac.ir
Methodology: Following a scoping review approach, we systematically searched six databases to identify relevant documents for the period of January 1, 1975, to May 20, 2020. A total of 79 documents were reviewed and analyzed using MAXQDA software.
Results: Overall, 31 health financing indicators were identified, which were categorized into three categories of collecting financial resources, pooling financial resources, and purchasing healthcare services. Out-of-pocket health expenditures, catastrophic health expenditures, total health expenditure as a percentage of gross domestic product, global health spending, general government expenditure on health, medical impoverishment, domestic private health expenditure, and household financial contribution were the most frequently used health financing indicators.
Conclusion: Adequacy of financial resources, risk sharing, efficiency, equity, and sustainability are important criteria for evaluating the health financing system. The use of indicators is essential for evaluating the health financing system.
Please cite this article as follows:
Mosadeghrad AM, Tolouei Rakhshan Sh, Afshari A, Isfahani P. Health financing system indicators: A scoping review. Hakim Health Sys Res. 2020;20(3); 353-366.
*Corresponding Author: Healthcare Services management department, School of public health, Zabol University of Medical Science, Zabol, Iran.
Tel: 054322332190 Email: p.esfahani@zbmu.ac.ir
Type of Study: Review |
Subject:
General
Received: 2020/07/22 | Accepted: 2020/10/1 | Published: 2020/10/1
Received: 2020/07/22 | Accepted: 2020/10/1 | Published: 2020/10/1
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