Mitigating the Impact of the Economic Crisis on Public Sector Health Spending

The current global financial crisis is having a substantial impact in Europe and Central Asia (ECA) where economic growth is beginning to dip, unemployment is rising and government revenues are being cut. The Gross Domestic Product (GDP) growth rat...

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Main Author:	Schneider, Pia
Format:	Brief
Language:	English
Published:	World Bank, Washington, DC 2012
Subjects:	ACUTE CARE CAPITATION CAPITATION PAYMENTS CHILD HEALTH CHILD HEALTH SERVICES CONTRIBUTION RATES DEFICITS ECONOMIC GROWTH ECONOMIC RECOVERY EQUITY IN ACCESS ESSENTIAL DRUGS EXCISE TAXES EXPENDITURE CONTROL EXPENDITURES FINANCIAL INCENTIVES FINANCIAL RISK FINANCIAL VIABILITY GOVERNMENT INTERVENTIONS GOVERNMENT SPENDING HEALTH CARE HEALTH CARE CENTERS HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEMS HEALTH CENTERS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURERS HEALTH ORGANIZATION HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE USE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM REFORM HEALTH SYSTEMS HEALTH WORKFORCE HOSPITAL BEDS HOSPITAL BUDGETS HOSPITALS ILLNESS IMMUNIZATION INCOME INCOME GROUPS INSURERS LABOR MARKETS LOCAL GOVERNMENTS LOW-INCOME COUNTRIES MEDICAL TECHNOLOGY MUNICIPALITIES PATIENTS PHARMACEUTICAL EXPENDITURES PHYSICIANS POCKET PAYMENTS POCKET PAYMENTS BY PATIENTS PRIMARY HEALTH CARE PRIVATE SECTOR PROVIDER PAYMENT PROVISION OF CARE PUBLIC PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH SPENDING PUBLIC REVENUES PUBLIC SECTOR PUBLIC SPENDING SOCIAL HEALTH INSURANCE TAX TAX ASSESSMENT UNEMPLOYMENT
Online Access:	http://documents.worldbank.org/curated/en/2009/08/11137948/mitigating-impact-economic-crisis-public-sector-health-spending http://hdl.handle.net/10986/10232

id	okr-10986-10232
recordtype	oai_dc
spelling	okr-10986-102322021-04-23T14:02:49Z Mitigating the Impact of the Economic Crisis on Public Sector Health Spending Schneider, Pia ACUTE CARE CAPITATION CAPITATION PAYMENTS CHILD HEALTH CHILD HEALTH SERVICES CONTRIBUTION RATES DEFICITS ECONOMIC GROWTH ECONOMIC RECOVERY EQUITY IN ACCESS ESSENTIAL DRUGS EXCISE TAXES EXPENDITURE CONTROL EXPENDITURES FINANCIAL INCENTIVES FINANCIAL RISK FINANCIAL VIABILITY GOVERNMENT INTERVENTIONS GOVERNMENT SPENDING HEALTH CARE HEALTH CARE CENTERS HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEMS HEALTH CENTERS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURERS HEALTH ORGANIZATION HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE USE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM REFORM HEALTH SYSTEMS HEALTH WORKFORCE HOSPITAL BEDS HOSPITAL BUDGETS HOSPITALS ILLNESS IMMUNIZATION INCOME INCOME GROUPS INSURERS LABOR MARKETS LOCAL GOVERNMENTS LOW-INCOME COUNTRIES MEDICAL TECHNOLOGY MUNICIPALITIES PATIENTS PHARMACEUTICAL EXPENDITURES PHYSICIANS POCKET PAYMENTS POCKET PAYMENTS BY PATIENTS PRIMARY HEALTH CARE PRIVATE SECTOR PROVIDER PAYMENT PROVISION OF CARE PUBLIC PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH SPENDING PUBLIC REVENUES PUBLIC SECTOR PUBLIC SPENDING SOCIAL HEALTH INSURANCE TAX TAX ASSESSMENT UNEMPLOYMENT The current global financial crisis is having a substantial impact in Europe and Central Asia (ECA) where economic growth is beginning to dip, unemployment is rising and government revenues are being cut. The Gross Domestic Product (GDP) growth rate of the region is projected to decline by 4.7 percent in 2009 and the flow of remittances is also expected to slow down sharply, causing particular hardship to low-income groups. While countries with fiscal capacity have adopted stimulus packages to promote economic recovery, most ECA countries are financially constrained and have revised their government budgets, including in the health sector. Thus, as a result of the crisis, public spending on health may actually decrease in absolute amounts and in percentage of GDP. The health sectors in most ECA countries are mainly financed from public sources. In countries with low levels of public spending on health3, the majority of health services are paid for by patients. Any reductions in public health spending would thus only add to the out-of-pocket expenditures of patients, and may negatively affect access to care, particularly for the poor. There is increasing empirical evidence that public sector spending improves health indicators in low-income and transition countries, particularly in countries that have good governance systems in place. 2012-08-13T10:48:05Z 2012-08-13T10:48:05Z 2009-08 http://documents.worldbank.org/curated/en/2009/08/11137948/mitigating-impact-economic-crisis-public-sector-health-spending http://hdl.handle.net/10986/10232 English Europe and Central Asia Knowledge Brief; Volume No. 8 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank World Bank, Washington, DC Publications & Research :: Brief Publications & Research Europe and Central Asia
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
language	English
topic	ACUTE CARE CAPITATION CAPITATION PAYMENTS CHILD HEALTH CHILD HEALTH SERVICES CONTRIBUTION RATES DEFICITS ECONOMIC GROWTH ECONOMIC RECOVERY EQUITY IN ACCESS ESSENTIAL DRUGS EXCISE TAXES EXPENDITURE CONTROL EXPENDITURES FINANCIAL INCENTIVES FINANCIAL RISK FINANCIAL VIABILITY GOVERNMENT INTERVENTIONS GOVERNMENT SPENDING HEALTH CARE HEALTH CARE CENTERS HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEMS HEALTH CENTERS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURERS HEALTH ORGANIZATION HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE USE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM REFORM HEALTH SYSTEMS HEALTH WORKFORCE HOSPITAL BEDS HOSPITAL BUDGETS HOSPITALS ILLNESS IMMUNIZATION INCOME INCOME GROUPS INSURERS LABOR MARKETS LOCAL GOVERNMENTS LOW-INCOME COUNTRIES MEDICAL TECHNOLOGY MUNICIPALITIES PATIENTS PHARMACEUTICAL EXPENDITURES PHYSICIANS POCKET PAYMENTS POCKET PAYMENTS BY PATIENTS PRIMARY HEALTH CARE PRIVATE SECTOR PROVIDER PAYMENT PROVISION OF CARE PUBLIC PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH SPENDING PUBLIC REVENUES PUBLIC SECTOR PUBLIC SPENDING SOCIAL HEALTH INSURANCE TAX TAX ASSESSMENT UNEMPLOYMENT
spellingShingle	ACUTE CARE CAPITATION CAPITATION PAYMENTS CHILD HEALTH CHILD HEALTH SERVICES CONTRIBUTION RATES DEFICITS ECONOMIC GROWTH ECONOMIC RECOVERY EQUITY IN ACCESS ESSENTIAL DRUGS EXCISE TAXES EXPENDITURE CONTROL EXPENDITURES FINANCIAL INCENTIVES FINANCIAL RISK FINANCIAL VIABILITY GOVERNMENT INTERVENTIONS GOVERNMENT SPENDING HEALTH CARE HEALTH CARE CENTERS HEALTH CARE PROVIDERS HEALTH CARE SERVICES HEALTH CARE SYSTEMS HEALTH CENTERS HEALTH COVERAGE HEALTH EXPENDITURE HEALTH EXPENDITURES HEALTH FACILITIES HEALTH FINANCING HEALTH FOR ALL HEALTH INDICATORS HEALTH INSURANCE HEALTH INSURERS HEALTH ORGANIZATION HEALTH PROGRAMS HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE USE HEALTH SERVICES HEALTH SYSTEM HEALTH SYSTEM REFORM HEALTH SYSTEMS HEALTH WORKFORCE HOSPITAL BEDS HOSPITAL BUDGETS HOSPITALS ILLNESS IMMUNIZATION INCOME INCOME GROUPS INSURERS LABOR MARKETS LOCAL GOVERNMENTS LOW-INCOME COUNTRIES MEDICAL TECHNOLOGY MUNICIPALITIES PATIENTS PHARMACEUTICAL EXPENDITURES PHYSICIANS POCKET PAYMENTS POCKET PAYMENTS BY PATIENTS PRIMARY HEALTH CARE PRIVATE SECTOR PROVIDER PAYMENT PROVISION OF CARE PUBLIC PUBLIC FUNDS PUBLIC HEALTH PUBLIC HEALTH SPENDING PUBLIC REVENUES PUBLIC SECTOR PUBLIC SPENDING SOCIAL HEALTH INSURANCE TAX TAX ASSESSMENT UNEMPLOYMENT Schneider, Pia Mitigating the Impact of the Economic Crisis on Public Sector Health Spending
geographic_facet	Europe and Central Asia
relation	Europe and Central Asia Knowledge Brief; Volume No. 8
description	The current global financial crisis is having a substantial impact in Europe and Central Asia (ECA) where economic growth is beginning to dip, unemployment is rising and government revenues are being cut. The Gross Domestic Product (GDP) growth rate of the region is projected to decline by 4.7 percent in 2009 and the flow of remittances is also expected to slow down sharply, causing particular hardship to low-income groups. While countries with fiscal capacity have adopted stimulus packages to promote economic recovery, most ECA countries are financially constrained and have revised their government budgets, including in the health sector. Thus, as a result of the crisis, public spending on health may actually decrease in absolute amounts and in percentage of GDP. The health sectors in most ECA countries are mainly financed from public sources. In countries with low levels of public spending on health3, the majority of health services are paid for by patients. Any reductions in public health spending would thus only add to the out-of-pocket expenditures of patients, and may negatively affect access to care, particularly for the poor. There is increasing empirical evidence that public sector spending improves health indicators in low-income and transition countries, particularly in countries that have good governance systems in place.
format	Publications & Research :: Brief
author	Schneider, Pia
author_facet	Schneider, Pia
author_sort	Schneider, Pia
title	Mitigating the Impact of the Economic Crisis on Public Sector Health Spending
title_short	Mitigating the Impact of the Economic Crisis on Public Sector Health Spending
title_full	Mitigating the Impact of the Economic Crisis on Public Sector Health Spending
title_fullStr	Mitigating the Impact of the Economic Crisis on Public Sector Health Spending
title_full_unstemmed	Mitigating the Impact of the Economic Crisis on Public Sector Health Spending
title_sort	mitigating the impact of the economic crisis on public sector health spending
publisher	World Bank, Washington, DC
publishDate	2012
url	http://documents.worldbank.org/curated/en/2009/08/11137948/mitigating-impact-economic-crisis-public-sector-health-spending http://hdl.handle.net/10986/10232
_version_	1764412337238835200

Mitigating the Impact of the Economic Crisis on Public Sector Health Spending

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