Making Fair Choices on the Path to Universal Health Coverage : Applying Principles to Difficult Cases

Progress toward universal health coverage (UHC) requires making difficult trade-offs. In this journal, Dr. Margaret Chan, the World Health Organization (WHO) Director-General, has endorsed the principles for making such decisions put forward by the WHO Consultative Group on Equity and UHC. These pri...

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Main Authors:	Voorhoeve, Alex, Tan-Torres Edejer, Tessa, Kapiriri, Lydia, Norheim, Ole Frithjof, Snowden, James, Basenya, Olivier, Bayarsaikhan, Dorjsuren, Chentaf, Ikram, Eyal, Nir, Folsom, Amanda, Tun Hussein, Rozita Halina, Morales, Cristian, Ostmann, Florian, Ottersen, Trygve, Prakongsai, Phusit, Saenz, Carla, Saleh, Karima, Sommanustweechai, Angkana, Wikler, Daniel, Zakariah, Afisah
Format:	Journal Article
Published:	Washington, DC: World Bank 2017
Subjects:	HEALTHCARE JUSTICE UNIVERSAL HEALTH CARE PRIORITIES FINANCIAL RISK PROTECTION
Online Access:	http://hdl.handle.net/10986/28627

id	okr-10986-28627
recordtype	oai_dc
spelling	okr-10986-286272021-05-25T10:54:36Z Making Fair Choices on the Path to Universal Health Coverage : Applying Principles to Difficult Cases Voorhoeve, Alex Tan-Torres Edejer, Tessa Kapiriri, Lydia Norheim, Ole Frithjof Snowden, James Basenya, Olivier Bayarsaikhan, Dorjsuren Chentaf, Ikram Eyal, Nir Folsom, Amanda Tun Hussein, Rozita Halina Morales, Cristian Ostmann, Florian Ottersen, Trygve Prakongsai, Phusit Saenz, Carla Saleh, Karima Sommanustweechai, Angkana Wikler, Daniel Zakariah, Afisah HEALTHCARE JUSTICE UNIVERSAL HEALTH CARE PRIORITIES FINANCIAL RISK PROTECTION Progress toward universal health coverage (UHC) requires making difficult trade-offs. In this journal, Dr. Margaret Chan, the World Health Organization (WHO) Director-General, has endorsed the principles for making such decisions put forward by the WHO Consultative Group on Equity and UHC. These principles include maximizing population health, priority for the worse off, and shielding people from health-related financial risks. But how should one apply these principles in particular cases, and how should one adjudicate between them when their demands conflict? This article by some members of the Consultative Group and a diverse group of health policy professionals addresses these questions. It considers three stylized versions of actual policy dilemmas. Each of these cases pertains to one of the three key dimensions of progress toward UHC: which services to cover first, which populations to prioritize for coverage, and how to move from out-of-pocket expenditures to prepayment with pooling of funds. Our cases are simplified to highlight common trade-offs. Though we make specific recommendations, our primary aim is to demonstrate both the form and substance of the reasoning involved in striking a fair balance between competing interests on the road to UHC. 2017-11-02T20:17:45Z 2017-11-02T20:17:45Z 2017-06 Journal Article Health Systems & Reform 2328-8604 http://hdl.handle.net/10986/28627 CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Washington, DC: World Bank Publications & Research :: Journal Article Publications & Research
repository_type	Digital Repository
institution_category	Foreign Institution
institution	Digital Repositories
building	World Bank Open Knowledge Repository
collection	World Bank
topic	HEALTHCARE JUSTICE UNIVERSAL HEALTH CARE PRIORITIES FINANCIAL RISK PROTECTION
spellingShingle	HEALTHCARE JUSTICE UNIVERSAL HEALTH CARE PRIORITIES FINANCIAL RISK PROTECTION Voorhoeve, Alex Tan-Torres Edejer, Tessa Kapiriri, Lydia Norheim, Ole Frithjof Snowden, James Basenya, Olivier Bayarsaikhan, Dorjsuren Chentaf, Ikram Eyal, Nir Folsom, Amanda Tun Hussein, Rozita Halina Morales, Cristian Ostmann, Florian Ottersen, Trygve Prakongsai, Phusit Saenz, Carla Saleh, Karima Sommanustweechai, Angkana Wikler, Daniel Zakariah, Afisah Making Fair Choices on the Path to Universal Health Coverage : Applying Principles to Difficult Cases
description	Progress toward universal health coverage (UHC) requires making difficult trade-offs. In this journal, Dr. Margaret Chan, the World Health Organization (WHO) Director-General, has endorsed the principles for making such decisions put forward by the WHO Consultative Group on Equity and UHC. These principles include maximizing population health, priority for the worse off, and shielding people from health-related financial risks. But how should one apply these principles in particular cases, and how should one adjudicate between them when their demands conflict? This article by some members of the Consultative Group and a diverse group of health policy professionals addresses these questions. It considers three stylized versions of actual policy dilemmas. Each of these cases pertains to one of the three key dimensions of progress toward UHC: which services to cover first, which populations to prioritize for coverage, and how to move from out-of-pocket expenditures to prepayment with pooling of funds. Our cases are simplified to highlight common trade-offs. Though we make specific recommendations, our primary aim is to demonstrate both the form and substance of the reasoning involved in striking a fair balance between competing interests on the road to UHC.
format	Journal Article
author	Voorhoeve, Alex Tan-Torres Edejer, Tessa Kapiriri, Lydia Norheim, Ole Frithjof Snowden, James Basenya, Olivier Bayarsaikhan, Dorjsuren Chentaf, Ikram Eyal, Nir Folsom, Amanda Tun Hussein, Rozita Halina Morales, Cristian Ostmann, Florian Ottersen, Trygve Prakongsai, Phusit Saenz, Carla Saleh, Karima Sommanustweechai, Angkana Wikler, Daniel Zakariah, Afisah
author_facet	Voorhoeve, Alex Tan-Torres Edejer, Tessa Kapiriri, Lydia Norheim, Ole Frithjof Snowden, James Basenya, Olivier Bayarsaikhan, Dorjsuren Chentaf, Ikram Eyal, Nir Folsom, Amanda Tun Hussein, Rozita Halina Morales, Cristian Ostmann, Florian Ottersen, Trygve Prakongsai, Phusit Saenz, Carla Saleh, Karima Sommanustweechai, Angkana Wikler, Daniel Zakariah, Afisah
author_sort	Voorhoeve, Alex
title	Making Fair Choices on the Path to Universal Health Coverage : Applying Principles to Difficult Cases
title_short	Making Fair Choices on the Path to Universal Health Coverage : Applying Principles to Difficult Cases
title_full	Making Fair Choices on the Path to Universal Health Coverage : Applying Principles to Difficult Cases
title_fullStr	Making Fair Choices on the Path to Universal Health Coverage : Applying Principles to Difficult Cases
title_full_unstemmed	Making Fair Choices on the Path to Universal Health Coverage : Applying Principles to Difficult Cases
title_sort	making fair choices on the path to universal health coverage : applying principles to difficult cases
publisher	Washington, DC: World Bank
publishDate	2017
url	http://hdl.handle.net/10986/28627
_version_	1764467318408085504

Making Fair Choices on the Path to Universal Health Coverage : Applying Principles to Difficult Cases

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