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...

Full description

Bibliographic Details
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:
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