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Transition of health financing, cost risk-sharing and risk-pooling models in the health sector : a systematic review (1990-2019)
Joint Authors
Ahangar, Ali
Ahmadi, Ali Muhammad
Mozayani, Amir Husayn
Dizaji, Sajad Faraji
Safarani, Samaneh
Source
Iranian Red Crescent Medical Journal
Issue
Vol. 21, Issue 12 (31 Dec. 2019), pp.1-16, 16 p.
Publisher
Publication Date
2019-12-31
Country of Publication
United Arab Emirates
No. of Pages
16
Main Subjects
Abstract EN
Context Health expenditures in the world undergo increasing growth.
According to the WHO Report (2000), health financing is one of the main functions of the health system that has a significant impact on its other functions.
Objectives The aim of this study is the systematic review of the changes and shifting of health care financing models and cost burden risk-sharing mechanisms in health systems over the past three decades.
Data Sources: In this systematic review, data sources of studies on health financing realm in different countries were investigated using a series of keywords, including “health financing”, “health expenditure “, “model”, “financing mechanism/arrangement”, and “cost risk-sharing” from the most important databases such as Google Scholar, Web of Science, Scopus, PubMed, and the Iranian databases, such as Magiran, IranMedx, SID, in 1990 - 2019.
Study Selection: According to PRISMA Flow Diagram, with application of inclusion and exclusion criteria (time limitations, language restrictions, lack of related title abstract, full text), among 86,611 documents, 150 studies were selected.
Two pairs of review author’s independently extracted data and assessed the risk of bias.
Results The systematic review of different evidence suggests that with economic growth, since 2001 to 2014, global health expenditure trend was increased from $ 3.8 trillion (in 2001) to $ 9.2 trillion (in 2014) and is estimated to reach $ 24.2 trillion (in 2040).
Also, all the evidence indicates a tangible change, a 10% increase in public and pre-payments health expenditures and a 16% reduction in private expenditures, in the global health financing model in the current period up to 2040.
Conclusions The review of regional and global studies, across countries and during the time, shows that in the last three decades, health financing systems are in a transition towards pervasive (with high financial risk-sharing) public health policies in the world.
American Psychological Association (APA)
Ahangar, Ali& Ahmadi, Ali Muhammad& Mozayani, Amir Husayn& Dizaji, Sajad Faraji& Safarani, Samaneh. 2019. Transition of health financing, cost risk-sharing and risk-pooling models in the health sector : a systematic review (1990-2019). Iranian Red Crescent Medical Journal،Vol. 21, no. 12, pp.1-16.
https://search.emarefa.net/detail/BIM-923032
Modern Language Association (MLA)
Mozayani, Amir Husayn…[et al.]. Transition of health financing, cost risk-sharing and risk-pooling models in the health sector : a systematic review (1990-2019). Iranian Red Crescent Medical Journal Vol. 21, no. 12 (Dec. 2019), pp.1-16.
https://search.emarefa.net/detail/BIM-923032
American Medical Association (AMA)
Ahangar, Ali& Ahmadi, Ali Muhammad& Mozayani, Amir Husayn& Dizaji, Sajad Faraji& Safarani, Samaneh. Transition of health financing, cost risk-sharing and risk-pooling models in the health sector : a systematic review (1990-2019). Iranian Red Crescent Medical Journal. 2019. Vol. 21, no. 12, pp.1-16.
https://search.emarefa.net/detail/BIM-923032
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 15-14
Record ID
BIM-923032