How tuberculosis programs can navigate the world of social health insurance

Many countries with a high tuberculosis (TB) burden are adopting social health insurance (SHI) schemes. However, the national TB programs (NTPs) of these countries are only just starting to grapple with the effects of SHI on their operations. Here, we review the rationale for analyzing TB programs i...

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Veröffentlicht in:The international journal of tuberculosis and lung disease 2019-01, Vol.23 (1), p.26-37
Hauptverfasser: Wells, W. A., Stallworthy, G., Balsara, Z.
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container_title The international journal of tuberculosis and lung disease
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creator Wells, W. A.
Stallworthy, G.
Balsara, Z.
description Many countries with a high tuberculosis (TB) burden are adopting social health insurance (SHI) schemes. However, the national TB programs (NTPs) of these countries are only just starting to grapple with the effects of SHI on their operations. Here, we review the rationale for analyzing TB programs in light of the changes brought by SHI. We consider the influence of certain purchasing decisions on TB care and prevention, and the opportunities that SHI may present for NTPs to broaden private sector engagement, extract TB data across the health sector, and facilitate quality improvement efforts. We also explore which functions are likely to be performed by SHI systems, which require special attention with the advent of SHI, and the metrics that indicate how much of TB care seeking and treatment can be reached and influenced by SHI. SHI presents certain risks for TB programs, but also opportunities to adapt to a more modern health system and to bring quality TB care and treatment to more people.
doi_str_mv 10.5588/ijtld.18.0289
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subjects Financing, Government
Health
Health insurance
Humans
Incentives
Insurance
Insurance, Health - economics
Insurance, Health - statistics & numerical data
National health insurance
National Health Programs - economics
Private Sector
Public Sector
Purchasing
Quality control
Quality of Health Care - economics
Tuberculosis
Tuberculosis - economics
Universal Health Coverage
Universal Health Insurance
title How tuberculosis programs can navigate the world of social health insurance
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