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 |
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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 |
format | Article |
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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
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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
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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.</abstract><cop>France</cop><pub>International Union Against Tuberculosis and Lung Disease</pub><pmid>30424825</pmid><doi>10.5588/ijtld.18.0289</doi><tpages>12</tpages></addata></record> |
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source | MEDLINE; PubMed Central; Alma/SFX Local Collection |
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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