Implications for policy – The comprehensive approach taken to reform in these two countries, and particularly the redirection of general budget revenues to the new SHI funds, explain much of the success that was achieved. This experience offers potentially useful lessons for LMIs elsewhere in the world, and for shifting the global debate away from what we see as a false dichotomy between SHI and general revenue-funded systems. By demonstrating that sources are not systems, these cases illustrate how, in particular by careful design of pooling and coverage arrangements, the introduction of SHI in an LMI context can avoid the fragmentation problem often associated with this reform instrument.
Kutzin, J., Jakab, M. and Shishkin, S. (2009), "From scheme to system: social health insurance funds and the transformation of health financing in Kyrgyzstan and Moldova", Chernichovsky, D. and Hanson, K. (Ed.) Innovations in Health System Finance in Developing and Transitional Economies (Advances in Health Economics and Health Services Research, Vol. 21), Emerald Group Publishing Limited, Bingley, pp. 291-312. https://doi.org/10.1108/S0731-2199(2009)0000021014Download as .RIS
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