Purchasing reforms and tracking health resources, Kenya
Bull. W.H.O. (Online)
; 98(2): 126-131, 2020. ilus
Artigo
em Inglês
| AIM (África)
| ID: biblio-1259948
Biblioteca responsável:
CG1.1
ABSTRACT
As low- and middle-income countries undertake health financing reforms to achieve universal health coverage, there is renewed interest in making allocation of pooled funds to health-care providers more strategic. To make purchasing more strategic, countries are testing different provider payment methods. They therefore need comprehensive data on funding flows to health-care providers from different purchasers to inform decision on payment methods. Tracking funding flow is the focus of several health resource tracking tools including the System of Health Accounts and public expenditure tracking surveys. This study explores whether these health resource tracking tools generate the type of information needed to inform strategic purchasing reforms, using Kenya as an example. Our qualitative assessment of three counties in Kenya shows that different public purchasers, that is, county health departments and the national health insurance agency, pay public facilities through a variety of payment methods. Some of these flows are in-kind while others are financial transfers. The nature of flows and financial autonomy of facilities to retain and spend funds varies considerably across counties and levels of care. The government routinely undertakes different health resource tracking activities to inform health policy and planning. However, a good source for comprehensive data on the flow of funds to public facilities is still lacking, because these activities were not originally designed to offer such insights. We therefore argue that the methods could be enhanced to track such information and hence improve strategic purchasing. We also offer suggestions how this enhancement can be achieved
Texto completo:
Disponível
Contexto em Saúde:
Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Objetivo 3: Recursos humanos em saúde
/
Meta 3.8 Atingir a cobertura universal de saúde
Base de dados:
AIM (África)
Assunto principal:
Pessoal de Saúde
/
Reforma dos Serviços de Saúde
/
Cobertura Universal do Seguro de Saúde
/
Quênia
Tipo de estudo:
Pesquisa qualitativa
País/Região como assunto:
África
Idioma:
Inglês
Revista:
Bull. W.H.O. (Online)
Ano de publicação:
2020
Tipo de documento:
Artigo