LEADER 05490nam 2200685Ia 450 001 9910454122303321 005 20200520144314.0 010 $a1-281-78747-7 010 $a9786611787479 010 $a0-8213-7549-0 035 $a(CKB)1000000000576185 035 $a(EBL)459679 035 $a(OCoLC)277093810 035 $a(SSID)ssj0000087189 035 $a(PQKBManifestationID)11113050 035 $a(PQKBTitleCode)TC0000087189 035 $a(PQKBWorkID)10054715 035 $a(PQKB)10038771 035 $a(MiAaPQ)EBC459679 035 $a(Au-PeEL)EBL459679 035 $a(CaPaEBR)ebr10252463 035 $a(CaONFJC)MIL178747 035 $a(EXLCZ)991000000000576185 100 $a20080320d2008 uf 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 00$aGoverning mandatory health insurance$b[electronic resource] $elearning from experience /$fedited by William D. Savedoff and Pablo Gottret 210 $aWashington, DC $cWorld Bank$d2008 215 $a1 online resource (246 p.) 300 $aDescription based upon print version of record. 311 $a0-8213-7548-2 320 $aIncludes bibliographical references and index. 327 $aContents; Foreword; Acknowledgments; Acronyms and abbreviations; Overview; Figure 1 Accountability through governance; Table 1 Mandatory health insurance models and implications for governance; 1 Governing mandatory health insurance: Concepts, framework, and cases; Box 1.1 This book; Box 1.2 Definitions of social health insurance; Figure 1.1 Health insurance schemes; Box 1.3 Serving many masters; Figure 1.2 Three key relationships influencing the behavior of mandatory health insurance entities; Figure 1.3 Accountability through effective governance; Box 1.4 A "fifth" model 327 $aTable 1.1 Mandatory health insurance models and implications for governanceTable 1.2 General characteristics of case study countries; Table 1.3 Decisionmaking authority by country and issue; 2 Good governance dimensions in mandatory health insurance: A framework for performance assessment; Table 2.1 Dimensions, features, and indicators of good governance in mandatory health insurance; Figure 2.1 Example for mandatory health insurance governance performance assessment; Figure 2.2 Costa Rica mandatory health insurance governance performance assessment 327 $aFigure 2.3 Estonia mandatory health insurance governance performance assessmentFigure 2.4 The Netherlands mandatory health insurance governance performance assessment; Figure 2.5 Chile mandatory health insurance governance performance assessment; 3 Costly success: An integrated health insurer in Costa Rica; Figure 3.1 Evolution of health insurance coverage in Costa Rica; Table 3.1 Influence of different parties on CCSS decisions; Box 3.1 Resolutions of the constitutional court; Figure 3.2 Population covered by the primary health care program, 1990-2003 327 $aFigure 3.3 Average length of stay in the hospital, 1990-2004Figure 3.4 External consultations per hour, 1990-2004; 4 Governing a single-payer mandatory health insurance system: The case of Estonia; Figure 4.1 Organizational structure of the Estonian Health Insurance Fund, 2006; Box 4.1 Sources of main regulations; Figure 4.2 Overview of the Estonian health financing system; Table 4.1 Influence on decisions made by the Estonian health financing system; Figure 4.3 Population satisfaction with access to care, 2001-05; Figure 4.4 Outpatient contacts and acute care admissions, 1985-2003 327 $aFigure 4.5 Out-of-pocket payment for health care, 1998-2004Figure 4.6 Share of households with high health payments, 1995, 2001, and 2002; Figure 4.7 Estonian Health Insurance Fund revenues and expenditures, 1992-2006; 5 Governing multiple health insurers in acorporatist setting: The case of the Netherlands; Figure 5.1 Three-compartment structure of health insurance before 2006; Table 5.1 Composition of health care financing by source; Box 5.1 Overview of the 2006 reforms; 6 Governing a hybrid mandatory health insurance system: The case of Chile 327 $aFigure 6.1 Governance forces in mandatory health insurance: The general case 330 $aAlthough mandatory health insurance programs are being proposed or expanded in many developing countries, relatively little attention has been given to how these programs are governed. The available literature focuses almost exclusively on operational features that are important but will necessarily change over time-such as eligibility, benefit packages, and premiums. Governing Mandatory Health Insurance instead looks at the institutional and political forces that affect the behavior of such programs within their social and historical contexts and how five dimensions of governance-coherent dec 606 $aHealth insurance$vCross-cultural studies 606 $aHealth insurance$zEurope 606 $aHealth insurance$zLatin America 608 $aElectronic books. 615 0$aHealth insurance 615 0$aHealth insurance 615 0$aHealth insurance 676 $a368.382 701 $aSavedoff$b William D$0923445 701 $aGottret$b Pablo E$g(Pablo Enrique),$f1959-$0888721 712 02$aWorld Bank. 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910454122303321 996 $aGoverning mandatory health insurance$92460725 997 $aUNINA