A New Approach to Measuring Health Development: From National Income Toward Health Coverage (and Beyond)

Rodrigo Moreno-Serra (), Arne Hole, Peter C. Smith and Peter Berman

Chapter 9 in Global Health Economics:Shaping Health Policy in Low- and Middle-Income Countries, 2020, pp 239-262 from World Scientific Publishing Co. Pte. Ltd.

Abstract: This chapter proposes an alternative approach to identify and constraints in countries, based on indicators that are broader than national income and more relevant to assess the stage of national development in health. A conceptual framework of “health coverage” underpins the construction of sub-indices of national performance in the dimensions of access to care, financial risk protection in health and domestic financial constraints, which are then used to construct overall indices of national health development. Country rankings in the health development scale vary substantially when the conditions of access to care, financial protection and domestic capacity to finance the health system are considered, compared to conventional income rankings. Furthermore, the decomposition of our health development indices sheds light on important aspects for health policy, including the identification of cases where there is a need for external support to maintain and expand current health coverage levels, as well as preliminary insights into specific support modalities by donor agencies that may be more efficient to promote health development in a particular setting. This chapter also demonstrates how our proposed indices can inform policy decisions at a higher granularity level subject to the availability of subnational level data.

Keywords: Global Health; Economics; Economic Evaluation; Cost-Effectiveness; Health Systems; Centre for Health Economics (CHE); University of York (search for similar items in EconPapers)
JEL-codes: I15 I18 (search for similar items in EconPapers)
Date: 2020
References: Add references at CitEc
Citations:

Downloads: (external link)
https://www.worldscientific.com/doi/pdf/10.1142/9789813272378_0009 (application/pdf)
https://www.worldscientific.com/doi/abs/10.1142/9789813272378_0009 (text/html)
Ebook Access is available upon purchase.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:wsi:wschap:9789813272378_0009

Ordering information: This item can be ordered from

Access Statistics for this chapter

More chapters in World Scientific Book Chapters from World Scientific Publishing Co. Pte. Ltd.
Bibliographic data for series maintained by Tai Tone Lim ().