kutzin_英文_WHR_Launch_Beijing（三四组）.pptVIP

International experience with health financing reform: lessons from transitional Europe and central Asia Joseph Kutzin Head, WHO Barcelona Office for Health Systems Strengthening Overview Pathways to expanded coverage Experiences and lessons from financing reform in transitional Europe and central Asia Conclusions Throughout, will try to highlight key messages from WHR2010 and recent book Implementing Health Financing Reform: Lessons from Countries in Transition Financing for Universal Coverage Health Financing and Universal Coverage Universal coverage dimensions Universal financial protection Universal access/availability of services for those who need them Effective universal coverage Also concerned that the services are of sufficiently good quality that they improve the health of those receiving them How can health financing arrangements promote effective universal coverage? Financing for universal coverage: direct and indirect objectives Means by which financing can help Increased funding, especially public funding Getting “strength in numbers” Larger pools for sharing risk, to increase potential to cross-subsidize to those in need More efficient use of resources To enable highest level of attainment of our goals from the resources available Many policy choices in health financing – not just “what scheme?” or “what model?” Principles associated with the functional approach to financing(1) All financing systems are systems of insurance – assess performance by how well they do this job, not by what they are called We are committed to the objectives of health financing reform, but not to any particular institutional form or model For example, we don’t believe that German citizens are somehow “more insured” than UK or Swedish citizens, just because the main source of funds and basis for entitlement is different Principles associated with the functional approach to financing(2) Effective policy, and policy analysis, requires thinking in terms of functions rather th