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  • 1
    Online Resource
    Online Resource
    Washington, DC, USA : World Bank Group, Development Economics, Development Research Group
    Language: English
    Pages: 1 Online-Ressource (circa 38 Seiten) , Illustrationen
    Series Statement: Policy research working paper 8808
    Series Statement: World Bank E-Library Archive
    Series Statement: Policy research working paper
    Parallel Title: Erscheint auch als Wagstaff, Adam Out-of-Pocket Expenditures on Health: A Global Stocktake
    Keywords: Graue Literatur
    Abstract: This paper provides an overview of research on out-of-pocket health expenditures, reviewing the various summary measures and the results of multi-country studies using these measures. The paper presents estimates for 146 countries from all World Bank income groups for all summary measures, along with correlations between the summary measures and macroeconomic and health system indicators. Large differences emerge across countries in per capita out-of-pocket expenditures in 2011 international dollars, driven in large part by differences in per capita income and the share of gross domestic product spent on health. The two measures of dispersion or risk-the coefficient of variation and Q90/Q50-are only weakly correlated across countries and not explained by the macroeconomic and health system indicators. Considerable variation emerges in the out-of-pocket health expenditure budget share, which is highly correlated with the incidence of "catastrophic" expenditures. Out-of-pocket expenditures tend to be regressive and catastrophic expenditures tend to be concentrated among the poor when expenditures are assessed relative to income, while expenditures tend to be progressive and catastrophic expenditures tend to be concentrated among the rich when expenditures are assessed relative to consumption. At the extreme poverty line of USD 1.90-a-day, most impoverishment due to out-of-pocket expenditures occurs among low-income countries
    URL: Volltext  (lizenzpflichtig)
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  • 2
    Language: English
    Pages: 1 Online-Ressource (circa 45 Seiten) , Illustrationen
    Series Statement: Policy research working paper 9133
    Series Statement: World Bank E-Library Archive
    Series Statement: Policy research working paper
    Parallel Title: Erscheint auch als Erhan Artuc Toward Successful Development Policies: Insights from Research in Development Economics
    Keywords: Graue Literatur
    Abstract: What major insights have emerged from development economics in the past decade, and how do they matter for the World Bank? This challenging question was recently posed by World Bank Group President David Malpass to the staff of the Development Research Group. This paper assembles a set of 13 short, nontechnical briefing notes prepared in response to this request, summarizing a selection of major insights in development economics in the past decade. The notes synthesize evidence from recent research on how policies should be designed, implemented, and evaluated, and provide illustrations of what works and what does not in selected policy areas
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  • 3
    Online Resource
    Online Resource
    Washington, DC, USA : World Bank Group, Development Economics, Development Research Group
    Language: English
    Pages: 1 Online-Ressource (circa 22 Seiten) , Illustrationen
    Series Statement: Policy research working paper 8651
    Series Statement: Policy research working paper
    Keywords: Graue Literatur
    URL: Volltext  (Deutschlandweit zugänglich)
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  • 4
    Online Resource
    Online Resource
    Washington, DC, USA : World Bank Group, Development Economics, Development Research Group & Health, Nutrition and Population Global Practice
    Language: English
    Pages: 1 Online-Ressource (circa 26 Seiten) , Illustrationen
    Series Statement: Policy research working paper 8879
    Series Statement: World Bank E-Library Archive
    Series Statement: Policy research working paper
    Parallel Title: Erscheint auch als Wagstaff, Adam The 2019 Update of the Health Equity and Financial Protection Indicators Database: An Overview
    Keywords: Graue Literatur
    Abstract: This paper outlines changes that have been made in the 2019 version of the Health Equity and Financial Protection Indicators database. On the financial protection side, the changes include an increase in the number of indicators from five to 14; revisions to several previous data points, reflecting the analysis of new surveys (or adaptations thereof); and refinements to the estimation of out-of-pocket expenditures. On the health equity side, the 2019 database includes 198 more data points than the 9,733 in the 2018 database, reflecting the addition of 535 new datapoints, and the dropping of 337 previously included data points now considered to be substandard
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  • 5
    Online Resource
    Online Resource
    Washington, D.C. : World Bank Group, Development Research Group & Health Nutrition and Population Global Practice
    Language: English
    Pages: 1 Online-Ressource (circa 64 Seiten) , Illustrationen
    Series Statement: Policy research working paper 8577
    Series Statement: World Bank E-Library Archive
    Series Statement: Policy research working paper
    Parallel Title: Erscheint auch als Wagstaff, Adam The 2018 Health Equity and Financial Protection Indicators Database: Overview and Insights
    Keywords: Graue Literatur
    Abstract: The 2018 database on Health Equity and Financial Protection indicators provides data on equity in the delivery of health service interventions and health outcomes, and on financial protection in health. This paper provides a brief history of the database, gives an overview of the contents of the 2018 version of the database, and then gets into the details of the construction of its two sides-the health equity side and the financial protection side. The paper also provides illustrative uses of the database, including the extent of and trends in inequity in maternal and child health intervention coverage, the extent of inequities in women's cancer screening and inpatient care utilization, and trends and inequalities in the incidence of catastrophic health expenditures
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  • 6
    Online Resource
    Online Resource
    Washington, DC : World Bank, Development Research Group, Human Development and Public Services Team
    Language: English
    Pages: Online-Ressource (40 S.)
    Edition: World Bank E-Library Archive
    Series Statement: Policy research working paper 4800
    Keywords: Medical assistance ; Medical assistance
    Abstract: "How can the impact of aid be estimated in the presence of fungibility? And how far does fungibility reduce its benefits? These questions are analyzed in a context where a donor wants to target its efforts on a specific sector and specific geographic areas. A traditional differences-in-differences method comparing the change in outcomes between the target and nontarget areas before and after the project risks misestimating the project's benefits. The paper develops an alternative estimation method in which intersectoral fungibility reduces project benefits insofar as government spending has a smaller impact in the sector to which the funds leak than in the target sector, while intrasectoral fungibility reduces benefits insofar as the donor is able to leverage productivity increases in government spending in the target areas. The methods are applied to two contemporaneous World Bank health projects that set out to target assistance on approximately one-half of Vietnam's provinces. Aid is not apparently fungible between Vietnam's health sector and other sectors, but is fungible across provinces within the health sector. Differences-in-differences yield an insignificant impact on infant mortality, while the use of the new method yields a statistically significant impact of around 4 per 1000 live births. The results, however, are ambiguous on the costs associated with intrasectoral fungibility. "--World Bank web site
    Note: Includes bibliographical references
    URL: Volltext  (Deutschlandweit zugänglich)
    URL: Volltext  (Deutschlandweit zugänglich)
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  • 7
    Language: English
    Pages: Online-Ressource (1 online resource (33 p.))
    Edition: Online-Ausg. World Bank E-Library Archive
    Parallel Title: Wagstaff, Adam Health Insurance For The Poor
    Keywords: Child Development ; Clinics ; Evaluation ; Health ; Health Care ; Health Care Finance ; Health Insurance ; Health Monitoring and Evaluation ; Health Services ; Health Systems Development and Reform ; Health, Nutrition and Population ; Hospitals ; Implementation ; Inpatient Care ; Measuremen ; Child Development ; Clinics ; Evaluation ; Health ; Health Care ; Health Care Finance ; Health Insurance ; Health Monitoring and Evaluation ; Health Services ; Health Systems Development and Reform ; Health, Nutrition and Population ; Hospitals ; Implementation ; Inpatient Care ; Measuremen ; Child Development ; Clinics ; Evaluation ; Health ; Health Care ; Health Care Finance ; Health Insurance ; Health Monitoring and Evaluation ; Health Services ; Health Systems Development and Reform ; Health, Nutrition and Population ; Hospitals ; Implementation ; Inpatient Care ; Measuremen
    Abstract: Vietnam's Health Care Fund for the Poor (HCFP) uses government revenues to finance health care for the poor, ethnic minorities living in selected mountainous provinces designated as difficult, and all households living in communes officially designated as highly disadvantaged. The program, which started in 2003, did not as of 2004 include all these groups, but those who were included (about 15 percent of the population) were disproportionately poor. Estimates of the program's impact-obtained using single differences and propensity score matching on a trimmed sample-suggest that HCFP has substantially increased service utilization, especially in-patient care, and has reduced the risk of catastrophic spending. It has not, however, reduced average out-of-pocket spending, and appears to have had negligible impacts on utilization among the poorest decile
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  • 8
    Language: English
    Pages: Online-Ressource (1 online resource (42 p.))
    Edition: Online-Ausg. World Bank E-Library Archive
    Parallel Title: Wagstaff, Adam Poverty and Survival Prospects of Vietnamese Children under Doi Moi
    Keywords: Child Mortality ; Child Survival ; Development Assistance ; Development Goals ; Economic Growth ; Educational Attainment ; Foreign Direct Investment ; Health Monitoring and Evaluation ; Health Services ; Health, Nutrition and Population ; Infant ; International Trade ; Population Policies ; Child Mortality ; Child Survival ; Development Assistance ; Development Goals ; Economic Growth ; Educational Attainment ; Foreign Direct Investment ; Health Monitoring and Evaluation ; Health Services ; Health, Nutrition and Population ; Infant ; International Trade ; Population Policies ; Child Mortality ; Child Survival ; Development Assistance ; Development Goals ; Economic Growth ; Educational Attainment ; Foreign Direct Investment ; Health Monitoring and Evaluation ; Health Services ; Health, Nutrition and Population ; Infant ; International Trade ; Population Policies
    Abstract: By international standards, and given its relatively low per capita income, Vietnam has achieved substantial reductions in, and low levels of, infant and under-five mortality. Wagstaff and Nguyen review existing evidence and provide new evidence on whether, under the economic liberalization program known as Doi Moi, this reduction in child mortality has been sustained. They conclude that it has, but that the gains have been concentrated among the better-off. As a result, socioeconomic inequalities in child survival are evident in Vietnam—a change from the early 1990s when none were apparent. The authors develop survival models to find the causes of this differential decline in child mortality, and conclude that a number of factors have been at work, including reductions among the poor (but not among the better-off) in coverage of health services and in women's educational attainment. They argue that if the experience of the late 1990s is a guide to the future, the lack of progress among the poor will jeopardize Vietnam's chances of achieving the international development goals for child mortality. The authors examine various policy scenarios, including expanding coverage of health services, water and sanitation, and find that such measures, while useful, will have only a limited effect on the mortality of poor children. They find that programs aimed at narrowing the gap between the poor and better-off may have large beneficial effects on the various determinants of child survival. This paper—a product of Public Services, Development Research Group—is part of a larger effort in the group to investigate the links between health and poverty. The authors may be contacted at awagstaffworldbank.org or nnga@worldbank.org
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  • 9
    Online Resource
    Online Resource
    Washington, D.C : The World Bank
    Language: English
    Pages: Online-Ressource (1 online resource (27 p.))
    Edition: Online-Ausg. World Bank E-Library Archive
    Parallel Title: Wagstaff, Adam Social Health Insurance Reexamined
    Keywords: Breast Cancer ; Families ; Financing ; Health ; Health Care ; Health Care Delivery ; Health Insurance ; Health Monitoring and Evaluation ; Health Policy ; Health Services ; Health Systems Development and Reform ; Health, Nutrition and Population ; Hospitals ; International Comparisons ; Life Insurance ; Breast Cancer ; Families ; Financing ; Health ; Health Care ; Health Care Delivery ; Health Insurance ; Health Monitoring and Evaluation ; Health Policy ; Health Services ; Health Systems Development and Reform ; Health, Nutrition and Population ; Hospitals ; International Comparisons ; Life Insurance ; Breast Cancer ; Families ; Financing ; Health ; Health Care ; Health Care Delivery ; Health Insurance ; Health Monitoring and Evaluation ; Health Policy ; Health Services ; Health Systems Development and Reform ; Health, Nutrition and Population ; Hospitals ; International Comparisons ; Life Insurance
    Abstract: Social health insurance (SHI) is enjoying something of a revival in parts of the developing world. Many countries that have in the past relied largely on tax finance (and out-of-pocket payments) have introduced SHI, or are thinking about doing so. And countries with SHI already in place are making vigorous efforts to extend coverage to the informal sector. Ironically, this revival is occurring at a time when the traditional SHI countries in Europe have either already reduced payroll financing in favor of general revenues, or are in the process of doing so. This paper examines how SHI fares in health care delivery, revenue collection, covering the formal sector, and its impacts on the labor market. It argues that SHI does not necessarily deliver good quality care at a low cost, partly because of poor regulation of SHI purchasers. It suggests that the costs of collecting revenues can be substantial, even in the formal sector where nonenrollment and evasion are commonplace, and that while SHI can cover the formal sector and the poor relatively easily, it fares badly in terms of covering the nonpoor informal sector workers until the economy has reached a high level of economic development. The paper also argues that SHI can have negative labor market effects
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  • 10
    Language: English
    Pages: Online-Ressource (35 p)
    Edition: 2011 World Bank eLibrary
    Parallel Title: Wagstaff, Adam A Hybrid Approach to Efficiency Measurement with Empirical Illustrations from Education and Health
    Abstract: Inefficiency is commonplace, yet exercises aimed at improving provider performance efforts to date to measure inefficiency and use it in benchmarking exercises have not been altogether satisfactory. This paper proposes a new approach that blends the themes of Data Envelopment Analysis and the Stochastic Frontier Approach to measure overall efficiency. The hybrid approach nonparametrically estimates inefficiency by comparing actual performance with comparable real-life "best practice" on the frontier and could be useful in exercises aimed at improving provider performance. Four applications in the education and health sectors are used to illustrate the features and strengths of this hybrid approach
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