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Article: On the Measurement of Financial Protection: An Assessment of the Usefulness of the Catastrophic Health Expenditure Indicator to Monitor Progress Towards Universal Health Coverage
Title | On the Measurement of Financial Protection: An Assessment of the Usefulness of the Catastrophic Health Expenditure Indicator to Monitor Progress Towards Universal Health Coverage |
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Authors | |
Keywords | Financial protection universal health coverage sustainable development goals health expenditures out-of-pocket health expenditures |
Issue Date | 2020 |
Publisher | Taylor & Francis Inc. The Journal's web site is located at https://www.tandfonline.com/KHSR |
Citation | Health Systems & Reform, 2020, v. 6, p. article no. e1744988 How to Cite? |
Abstract | Ensuring financial protection (FP) against health expenditures is a key component of Sustainable Development Goal (SDG) 3.8, which aims to achieve Universal Health Coverage (UHC). While the proportion of households with catastrophic health expenditures exceeding a proportion of their total income or consumption has been adopted as the official SDG indicator, other approaches exist and it is unclear how useful the official indicator is in tracking progress toward the FP sub- target across countries and across time. This paper evaluates the usefulness of the official SDG indicator to measure FP using the RACER framework and discusses how alternative indicators may improve upon the limitations of the official SDG indicator for global monitoring purposes. We find that while all FP indicators have some disadvantages, the official SDG indicator has some proper- ties that severely limit its usefulness for global monitoring purposes. We recommend more research to understand how alternative indicators may enhance global monitoring, as well as improvements to the quality and quantity of underlying data to construct FP indicators in order to improve efforts to monitor progress toward UHC. |
Persistent Identifier | http://hdl.handle.net/10722/286053 |
ISSN | 2023 Impact Factor: 1.9 2023 SCImago Journal Rankings: 1.289 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Grepin, KA | - |
dc.contributor.author | Irwin, BR | - |
dc.contributor.author | Sas Trakinsky, B | - |
dc.date.accessioned | 2020-08-31T06:58:25Z | - |
dc.date.available | 2020-08-31T06:58:25Z | - |
dc.date.issued | 2020 | - |
dc.identifier.citation | Health Systems & Reform, 2020, v. 6, p. article no. e1744988 | - |
dc.identifier.issn | 2328-8604 | - |
dc.identifier.uri | http://hdl.handle.net/10722/286053 | - |
dc.description.abstract | Ensuring financial protection (FP) against health expenditures is a key component of Sustainable Development Goal (SDG) 3.8, which aims to achieve Universal Health Coverage (UHC). While the proportion of households with catastrophic health expenditures exceeding a proportion of their total income or consumption has been adopted as the official SDG indicator, other approaches exist and it is unclear how useful the official indicator is in tracking progress toward the FP sub- target across countries and across time. This paper evaluates the usefulness of the official SDG indicator to measure FP using the RACER framework and discusses how alternative indicators may improve upon the limitations of the official SDG indicator for global monitoring purposes. We find that while all FP indicators have some disadvantages, the official SDG indicator has some proper- ties that severely limit its usefulness for global monitoring purposes. We recommend more research to understand how alternative indicators may enhance global monitoring, as well as improvements to the quality and quantity of underlying data to construct FP indicators in order to improve efforts to monitor progress toward UHC. | - |
dc.language | eng | - |
dc.publisher | Taylor & Francis Inc. The Journal's web site is located at https://www.tandfonline.com/KHSR | - |
dc.relation.ispartof | Health Systems & Reform | - |
dc.rights | This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. | - |
dc.subject | Financial protection | - |
dc.subject | universal health coverage | - |
dc.subject | sustainable development goals | - |
dc.subject | health expenditures | - |
dc.subject | out-of-pocket health expenditures | - |
dc.title | On the Measurement of Financial Protection: An Assessment of the Usefulness of the Catastrophic Health Expenditure Indicator to Monitor Progress Towards Universal Health Coverage | - |
dc.type | Article | - |
dc.identifier.email | Grepin, KA: kgrepin@hku.hk | - |
dc.identifier.authority | Grepin, KA=rp02646 | - |
dc.description.nature | published_or_final_version | - |
dc.identifier.doi | 10.1080/23288604.2020.1744988 | - |
dc.identifier.scopus | eid_2-s2.0-85087017802 | - |
dc.identifier.hkuros | 313788 | - |
dc.identifier.hkuros | 325389 | - |
dc.identifier.volume | 6 | - |
dc.identifier.spage | article no. e1744988 | - |
dc.identifier.epage | article no. e1744988 | - |
dc.identifier.isi | WOS:000544475400001 | - |
dc.publisher.place | United States | - |
dc.identifier.issnl | 2328-8604 | - |