Equity in healthcare financing
A review of evidence
Datos Bibliográficos
| ID | 21467078 |
|---|---|
| Autores | Emilia Luyten (UCLouvain), Sandy Tubeuf (0000-0001-9001-1157, UCLouvain, autor de correspondencia) |
| Año | 2025 |
| Volumen | 152 |
| Páginas | 105218 |
| Fecha de publicación | 2025-02-01 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Health Policy (JOURNAL) |
| Identificadores de la revista | ISSN: 0168-8510 • E-ISSN: 1872-6054 |
| Editorial | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.healthpol.2024.105218 |
| PMID | 39740647 |
| OpenAlex | W4404811634 |
| Idioma | EN |
| Citas recibidas | 2 |
| Referencias citadas | 46 |
The design of health financing impacts income redistribution within the population. • Health financing with progressive taxation can reduce post-taxes income inequality. • Tax-based systems are more redistributive than social and private health systems. • Recent studies on the redistribution of health financing sources are limited. This review summarises empirical studies on the progressivity and redistributive effects of healthcare financing mechanisms. The evidence varies significantly across countries and financing sources. Tax-based systems exhibit high progressivity, as direct taxes contribute to a favourable redistribution toward low-income households, often offsetting the regressive nature of indirect taxes. Social insurance systems are found to be progressive but may be regressive in practice due to contribution ceilings and exemptions for high-income earners. This creates disparities where high-income taxpayers benefit from social protection while contributing less proportionally to their total income, limiting the overall positive redistributive effect on income inequalities. Most health systems with co-payments use flat rates rather than income-based rates, disproportionately affecting lower-income individuals and potentially leading to catastrophic expenses. This review highlights a lack of recent research on healthcare financing in high-income countries, while recent studies in low- and middle-income countries align with commitment to deliver universal health coverage. Continuous analysis of the redistributive effects of the health system is essential to ensure that health financing systems not only fund healthcare effectively but also contribute to broader social equity goals
Business · Economic growth · Economics · Health care · Health equity · Political science · Global Health Care Issues · Healthcare Policy and Management · Healthcare Systems and Reforms · Finance
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Catastrophic payments for health care in Asia
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Equity in financing and use of health care in Ghana, South Africa, and Tanzania
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Improving equity in the distribution and financing of health services in Mauritius, a small island state with deeply rooted welfare state standards
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Progressivity of out-of-pocket costs under Australia's universal health care system
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Equity in Out-of-Pocket Payments for Healthcare Services
Who pays for healthcare in Bangladesh? An analysis of progressivity in health systems financing
Redistributive effects of health care out-of-pocket payments in Cameroon
Out-of-pocket payments in the Austrian healthcare system – a distributional analysis
The inequity of the Swiss health care system financing from a federal state perspective
Changes in Equity in Out-of-pocket Payments during the Period of Health Care Reforms
The redistributive effect of the public health system
Equity in the allocation of public sector financial resources in low- and middle-income countries
Do Out-Of-Pockets Undermine Equity in Healthcare Financing? A Comparison of Healthcare Systems in Europe
Paying for and receiving benefits from health services in South Africa
Equity in out-of-pocket payment in Chile
Measurement of Tax Progressivity
Redistributive Effect and Unequal Income Tax Treatment
Equity in health care financing in Palestine
Assessing income redistributive effect of health financing in Zambia
| Obras citantes distintas | 2 |
|---|---|
| Citas por año | 2 |
| Intervalo de citas | 2025 - 2026 (2) |
| Velocidad de citación | current |
| Altamente citado | No |
| Tipos de cita | Neutras: 1 |