The inclusion of diagnostics in national health insurance schemes in Cambodia, India, Indonesia, Nepal, Pakistan, Philippines and Viet Nam
Bibliographic Data
| ID | 21880128 |
|---|---|
| Authors | Jacob Bigio (0000-0003-2929-4252, McGill University Health Centre), Emma Hannay (0000-0003-0464-3882, FIND), Madhukar Pai (0000-0003-3667-4536, McGill University), Bachti Alisjahbana (0000-0003-3745-8229, Padjadjaran University), Rishav Das (McGill University Health Centre), Huy Ba Huynh (0000-0002-3865-8612), Uzma Khan (0000-0001-7090-7810), Lalaine Mortera, Thu Anh Nguyen (0000-0002-2089-2902, The University of Sydney), Muhammad Aamir Safdar (World Health Organization - Pakistan), Suvesh Shrestha, Suvesh Kumar Shrestha (0000-0001-7429-0715, University of Ottawa), A Venkat Raman (0000-0001-5473-8746, University of Delhi), Sharat Chandra Verma, Vijayashree Yellappa (0000-0003-0390-7874, Institute of Public Health Bengaluru), Dru Srivastava (0000-0001-5135-3592, London School of Economics and Political Science, corresponding author) |
| Year | 2023 |
| Volume | 8 |
| Issue | 7 |
| Pages | e012512 |
| Publication date | 2023-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMJ Global Health (JOURNAL) |
| Journal identifiers | ISSN: 2059-7908 • E-ISSN: 2059-7908 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/bmjgh-2023-012512 |
| PMID | 37479500 |
| OpenAlex | W4385064596 |
| Language | EN |
| Citations received | 1 |
| References cited | 14 |
The Lancet Commission on Diagnostics highlighted a huge gap in access to diagnostic testing even for basic tests, particularly at the primary care level, and emphasised the need for countries to include diagnostics as part of their universal health coverage benefits packages. Despite the poor state of diagnostic-related services in low-income and middle-income countries (LMICs), little is known about the extent to which diagnostics are included in the health benefit packages. We conducted an analysis of seven Asian LMICs—Cambodia, India, Indonesia, Nepal, Pakistan, Philippines, Viet Nam—to understand this issue. We conducted a targeted review of relevant literature and applied a health financing framework to analyse the benefit packages available in each government-sponsored scheme. We found considerable heterogeneity in country approaches to diagnostics. Of the seven countries, only India has developed a national essential diagnostics list. No country presented a clear policy rationale on the inclusion of diagnostics in their scheme and the level of detail on the specific diagnostics which are covered under the schemes was also generally lacking. Government-sponsored insurance expansion in the eligible populations has reduced the out-of-pocket health payment burden in many of the countries but overall, there is a lack of access, availability and affordability for diagnostic-related services
Business · Commission · Developing country · Economic growth · Economics · Environmental health · Health care · Payment · Viet nam · Global Maternal and Child Health · Healthcare cost, quality, practices · Healthcare Systems and Reforms · Medicine · Finance
How Jaminan Kesehatan Nasional (JKN) coverage influences out-of-pocket (OOP) payments by vulnerable populations in Indonesia
How patients navigate the diagnostic ecosystem in a fragmented health system
Sehat Sahulat Program”
Who benefits from healthcare spending in Cambodia? Evidence for a universal health coverage policy
| Unique citing works | 1 |
|---|---|
| Citations per year | 1 |
| Citation span | 2026 - 2026 (1) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 1 |