THE RESOURCES AND CONFIGURATION OF FISCAL SPACE FOR HEALTH

J. Mertl
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Abstract

This article deals with the fiscal space for healthcare and the resources we can use to create it in its universal and optional part. The aim is to map the possibilities of building fiscal space for healthcare, to grasp it in theory and to use a triangular graph tool to perform basic quantifications. Findings are supported by the analysis of fiscal dimension of the configuration of health systems including the use of an innovative concept of fiscal space for healthcare. It works with the OECD’s classification of financing consisting of government schemes (based on general taxation), compulsory health insurance schemes (earmarked taxation, social and nominal health insurance, or compulsory private insurance) and voluntary private expenditure (private insurance, savings, or direct out-of-pocket payments).
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卫生财政空间的资源和配置
本文讨论了医疗保健的财政空间以及我们可以用来在其普遍和可选部分创建它的资源。其目的是绘制构建医疗保健财政空间的可能性图,从理论上掌握它,并使用三角图形工具进行基本量化。研究结果得到了卫生系统配置的财政维度分析的支持,包括使用卫生保健财政空间的创新概念。它配合经合组织的融资分类,包括政府计划(以一般税收为基础)、强制性健康保险计划(指定税收、社会和名义健康保险,或强制性私人保险)和自愿私人支出(私人保险、储蓄或直接自付)。
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