Classification and focus comparison of health financing frameworks: A scoping review

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-01-09 DOI:10.1002/hpm.3755

Minoo Alipouri Sakha, Mohammad Bazyar, Arash Rashidian

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Abstract

Objective

The purpose of this study is to review the current frameworks for understanding and assessing health financing and draw out the dimensions of conceptual frameworks.

Methods

This scoping review was conducted using the five stages of Arksey and O’Malley's framework. We reviewed all published peer-reviewed literature indexed in PubMed, SCOPUS, and Embase from 2000 up to 2021 for inclusion.

Results

We identified 21 frameworks developed to assess financing in the health system. We classified frameworks by grouping them into: frameworks focusing on health financing as a constituent of health system and frameworks focusing on health financing only. We classified health financing frameworks further into three main groups according to the general commonalities among them. These three groups are as follows: (1) frameworks providing general recommendations for improving health financing system regardless of sources of financing, (2) frameworks focusing on improving the performance of health insurance schemes, and (3) frameworks focusing on managing public health financing.

Conclusion

Despite being diverse, various health financing frameworks offer synergistic views to the health financing system and provide a comprehensive picture of the health financing system. These frameworks can help policy makers decide which framework is more appropriate to start with based on their local contextual features and the changes they are going to bring about in their health financing system.

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卫生筹资框架的分类和重点比较：范围审查。

研究目的本研究的目的是回顾目前理解和评估卫生筹资的框架，并总结出概念框架的各个层面：本次范围界定研究采用了 Arksey 和 O'Malley 框架的五个阶段。我们查阅了从 2000 年到 2021 年在 PubMed、SCOPUS 和 Embase 中索引的所有已发表的同行评审文献：结果：我们确定了 21 个用于评估卫生系统融资情况的框架。我们对这些框架进行了分类，将其分为：侧重于作为卫生系统组成部分的卫生筹资框架和仅侧重于卫生筹资的框架。我们根据卫生筹资框架的一般共性，将其进一步分为三大类。这三大类框架如下(1)为改善卫生筹资系统提供一般性建议的框架，不论其资金来源如何；(2)侧重于改善医疗保险计划绩效的框架；(3)侧重于管理公共卫生筹资的框架：尽管多种多样，但各种医疗筹资框架为医疗筹资系统提供了协同观点，并为医疗筹资系统提供了一个全面的图景。这些框架可以帮助政策制定者根据当地的背景特点以及他们要在医疗筹资系统中实现的变革，决定从哪个框架入手更为合适。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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