Global Health Systems: Pricing and User Fees
نویسنده
چکیده
This chapter is concerned with the issue of user fees (or user charges) for public health services. We discuss the implications of user fees for cost-e¤ectiveness, allocative e¢ ciency, equity, progressivity of public health care spending, and quality of service. Each of these is a desirable end in itself, and so each is an important factor in the optimal pricing decision. They are not always compatible with each other, however. Furthermore, they all have to be nanced from a single, and typically constrained, budget. Thus governments have to tradeo¤ over them. We review the theory and empirical evidence on the e¤ects of user fees on each factor. I am grateful to Nava Ashraf and Kudzaishe Takavarasha for detailed comments.
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