Financing Common Goods for Health: A Country Agenda

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2019-10-02 DOI:10.1080/23288604.2019.1659126

Susan P Sparkes, Joseph Kutzin, Alexandra J Earle

{"title":"Financing Common Goods for Health: A Country Agenda","authors":"Susan P Sparkes, Joseph Kutzin, Alexandra J Earle","doi":"10.1080/23288604.2019.1659126","DOIUrl":null,"url":null,"abstract":"Abstract Collective financing, in the form of either public domestic revenues or pooled donor funding, at the country level is necessary to finance common goods for health, which are population-based functions or interventions that contribute to health and have the characteristics of public goods. Financing of common goods for health is an important part of policy efforts to move towards Universal Health Coverage (UHC). This paper builds from country experiences and budget documents to provide an evidence-based argument about how government and donor financing can be reorganized to enable more efficient delivery of common goods for health. Issues related to fragmentation of financing—within the health sector, across sectors, and across levels of government—emerge as key constraints. Effectively addressing fragmentation issues requires: (i) pooling funding and consolidating governance structures to repackage functions across programs; (ii) aligning budgets with efficient delivery strategies to enable intersectoral approaches and related accountability structures; and (iii) coordinating and incentivizing investments across levels of government. This policy response is both technical in nature and also highly political as it requires realigning budgets and organizational structures.","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2019-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"15","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/23288604.2019.1659126","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 15

Abstract

Abstract Collective financing, in the form of either public domestic revenues or pooled donor funding, at the country level is necessary to finance common goods for health, which are population-based functions or interventions that contribute to health and have the characteristics of public goods. Financing of common goods for health is an important part of policy efforts to move towards Universal Health Coverage (UHC). This paper builds from country experiences and budget documents to provide an evidence-based argument about how government and donor financing can be reorganized to enable more efficient delivery of common goods for health. Issues related to fragmentation of financing—within the health sector, across sectors, and across levels of government—emerge as key constraints. Effectively addressing fragmentation issues requires: (i) pooling funding and consolidating governance structures to repackage functions across programs; (ii) aligning budgets with efficient delivery strategies to enable intersectoral approaches and related accountability structures; and (iii) coordinating and incentivizing investments across levels of government. This policy response is both technical in nature and also highly political as it requires realigning budgets and organizational structures.

查看原文本刊更多论文

为卫生共同产品筹资:国家议程

摘要:在国家一级，必须以国内公共收入或汇集捐助者资金的形式进行集体筹资，以资助促进健康的共同利益，这是基于人口的职能或干预措施，有助于健康并具有公共利益的特点。卫生共同物品融资是实现全民健康覆盖的政策努力的重要组成部分。本文以国家经验和预算文件为基础，就如何重组政府和捐助者的筹资方式，以便更有效地提供卫生领域的共同产品提出了基于证据的论证。在卫生部门内部、跨部门和各级政府之间，与融资分散有关的问题成为主要制约因素。有效解决碎片化问题需要:(i)集中资金和巩固治理结构，以便跨项目重新打包功能;使预算与有效的执行战略保持一致，以实现部门间办法和有关的问责制结构;(三)协调和激励各级政府的投资。这一政策反应在本质上既是技术性的，也是高度政治性的，因为它需要重新调整预算和组织结构。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

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.