000			02393nam a2200301 a 4500
003			arcduce
005			20120731113410.0
008			100429s1996 dcu||||| |||| 00| 0 eng d
020			_a0-8213-3710-6
040			_aarcduce
082			_a338.433621
090			_c17078 _d17078
100			_aMusgrove, Philip
245			_aPublic and private roles in health : _btheory and financing patterns _c/ Philip Musgrove
260			_bWorld Bank _aWashington, D.C. _c1996
300			_aix, 81 p. : _bil.
490			_aWorld Bank discussion paper _vno. 339 _x0259-210X
500			_aCopias: 48253
504			_aIncluye bibliografía
505			_aForeword -- Abstract -- Acknowledgments -- Executive summary -- Pt. 1. Introduction: Why the public role in health care matters -- Choices for state intervention -- A road map -- Pt. 2. A conceptual basis for public and private roles: The three domains of health care -- Market failure and health care needs -- Dealing with poverty -- Summary: Justifications and risks of state intervention -- Pt. 3. Empirical patterns and explanations: Economic issues and health system objectives -- Overall health spending and public/private composition -- Explaining health outcomes -- Out-of-pocket spending versus private and public insurance -- State intervention in the insurance domain -- Pt. 4. Conclusions: The appropriate public role in health -- How to spend public money on health care -- References -- Statistical annex -- Figures
520			_aThe appropriate role of the state in health is complex both in economic theory and in practice. Theory identifies three reasons for state action: (i) public goods or services with large externalities (involving efficiency); (ii) poverty (involving equity); and (iii) failings peculiar to insurance markets for health care (where both inefficiency and inequity arise). The insurance domain presents the most costly and difficult problems, and explains why - in contrast tom other sectors - governments tend to finance an increasing share of health care as incomes rise. Regulation, mandates and provision of information are also crucial public instruments; public provision of care is less important.
650			_aSERVICIOS DE SALUD
650			_aFINANCIAMIENTO DE LA SALUD
650			_aESTADO
650			_aATENCION MEDICA
710			_aBanco Mundial
942			_cLIBR _j338.433621 M 48252
999			_c17046 _d17046