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Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–2050

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Title: Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–2050
Authors: Chang, A.Y., Cowling, K., Micah, A.E., Chapin, A., Chen, C.S., Ikilezi, G., Sadat, N., Tsakalos, G., Wu, J., Younker, T., Zhao, Y., Zlavog, B.S., Abbafati, C., Ahmed, A.E, Alam, K., Alipour, V., Aljunid, S.M., Almalki, M.J., Alvis-Guzman, N., Ammar, W., Andrei, C.L., Anjomshoa, M., Antonio, C.A.T., Arabloo, J., Aremu, O., Ausloos, M., Avila-Burgos, L., Awasthi, A., Ayanore, M.A., Azari, S., Azzopardi-Muscat, N., Bagherzadeh, M., Bärnighausen, T.W., Baune, B.T., Bayati, M., Belay, Y.B., Belay, Y.A., Belete, H., Berbada, D.A., Berman, A.E., Beuran, M., Bijani, A., Busse, R., Cahuana-Hurtado, L., Cámera, L.A., Catalá-López, F., Chauhan, B.G., Constantin, M-M, Crowe, C.S., Cucu, A., Dalal, K., De Neve, J-W, Deiparine, S., Demeke, F.M., Do, H.P., Dubey, M., El Tantawi, M., Eskandarieh, S., Esmaeili, R., Fakhar, M., Fazaeli, A.A., Fischer, F., Foigt, N.A., Fukumoto, T., Fullman, N., Galan, A., Gamkrelidze, A., Gezae, K.E., Ghajar, A., Ghashghaee, A., Goginashvili, K., Haakenstad, A., Haghparast Bidgoli, H., Hamidi, S., Harb, H.L., Hasanpoor, E., Hassen, H.Y., Hay, S.I., Hendrie, D., Henok, A., Heredia-Pi, I., Herteliu, C., Hoang, C.L., Hole, M.K., Homaie Rad, E., Hossain, N., Hosseinzadeh, M., Hostiuc, S., Ilesanmi, O.S., Irvani, S.S.N., Jakovljevic, M., Jalali, A., James, S.L., Jonas, J.B., Jürisson, M., Kadel, R., Karami Matin, B., Kasaeian, A., Kasaye, H.K., Kassaw, M.W., Kazemi Karyani, A., Khabiri, R., Khan, J., Khan, M.N., Khang, Y-H, Kisa, A., Kissimova-Skarbek, K., Kohler, S., Koyanagi, A., Krohn, K.J., Leung, R., Lim, L-L, Lorkowski, S., Majeed, A., Malekzadeh, R., Mansourian, M., Mantovani, L.G., Massenburg, B.B., McKee, M., Mehta, V., Meretoja, A., Meretoja, T.J., Milevska Kostova, N., Miller, T.R., Mirrakhimov, E.M., Mohajer, B., Mohammad Darwesh, A., Mohammed, S., Mohebi, F., Mokdad, A.H., Morrison, S.D., Mousavi, S.M., Muthupandian, S., Nagarajan, A.J., Nangia, V., Negoi, I., Nguyen, C.T., Nguyen, H.L.T., Nguyen, S.H., Nosratnejad, S., Oladimeji, O., Olgiati, S., Olusanya, J.O., Onwujekwe, O.E., Otstavnov, S.S., Pana, A., Pereira, D.M., Piroozi, B., Prada, S.I., Qorbani, M., Rabiee, M., Rabiee, N., Rafiei, A., Rahim, F., Rahimi-Movaghar, V., Ram, U., Ranabhat, C.L., Ranta, A., Rawaf, D.L., Rawaf, S., Rezaei, S., Roro, E.M., Rostami, A., Rubino, S., Salahshoor, M., Samy, A.M., Sanabria, J., Santos, J.V., Santric Milicevic, M.M., Sao Jose, B.P., Savic, M., Schwendicke, F., Sepanlou, S.G., Sepehrimanesh, M., Sheikh, A., Shrime, M.G, Sisay, S., Soltani, S., Soofi, M., Srinivasan, V., Tabarés-Seisdedos, R., Torre, A., Tovani-Palone, M.R., Tran, B.X., Tran, K.B., Undurraga, E.A., Valdez, P.R., van Boven, J.F.M., Vargas, V., Veisani, Y., Violante, F.S., Vladimirov, S.K., Vlassov, V., Vollmer, S., Vu, G.T., Wolfe, C.D.A., Yonemoto, N., Younis, M.Z., Yousefifard, M., Zaman, S.B., Zangeneh, A., Zegeye, El.A., Ziapour, A., Chew, A., Murray, C.J.L., Dieleman, J.L.
Publisher Information: Elsevier
Publication Year: 2019
Description: Background ; Comprehensive and comparable estimates of health spending in each country are a key input for health policy and planning, and are necessary to support the achievement of national and international health goals. Previous studies have tracked past and projected future health spending until 2040 and shown that, with economic development, countries tend to spend more on health per capita, with a decreasing share of spending from development assistance and out-of-pocket sources. We aimed to characterise the past, present, and predicted future of global health spending, with an emphasis on equity in spending across countries. ; Methods ; We estimated domestic health spending for 195 countries and territories from 1995 to 2016, split into three categories—government, out-of-pocket, and prepaid private health spending—and estimated development assistance for health (DAH) from 1990 to 2018. We estimated future scenarios of health spending using an ensemble of linear mixed-effects models with time series specifications to project domestic health spending from 2017 through 2050 and DAH from 2019 through 2050. Data were extracted from a broad set of sources tracking health spending and revenue, and were standardised and converted to inflation-adjusted 2018 US dollars. Incomplete or low-quality data were modelled and uncertainty was estimated, leading to a complete data series of total, government, prepaid private, and out-of-pocket health spending, and DAH. Estimates are reported in 2018 US dollars, 2018 purchasing-power parity-adjusted dollars, and as a percentage of gross domestic product. We used demographic decomposition methods to assess a set of factors associated with changes in government health spending between 1995 and 2016 and to examine evidence to support the theory of the health financing transition. We projected two alternative future scenarios based on higher government health spending to assess the potential ability of governments to generate more resources for health. ; Findings ; Between 1995 ...
Document Type: article in journal/newspaper
File Description: pdf
Language: English
ISBN: 978-0-00-470017-5
0-00-470017-1
Relation: ispartof: The Lancet spage 2233 epage 2260 issue 10187 vol 393; WOS:000470017100027; 991005543902607891; https://researchportal.murdoch.edu.au/view/delivery/61MUN_INST/12136232160007891/13136942350007891; alma:61MUN_INST/bibs/991005543902607891
DOI: 10.1016/S0140-6736(19)30841-4
Availability: https://doi.org/10.1016/S0140-6736(19)30841-4
https://researchportal.murdoch.edu.au/esploro/outputs/journalArticle/Past-present-and-future-of-global/991005543902607891
https://researchportal.murdoch.edu.au/view/delivery/61MUN_INST/12136232160007891/13136942350007891
Rights: © 2019 The Author(s). ; Open ; CC BY V4.0
Accession Number: edsbas.B445CC54
Database: BASE
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  – Url: https://doi.org/10.1016/S0140-6736(19)30841-4#
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PubTypeId: academicJournal
PreciseRelevancyScore: 883.215454101563
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  Data: Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–2050
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– Name: Publisher
  Label: Publisher Information
  Group: PubInfo
  Data: Elsevier
– Name: DatePubCY
  Label: Publication Year
  Group: Date
  Data: 2019
– Name: Abstract
  Label: Description
  Group: Ab
  Data: Background ; Comprehensive and comparable estimates of health spending in each country are a key input for health policy and planning, and are necessary to support the achievement of national and international health goals. Previous studies have tracked past and projected future health spending until 2040 and shown that, with economic development, countries tend to spend more on health per capita, with a decreasing share of spending from development assistance and out-of-pocket sources. We aimed to characterise the past, present, and predicted future of global health spending, with an emphasis on equity in spending across countries. ; Methods ; We estimated domestic health spending for 195 countries and territories from 1995 to 2016, split into three categories—government, out-of-pocket, and prepaid private health spending—and estimated development assistance for health (DAH) from 1990 to 2018. We estimated future scenarios of health spending using an ensemble of linear mixed-effects models with time series specifications to project domestic health spending from 2017 through 2050 and DAH from 2019 through 2050. Data were extracted from a broad set of sources tracking health spending and revenue, and were standardised and converted to inflation-adjusted 2018 US dollars. Incomplete or low-quality data were modelled and uncertainty was estimated, leading to a complete data series of total, government, prepaid private, and out-of-pocket health spending, and DAH. Estimates are reported in 2018 US dollars, 2018 purchasing-power parity-adjusted dollars, and as a percentage of gross domestic product. We used demographic decomposition methods to assess a set of factors associated with changes in government health spending between 1995 and 2016 and to examine evidence to support the theory of the health financing transition. We projected two alternative future scenarios based on higher government health spending to assess the potential ability of governments to generate more resources for health. ; Findings ; Between 1995 ...
– Name: TypeDocument
  Label: Document Type
  Group: TypDoc
  Data: article in journal/newspaper
– Name: Format
  Label: File Description
  Group: SrcInfo
  Data: pdf
– Name: Language
  Label: Language
  Group: Lang
  Data: English
– Name: ISBN
  Label: ISBN
  Group: ISBN
  Data: 978-0-00-470017-5<br />0-00-470017-1
– Name: NoteTitleSource
  Label: Relation
  Group: SrcInfo
  Data: ispartof: The Lancet spage 2233 epage 2260 issue 10187 vol 393; WOS:000470017100027; 991005543902607891; https://researchportal.murdoch.edu.au/view/delivery/61MUN_INST/12136232160007891/13136942350007891; alma:61MUN_INST/bibs/991005543902607891
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1016/S0140-6736(19)30841-4
– Name: URL
  Label: Availability
  Group: URL
  Data: https://doi.org/10.1016/S0140-6736(19)30841-4<br />https://researchportal.murdoch.edu.au/esploro/outputs/journalArticle/Past-present-and-future-of-global/991005543902607891<br />https://researchportal.murdoch.edu.au/view/delivery/61MUN_INST/12136232160007891/13136942350007891
– Name: Copyright
  Label: Rights
  Group: Cpyrght
  Data: © 2019 The Author(s). ; Open ; CC BY V4.0
– Name: AN
  Label: Accession Number
  Group: ID
  Data: edsbas.B445CC54
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edsbas&AN=edsbas.B445CC54
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        Value: 10.1016/S0140-6736(19)30841-4
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      – Text: English
    Titles:
      – TitleFull: Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–2050
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