Case for selective user fees in health care : an examination of the issues related to user fees among vulnerable Jamaicans
Date
2009
Journal Title
Journal ISSN
Volume Title
Publisher
University of the West Indies, Sir Arthur Lewis Institute of Social and Economic Studies, Kingston, JM
Abstract
The study examined the impact of user fees on vulnerable sectors of the population in need of preventive services and or affected by diabetes and hypertension. Results suggest that health care costs discouraged utilisation by clients with chronic conditions. Decentralised bodies ignored a key justification for the previous reform programme: to be responsive to community needs. This translated at the health centre level into aggressive discouragement of requests for payment waivers, and therefore a denial of care for the needy. The study and its evidence became a key issue in a forthcoming election campaign.
Description
Due to copyright restrictions, this item cannot be shared
item.page.type
Book
item.page.format
Text
Keywords
USER FEES, JAMAICA, HEALTH FINANCING, SOCIAL SECURITY, POLICY MAKING, HEALTH SYSTEM, EVIDENCE-BASED PLANNING, HEALTH EQUITY, VULNERABLE GROUPS, WEST INDIES