Case for selective user fees in health care : an examination of the issues related to user fees among vulnerable Jamaicans

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130512.pdf (10.36 MB)

Date

2009

Authors

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.

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Keywords

USER FEES, JAMAICA, HEALTH FINANCING, SOCIAL SECURITY, POLICY MAKING, HEALTH SYSTEM, EVIDENCE-BASED PLANNING, HEALTH EQUITY, VULNERABLE GROUPS, WEST INDIES

Citation

URI

http://hdl.handle.net/10625/44119

DOI

Collections

IDRC Research Results / Résultats de recherches du CRDI
2000-2009 / Années 2000-2009
Research Results (GEHS) / Résultats de recherches (GESS)