Removing user fees for primary care in Africa: the need for careful action

被引:138
作者
Gilson, L
McIntyre, D
机构
[1] Univ Witwatersrand, Ctr Hlth Policy, ZA-2000 Johannesburg, South Africa
[2] Univ Cape Town, Sch Publ Hlth & Family Med, Hlth Econ Unit, ZA-7925 Cape Town, South Africa
来源
BMJ-BRITISH MEDICAL JOURNAL | 2005年 / 331卷 / 7519期
关键词
D O I
10.1136/bmj.331.7519.762
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Current calls for the removal of user fees respond to evidence of their regressive impacts and their role in enhancing social exclusion-but removal must be carefully managed because this action may have negative impacts on the wider health system.
引用
收藏
页码:762 / 765
页数:4
相关论文
共 21 条
[11]  
*JOINT LEARN IN, 2004, HUM RES HLTH OV CRIS
[12]  
MCCOY D, 1996, FREE HLTH CARE PREGN
[13]   The human face of decentralisation and integration of health services: Experience from South Africa [J].
McIntyre, D ;
Klugman, B .
REPRODUCTIVE HEALTH MATTERS, 2003, 11 (21) :108-119
[14]   Geographic patterns of deprivation in South Africa: informing health equity analyses and public resource allocation strategies [J].
McIntyre, D ;
Muirhead, D ;
Gilson, L .
HEALTH POLICY AND PLANNING, 2002, 17 :30-39
[15]  
MCINTYRE D, IN PRESS SOC SCI MED
[16]  
Osborne S.P., 2005, MANAGING CHANGE INNO
[17]   The economic burden of illness for households in developing countries: A review of studies focusing on malaria, tuberculosis, and human immunodeficiency virus/acquired immunodeficiency syndrome [J].
Russell, S .
AMERICAN JOURNAL OF TROPICAL MEDICINE AND HYGIENE, 2004, 71 (02) :147-155
[18]   The market shaping of charges, trust and abuse: health care transactions in Tanzania [J].
Tibandebage, P ;
Mackintosh, M .
SOCIAL SCIENCE & MEDICINE, 2005, 61 (07) :1385-1395
[19]  
Van Doorslaer E., 1993, EQUITY FINANCE DELIV
[20]   'We are bitter but we are satisfied': nurses as street-level bureaucrats in South Africa [J].
Walker, L ;
Gilson, L .
SOCIAL SCIENCE & MEDICINE, 2004, 59 (06) :1251-1261