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Strategic Purchasing for Better Health in Armenia (Inglês)

This report is an activity under the technical support towards universal health coverage in Armenia, which includes advisory services and analytics aimed at supporting the government’s efforts to expand access to high-quality health care. The report, Strategic Purchasing for Better Health in Armenia, draws on an adaptation of the strategic purchasing progress framework to examine the country’s experience in purchasing healthcare, identify contextual factors that limit the potential of purchasing to reform healthcare, and integrate these findings with relevant global examples of strategic purchasing reforms. The authors conclude the report with tailored recommendations for strategic purchasing that can improve population health.


  • Autor

    Chukwuma,Adanna Deborah Ugochi, Meessen,Bruno, Lylozian,Hratchia Zaven Hratchia, Ghazaryan,Emma, Gong,Estella Tian-Ran

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  • País


  • Região

    Europa e Ásia Central,

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  • Nome do documento

    Strategic Purchasing for Better Health in Armenia

  • Palavras-chave

    strategic purchasing; Fragile & Conflict-Affected States; quality of care; benefit package; access to basic health care; based financing; universal access to health care; life expectancy at birth; performance-based financing; quality health care; gap in access; quality of healthcare; quality of service delivery; cost of health services; supply of health services; quality of health services; fiscal space for health; early detection of hypertension; quality of health care; School of Public Health; united nations general assembly; global experience; primary health care; provider payment; health finance; Value for Money; financial risk protection; health reform; payment mechanism; asymmetry of information; ministries of health; health service coverage; catastrophic health spending; primary care physician; total fertility rate; maternal and child; burden of disease; health system response; population health; errors and omission; essential health care; success and failure; Health Service Delivery; national tuberculosis control; prevention of fraud; process of review; center for health; Secondary Health Care; use of information; University Armenia; births per woman; implementation of reform; health care use; health promotion program; cost of healthcare; accountability for results; health care financing; contracts with providers; private insurance company; scope of service; recent studies estimate; health care needs; healthy life expectancy; health technology assessment; health system goals; enforcement of regulation; providing universal access; working age population; need for regulation; provision of care; Essential Medicines List; national poverty line; health system reform; fiscal consolidation effort; health insurance fund; management of health; quality and efficiency; cost of care; level of policy; health expenditure growth; accessing health care; essential health services; income on health; pool of fund; health financing reform; health information system; efficiency and quality; private insurer; Health Workers; clinical guidelines; political commitment; diabetes mellitus; heart disease; health systems; good health; risk pool; household welfare; emergency care; public financing; quality service; Public Spending; financial barrier; line-item budget; medical degree; financial incentive; market entry; private provider; national income; regulatory environment; case management; social group; chronic condition; outpatient visits; first generation; global health; public source; Smoking Cessation; clinical care; weight control; essential services; household expenditure; child survival; clinical standards; health coverage; raise revenues; medical doctor; informal payment; financial flow; Death rates; health facility; rural area; contextual factor; political history; routine monitoring; delivery network; clinical pathways; market economy; continuous education; public provider; landlocked country; absorption capacity; political agenda; poverty headcount; business growth; pandemic response; economic shock; high tax; informal sector; Population Growth; state budget; project impact; efficiency gap; price variation; health population; administrative cost; expenditure cap; alternative tax; net emigration; replacement level; voluntary contribution; pool resource; adequate supply; monitoring mechanism; hospital level; payment formula; complementary reform; political priority; budgetary constraint; informant interviews; negative effect; financial resource; universal benefit; monitoring compliance; health condition; external factor; clinical outcome; stakeholder negotiation; new entrant; vulnerable group; selection procedures; prescription practices; cost benefit; political interest; technical expert; effective strategy; revenue allocation; access barrier; adverse selection; voluntary scheme; risk equalization; government decree; payment incentive; personnel management; health needs; Sanction System; resource levels; cost-effectiveness analysis



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