Could the employment-based targeting approach serve Egypt in moving towards a social health insurance model?
AbstractThe current health insurance system in Egypt targets the productive population through an employment-based scheme bounded by a cost ceiling and focusing on curative care. Egypt Social Contract Survey data from 2005 were used to evaluate the impact of the employment-based scheme on health system accessibility and financing. Only 22.8% of the population in the productive age range [19-59 years] benefited from any health insurance scheme. The employment-based scheme covered 39.3% of the working population and was skewed towards urban areas, older people, females and the wealthier. It did not increase service utilization, but reduced out-of-pocket expenditure. Egypt should blend all health insurance schemes and adopt an innovative approach to reach universal coverage
Shawky, S. (2010). Could the employment-based targeting approach serve Egypt in moving towards a social health insurance model?. http://www.who.int/iris/handle/10665/117936
EMHJ - Eastern Mediterranean Health Journal, 16 (6), 663-670, 2010
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