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  1. Book ; Online: Financing health care in East Asia and the Pacific

    Langenbrunner, Jack / Somanathan, Aparnaa

    best practices and remaining challenges

    (Directions in development. Human development)

    2011  

    Institution World Bank
    Author's details John C. Langenbrunner, Aparnaa Somanathan
    Series title Directions in development. Human development
    MeSH term(s) Delivery of Health Care/economics ; Economics, Medical ; Health Care Costs ; Population Dynamics
    Keywords Medical care, Cost of ; Medical economics
    Language English
    Size Online-Ressource (xiii, 328 p), ill, 23 cm
    Publisher World Bank
    Publishing place Washington, D.C
    Document type Book ; Online
    Note Includes bibliographical references and index ; Includes index
    ISBN 0821386824 ; 0821387367 ; 9780821386828 ; 9780821386828 ; 9780821387368
    Database Library catalogue of the German National Library of Science and Technology (TIB), Hannover

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  2. Book ; Online: Financing health care in East Asia and the Pacific

    Langenbrunner, Jack / Somanathan, Aparnaa

    best practices and remaining challenges

    (Directions in development. Human development)

    2011  

    Abstract: Why this health financing note -- Background and overview of the East Asia and Pacific Region and the health sectors -- Importance of investing in health and a framework for managing and using funds in the sector -- Mobilization of revenues for health -- ...

    Institution World Bank
    Author's details John C. Langenbrunner, Aparnaa Somanathan
    Series title Directions in development. Human development
    Abstract Why this health financing note -- Background and overview of the East Asia and Pacific Region and the health sectors -- Importance of investing in health and a framework for managing and using funds in the sector -- Mobilization of revenues for health -- Pooling and management of funds -- Resource allocation and purchasing (RAP) -- Connecting financing and delivery of services : institutional and organizational characteristics in EAP countries -- Assessing performance in EAP : efficiency and equity of health financing
    MeSH term(s) Delivery of Health Care/economics ; Economics, Medical ; Health Care Costs ; Population Dynamics
    Keywords Medical care, Cost of ; Medical economics
    Language English
    Size Online-Ressource (xiii, 328 p), ill, 23 cm
    Document type Book ; Online
    Note IMD-Felder maschinell generiert ; Includes bibliographical references and index ; Includes index
    ISBN 0821386824 ; 0821387367 ; 9780821386828 ; 9780821386828 ; 9780821387368
    Database ECONomics Information System

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  3. Article ; Online: Emerging challenges in implementing universal health coverage in Asia.

    Bredenkamp, Caryn / Evans, Timothy / Lagrada, Leizel / Langenbrunner, John / Nachuk, Stefan / Palu, Toomas

    Social science & medicine (1982)

    2015  Volume 145, Page(s) 243–248

    Abstract: As countries in Asia converge on the goal of universal health coverage (UHC), some common challenges are emerging. One is how to ensure coverage of the informal sector so as to make UHC truly universal; a second is how to design a benefit package that is ...

    Abstract As countries in Asia converge on the goal of universal health coverage (UHC), some common challenges are emerging. One is how to ensure coverage of the informal sector so as to make UHC truly universal; a second is how to design a benefit package that is responsive and appropriate to current health challenges, yet fiscally sustainable; and a third is how to ensure "supply-side readiness", i.e. the availability and quality of services, which is a necessary condition for translating coverage into improvements in health outcomes. Using examples from the Asia region, this paper discusses these three challenges and how they are being addressed. On the first challenge, two promising approaches emerge: using general revenues to fully cover the informal sector, or employing a combination of tax subsidies, non-financial incentives and contributory requirements. The former can produce fast results, but places pressure on government budgets and may induce informality, while the latter will require a strong administrative mandate and systems to track the ability-to-pay. With respect to benefit packages, we find considerable variation in the nature and rigor of processes underlying the selection and updating of the services included. Also, in general, packages do not yet focus sufficiently on non-communicable diseases (NCDs) and related preventive outpatient care. Finally, there are large variations and inequities in the supply-side readiness, in terms of availability of infrastructure, equipment, essential drugs and staffing, to deliver on the promises of UHC. Health worker competencies are also a constraint. While the UHC challenges are common, experience in overcoming these challenges is varied and many of the successes appear to be highly context-specific. This implies that researchers and policymakers need to rigorously, and regularly, assess different approaches, and share these findings across countries in Asia - and across the world.
    MeSH term(s) Asia ; Employment/economics ; Health Services Accessibility/economics ; Health Services Needs and Demand/organization & administration ; Humans ; Income Tax/economics ; Insurance, Health/organization & administration ; Quality of Health Care ; Universal Coverage/economics ; Universal Coverage/organization & administration
    Language English
    Publishing date 2015-11
    Publishing country England
    Document type Journal Article
    ZDB-ID 4766-1
    ISSN 1873-5347 ; 0037-7856 ; 0277-9536
    ISSN (online) 1873-5347
    ISSN 0037-7856 ; 0277-9536
    DOI 10.1016/j.socscimed.2015.07.025
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Understanding volume: a Medicare primer.

    Langenbrunner, J / Kay, T L

    The Internist

    1990  Volume 31, Issue 4, Page(s) 6–10

    Abstract: Volume, rather than real fee increases, has been the driving force behind increasing physicians' costs throughout the 1970s and the 1980s, these researchers from the Health Care Financing Administration say. But where has it been growing? ...

    Abstract Volume, rather than real fee increases, has been the driving force behind increasing physicians' costs throughout the 1970s and the 1980s, these researchers from the Health Care Financing Administration say. But where has it been growing?
    MeSH term(s) Economics, Medical ; Health Expenditures/statistics & numerical data ; Insurance, Physician Services/statistics & numerical data ; Medicare/statistics & numerical data ; Medicare Assignment/statistics & numerical data ; Specialization ; United States
    Language English
    Publishing date 1990-04
    Publishing country United States
    Document type Journal Article
    ISSN 0020-9546
    ISSN 0020-9546
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Consumer out-of-pocket spending for pharmaceuticals in Kazakhstan: implications for sectoral reform.

    Sari, N / Langenbrunner, J C

    Health policy and planning

    2001  Volume 16, Issue 4, Page(s) 428–434

    Abstract: What do consumers pay for pharmaceuticals in a transition economy, and who is hit hardest? Kazakhstan is in the midst of emerging from a Soviet Union state to a market economy. It has seen a significant dip in Gross Domestic Product and available ... ...

    Abstract What do consumers pay for pharmaceuticals in a transition economy, and who is hit hardest? Kazakhstan is in the midst of emerging from a Soviet Union state to a market economy. It has seen a significant dip in Gross Domestic Product and available revenues for health as a result. New sources of revenues, such as out-of-pocket payments, both formal and informal, have become widespread. In this paper we use the results of a 1996 Living Standards survey jointly sponsored by the World Bank and the Kazakhstan Government to examine patterns of prescribed pharmaceutical spending. We use a two-part regression model that is utilized to adjust for the skewness of non-spenders and heavy utilizers. Results suggest that upper-income groups spend more in absolute terms, but low-income groups pay a higher share of their income for pharmaceuticals. Pharmaceutical expenditure is positively related to poor health status, chronic illness and rural area residence. Our estimates suggest that on average people in rural areas spend 16% more than people in urban areas. The analysis shows that certain types of illnesses impose significant out-of-pocket burden for consumers - gynaecologic as well as intestinal and cardiac. The findings can be used for developing and designing a new 10-year World Bank-financed programme for restructuring the health sector. They also suggest the need for prioritizing rural care, as well as covering pharmaceuticals for specific types of care interventions and certain demographic groups.
    MeSH term(s) Community Participation ; Cost Sharing ; Drug Prescriptions/economics ; Female ; Financing, Personal ; Health Care Reform ; Health Expenditures/statistics & numerical data ; Health Status Indicators ; Humans ; Kazakhstan/epidemiology ; Male ; Models, Econometric ; Regression Analysis ; Rural Health Services/economics ; Urban Health Services/economics
    Language English
    Publishing date 2001-12
    Publishing country England
    Document type Comparative Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632896-9
    ISSN 1460-2237 ; 0268-1080
    ISSN (online) 1460-2237
    ISSN 0268-1080
    DOI 10.1093/heapol/16.4.428
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Obstacles to Soviet health reform.

    Schieber, G J / Langenbrunner, J C

    Health affairs (Project Hope)

    1991  Volume 10, Issue 4, Page(s) 312–314

    MeSH term(s) Financing, Organized ; Insurance, Health ; Organizational Innovation ; Privatization ; Public Health ; State Medicine/organization & administration ; USSR
    Language English
    Publishing date 1991
    Publishing country United States
    Document type Comment ; Letter
    ZDB-ID 632712-6
    ISSN 1544-5208 ; 0278-2715
    ISSN (online) 1544-5208
    ISSN 0278-2715
    DOI 10.1377/hlthaff.10.4.312-b
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 2118: Show issues Location:
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  7. Article: Physician payment research efforts at HCFA.

    Schieber, G J / Langenbrunner, J C

    Health affairs (Project Hope)

    1989  Volume 8, Issue 1, Page(s) 214–218

    MeSH term(s) Centers for Medicare and Medicaid Services (U.S.) ; Fees, Medical ; Health Services Research ; Insurance, Health, Reimbursement ; United States ; United States Dept. of Health and Human Services
    Language English
    Publishing date 1989
    Publishing country United States
    Document type Journal Article ; Research Support, U.S. Gov't, Non-P.H.S.
    ZDB-ID 632712-6
    ISSN 1544-5208 ; 0278-2715
    ISSN (online) 1544-5208
    ISSN 0278-2715
    DOI 10.1377/hlthaff.8.1.214
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: The future of Medicare policy reform.

    Dobson, A / Langenbrunner, J C

    Computer methods and programs in biomedicine

    1987  Volume 25, Issue 2, Page(s) 211–218

    Abstract: The Medicare program, the largest health insurance program in the United States, is clearly at a crossroads as it enters its third decade. Historical increases in health care expenditures, plus a changing political and economic landscape, have set the ... ...

    Abstract The Medicare program, the largest health insurance program in the United States, is clearly at a crossroads as it enters its third decade. Historical increases in health care expenditures, plus a changing political and economic landscape, have set the groundwork for policy reform. Two basic reform strategies--reimbursement arrangements and program funding mechanisms--are discussed. In 1983, Congress enacted the Prospective Payment System (PPS) which initiated a fundamental change in the way hospitals are paid for care delivered to Medicare beneficiaries. But the PPS is only a stepping-stone to broader reforms such as capitation. In addition, new methods of program funding may be necessary, especially in light of policymakers' considerations of coverage of services such as long-term care and organ transplants.
    MeSH term(s) Financing, Organized ; Forecasting ; Medicare/economics ; Medicare/legislation & jurisprudence ; Prospective Payment System/economics ; United States
    Language English
    Publishing date 1987-09
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 632564-6
    ISSN 1872-7565 ; 0169-2607
    ISSN (online) 1872-7565
    ISSN 0169-2607
    DOI 10.1016/0169-2607(87)90055-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Consensus among experts and research synthesis. A comparison of methods.

    Wortman, P M / Smyth, J M / Langenbrunner, J C / Yeaton, W H

    International journal of technology assessment in health care

    1998  Volume 14, Issue 1, Page(s) 109–122

    Abstract: A comparison of two assessment methods, consensus among experts and research synthesis of the scientific literature, was performed using a surgical procedure, carotid endarterectomy (CE), as an example. These two methods have been widely advocated as ... ...

    Abstract A comparison of two assessment methods, consensus among experts and research synthesis of the scientific literature, was performed using a surgical procedure, carotid endarterectomy (CE), as an example. These two methods have been widely advocated as being scientifically valid. While the comparison revealed a number of areas of general agreement, important differences between the two methods emerged. For example, 30-day mortality for asymptomatic patients was considered an effective outcome (ranked first) by the synthesis, but only "equivocal" (ranked third) of six major indicators reported by the consensus method. The synthesis results are also consistent with other literature reviews as well as with recent large-scale randomized trial results. A number of factors that could account for differences between the two methods were examined. Overall, use of consensus panels may be appropriate early in the development of an intervention where the evidence is sparse, while quantitative research synthesis is preferable when a number of high-quality studies have been performed.
    MeSH term(s) Consensus Development Conferences as Topic ; Endarterectomy, Carotid/mortality ; Health Services Research/methods ; Humans ; Outcome Assessment (Health Care)/methods ; Review Literature as Topic ; Technology Assessment, Biomedical/methods ; United States
    Language English
    Publishing date 1998
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 632573-7
    ISSN 1471-6348 ; 0266-4623
    ISSN (online) 1471-6348
    ISSN 0266-4623
    DOI 10.1017/s0266462300010564
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Evidence for Direct Triton Knockout in the He4( pi, pi 't)p Reaction.

    Langenbrunner / Jones / Dehnhard / Morris / Gibbs

    Physical review letters

    1992  Volume 69, Issue 10, Page(s) 1508–1511

    Language English
    Publishing date 1992-09-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 208853-8
    ISSN 1079-7114 ; 0031-9007
    ISSN (online) 1079-7114
    ISSN 0031-9007
    DOI 10.1103/PhysRevLett.69.1508
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    Z 4' 58/153: Show issues

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