IDEAS home Printed from https://ideas.repec.org/a/spr/hecrev/v13y2023i1d10.1186_s13561-023-00450-x.html
   My bibliography  Save this article

Providing a model for financing the treatment costs during biological crises using the fiscal space development approach

Author

Listed:
  • Maryam Yaghoubi

    (Baqiyatallah University of Medical Sciences)

  • Masoud Vahedi Idehlo

    (Independent Researcher)

  • Parisa mehdizadeh

    (Baqiyatallah University of Medical Sciences)

  • Mohammad Meskarpour Amiri

    (Baqiyatallah University of Medical Sciences)

Abstract

Background Expanding fiscal space for health can be defined as providing additional budgetary resources for health, which is highly important during biological crises. This study aimed to provide a model for financing the treatment costs during biological crises using the development of the fiscal space approach. Methods This study employed a descriptive mixed-method design, consisting of three stages. In the first stage, a systematic review of relevant literature was conducted using multiple databases, including Scopus, PubMed, and Google Scholar. A total of 45 studies that met the inclusion criteria were selected. In the second stage, a panel of 14 experts identified five primary and 32 secondary strategies using an open questionnaire. Any additional strategies not identified during the literature review were added if a consensus was reached by experts. In the final stage, the Best Worst Method (BWM) was used to prioritize the identified strategies and sub-strategies based on their feasibility, effectiveness, quick yield, and fairness. Results Five strategies and fifty sub-strategies were identified. The most important strategies were the increase in health sector-specific resources (0.3889), increase in efficiency of health expenditures (0.2778), structural reforms (0.1111), health sector-specific grants and foreign aid (0.1667), and conducive macroeconomic conditions (0.05556). The most important sub-strategies were establishing and increasing earmarked taxes for the health sector (0.0140), expanding Universal Health Coverage (UHC) plans (0.0103), attracting the participation of non-governmental organizations (NGOs) and charitable organizations in the health sector (0.0096), integrating basic social insurance funds (0.0934), and tax exemptions for economic activists in the health sector (0.009303) during the crisis. Conclusion This study identified five main strategies and 50 sub-strategies for financing the treatment costs during biological crises. The most important strategies were increasing health sector-specific resources, improving efficiency of health expenditures, and implementing structural reforms. To finance health expenditures, harmful and luxury goods taxes can be increased and allocated to the health sector during crises. UHC plans should be improved and expanded, and the capacity of NGOs and charitable organizations should be better utilized during crises.

Suggested Citation

  • Maryam Yaghoubi & Masoud Vahedi Idehlo & Parisa mehdizadeh & Mohammad Meskarpour Amiri, 2023. "Providing a model for financing the treatment costs during biological crises using the fiscal space development approach," Health Economics Review, Springer, vol. 13(1), pages 1-12, December.
    • Handle: RePEc:spr:hecrev:v:13:y:2023:i:1:d:10.1186_s13561-023-00450-x
    DOI: 10.1186/s13561-023-00450-x
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1186/s13561-023-00450-x
    File Function: Abstract
    Download Restriction: no
    File URL: https://libkey.io/10.1186/s13561-023-00450-x?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Fiedler, John L., 1993. "Increasing reliance on user fees as a response to public health financing crises: A case study of El Salvador," Social Science & Medicine, Elsevier, vol. 36(6), pages 735-747, March.
    2. Novignon, Jacob & Nonvignon, Justice, 2015. "Fiscal space for health in Sub-Saharan African countries: an efficiency approach," MPRA Paper 63015, University Library of Munich, Germany.
    3. Meheus, Filip & McIntyre, Di, 2017. "Fiscal space for domestic funding of health and other social services," Health Economics, Policy and Law, Cambridge University Press, vol. 12(2), pages 159-177, April.
    4. Daniel Jeong-Dae Lee, 2020. "An assessment of fiscal space for COVID-19 response and recovery in Asia-Pacific developing countries," MPDD Policy Briefs PB116, United Nations Economic and Social Commission for Asia and the Pacific (ESCAP).
    5. World Bank Group, 2017. "Fiscal Space for Health in Malawi and Revenue Potential of 'Innovative Financing'," World Bank Publications - Reports 28404, The World Bank Group.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Sophie Witter & Maja Jakobsen, 2017. "Choices for spending government revenue: New African oil, gas, and mining economies," WIDER Working Paper Series 150, World Institute for Development Economic Research (UNU-WIDER).
    2. Lahlou, Kamal & Hajjaji , Saida, 2022. "Les déterminants de l’effort de relance en réponse à la crise de Covid-19," Document de travail 2022-4, Bank Al-Maghrib, Département de la Recherche.
    3. Gertler, Paul J. & Hammer, Jeffrey S., 1997. "Strategies for pricing publicly provided health services," Policy Research Working Paper Series 1762, The World Bank.
    4. Gabriela Alondra Agafitei, 2022. "The Bolivian Universal Health System and Effective Access to Healthcare: A Diagnosis," Development Research Working Paper Series 01/2022, Institute for Advanced Development Studies.
    5. Sameera Awawda & Mohammad Abu-Zaineh, 2019. "An Operationalizing Theoretical Framework for the Analysis of Universal Health Coverage Reforms: First Test on an Archetype Developing Economy," Working Papers halshs-02009858, HAL.
    6. Behera, Deepak Kumar & Dash, Umakant, 2019. "Prioritization of government expenditure on health in India: A fiscal space perspective," Socio-Economic Planning Sciences, Elsevier, vol. 68(C).
    7. Fiedler, John L., 1999. "Demand, Market Structure and the Formalizing of Ministry of Health Fees: A Nicaraguan Case Study," World Development, Elsevier, vol. 27(7), pages 1173-1189, July.
    8. Diogo Ferraz & Enzo B. Mariano & Daisy Rebelatto & Dominik Hartmann, 2020. "Linking Human Development and the Financial Responsibility of Regions: Combined Index Proposals Using Methods from Data Envelopment Analysis," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 150(2), pages 439-478, July.
    9. Kaonga, Oliver & Masiye, Felix & Kirigia, Joses Muthuri, 2022. "How viable is social health insurance for financing health in Zambia? Results from a national willingness to pay survey," Social Science & Medicine, Elsevier, vol. 305(C).
    10. Mr. Olumuyiwa S Adedeji & Mr. Calixte Ahokpossi & Claudio Battiati & Mrs. Mai Farid, 2016. "A Probabilistic Approach to Fiscal Space and Prudent Debt Level: Application to Low-Income Developing Countries," IMF Working Papers 2016/163, International Monetary Fund.
    11. Sophie Witter & Maja Jakobsen, 2017. "Choices for spending government revenue: New African oil, gas, and mining economies," WIDER Working Paper Series wp-2017-150, World Institute for Development Economic Research (UNU-WIDER).
    12. Pessino, Carola & Izquierdo, Alejandro & Vuletin, Guillermo, 2018. "Better Spending for Better Lives: How Latin America and the Caribbean Can Do More with Less," IDB Publications (Books), Inter-American Development Bank, number 9152.
    13. Sameera Awawda & Mohammad Abu-Zaineh, 2019. "An Operationalizing Theoretical Framework for the Analysis of Universal Health Coverage Reforms: First Test on an Archetype Developing Economy," Working Papers halshs-02009858, HAL.
    14. Peter Binyaruka & Josephine Borghi, 2022. "An equity analysis on the household costs of accessing and utilising maternal and child health care services in Tanzania," Health Economics Review, Springer, vol. 12(1), pages 1-15, December.
    15. Abdillah Ahsan & Elisabeth Kramer & Nadhila Adani & Askar Muhammad & Nadira Amalia, 2021. "The politics of funding universal healthcare: Diverting local tobacco taxes to subsidise the national health scheme in Indonesia," Asia and the Pacific Policy Studies, Wiley Blackwell, vol. 8(3), pages 351-366, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:hecrev:v:13:y:2023:i:1:d:10.1186_s13561-023-00450-x. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com/economics/journal/13561 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.