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Financial Risk Protection for Neurosurgical Care in Indonesia and the Philippines: A Primer on Health Financing for the Global Neurosurgeon

Which conditions treated by neurosurgeons cause the worst economic hardship in low middle-income in countries? How can public health financing be responsive to the inequities in the delivery of neurosurgical care? This review article frames the objectives of equity, quality, and efficiency in health...

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Autores principales: Ferraris, Kevin Paul, Yap, Maria Eufemia C., Bautista, Maria Cristina G., Wardhana, Dewa Putu Wisnu, Maliawan, Sri, Wirawan, I Made Ady, Rosyidi, Rohadi Muhammad, Seng, Kenny, Navarro, Joseph Erroll
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8461295/
https://www.ncbi.nlm.nih.gov/pubmed/34568413
http://dx.doi.org/10.3389/fsurg.2021.690851
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author Ferraris, Kevin Paul
Yap, Maria Eufemia C.
Bautista, Maria Cristina G.
Wardhana, Dewa Putu Wisnu
Maliawan, Sri
Wirawan, I Made Ady
Rosyidi, Rohadi Muhammad
Seng, Kenny
Navarro, Joseph Erroll
author_facet Ferraris, Kevin Paul
Yap, Maria Eufemia C.
Bautista, Maria Cristina G.
Wardhana, Dewa Putu Wisnu
Maliawan, Sri
Wirawan, I Made Ady
Rosyidi, Rohadi Muhammad
Seng, Kenny
Navarro, Joseph Erroll
author_sort Ferraris, Kevin Paul
collection PubMed
description Which conditions treated by neurosurgeons cause the worst economic hardship in low middle-income in countries? How can public health financing be responsive to the inequities in the delivery of neurosurgical care? This review article frames the objectives of equity, quality, and efficiency in health financing to the goals of global neurosurgery. In order to glean provider perspectives on the affordability of neurosurgical care in low-resource settings, we did a survey of neurosurgeons from Indonesia and the Philippines and identified that the care of socioeconomically disadvantaged patients with malignant intracranial tumors were found to incur the highest out-of-pocket expenses. Additionally, the surveyed neurosurgeons also observed that treatment of traumatic brain injury may have to require greater financial subsidies. It is therefore imperative to frame health financing alongside the goals of equity, efficiency, and quality of neurosurgical care for the impoverished. Using principles and perspectives from managerial economics and public health, we conceptualize an implementation framework that addresses both the supply and demand sides of healthcare provision as applied to neurosurgery. For the supply side, strategic purchasing enables a systematic and contractual management of payment arrangements that provide performance-based economic incentives for providers. For the demand side, conditional cash transfers similarly leverages on financial incentives on the part of patients to reward certain health-seeking behaviors that significantly influence clinical outcomes. These health financing strategies are formulated in order to ultimately build neurosurgical capacity in LMICs, improve access to care for patients, and ensure financial risk protection.
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spelling pubmed-84612952021-09-25 Financial Risk Protection for Neurosurgical Care in Indonesia and the Philippines: A Primer on Health Financing for the Global Neurosurgeon Ferraris, Kevin Paul Yap, Maria Eufemia C. Bautista, Maria Cristina G. Wardhana, Dewa Putu Wisnu Maliawan, Sri Wirawan, I Made Ady Rosyidi, Rohadi Muhammad Seng, Kenny Navarro, Joseph Erroll Front Surg Surgery Which conditions treated by neurosurgeons cause the worst economic hardship in low middle-income in countries? How can public health financing be responsive to the inequities in the delivery of neurosurgical care? This review article frames the objectives of equity, quality, and efficiency in health financing to the goals of global neurosurgery. In order to glean provider perspectives on the affordability of neurosurgical care in low-resource settings, we did a survey of neurosurgeons from Indonesia and the Philippines and identified that the care of socioeconomically disadvantaged patients with malignant intracranial tumors were found to incur the highest out-of-pocket expenses. Additionally, the surveyed neurosurgeons also observed that treatment of traumatic brain injury may have to require greater financial subsidies. It is therefore imperative to frame health financing alongside the goals of equity, efficiency, and quality of neurosurgical care for the impoverished. Using principles and perspectives from managerial economics and public health, we conceptualize an implementation framework that addresses both the supply and demand sides of healthcare provision as applied to neurosurgery. For the supply side, strategic purchasing enables a systematic and contractual management of payment arrangements that provide performance-based economic incentives for providers. For the demand side, conditional cash transfers similarly leverages on financial incentives on the part of patients to reward certain health-seeking behaviors that significantly influence clinical outcomes. These health financing strategies are formulated in order to ultimately build neurosurgical capacity in LMICs, improve access to care for patients, and ensure financial risk protection. Frontiers Media S.A. 2021-09-10 /pmc/articles/PMC8461295/ /pubmed/34568413 http://dx.doi.org/10.3389/fsurg.2021.690851 Text en Copyright © 2021 Ferraris, Yap, Bautista, Wardhana, Maliawan, Wirawan, Rosyidi, Seng and Navarro. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Ferraris, Kevin Paul
Yap, Maria Eufemia C.
Bautista, Maria Cristina G.
Wardhana, Dewa Putu Wisnu
Maliawan, Sri
Wirawan, I Made Ady
Rosyidi, Rohadi Muhammad
Seng, Kenny
Navarro, Joseph Erroll
Financial Risk Protection for Neurosurgical Care in Indonesia and the Philippines: A Primer on Health Financing for the Global Neurosurgeon
title Financial Risk Protection for Neurosurgical Care in Indonesia and the Philippines: A Primer on Health Financing for the Global Neurosurgeon
title_full Financial Risk Protection for Neurosurgical Care in Indonesia and the Philippines: A Primer on Health Financing for the Global Neurosurgeon
title_fullStr Financial Risk Protection for Neurosurgical Care in Indonesia and the Philippines: A Primer on Health Financing for the Global Neurosurgeon
title_full_unstemmed Financial Risk Protection for Neurosurgical Care in Indonesia and the Philippines: A Primer on Health Financing for the Global Neurosurgeon
title_short Financial Risk Protection for Neurosurgical Care in Indonesia and the Philippines: A Primer on Health Financing for the Global Neurosurgeon
title_sort financial risk protection for neurosurgical care in indonesia and the philippines: a primer on health financing for the global neurosurgeon
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8461295/
https://www.ncbi.nlm.nih.gov/pubmed/34568413
http://dx.doi.org/10.3389/fsurg.2021.690851
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