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Agreement on the criteria for identifying expenditures that contribute to HSS : health actors should reach an agreement on a set of criteria to determine which types of health interventions and their expenditures may be considered to contribute to strengthening health systems.
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For Denmark, Finland and Sweden, it is probable that this figure identifies expenditure only for what is considered free educational provision, e.g. the Finnish figure includes pre-primary education programmes for 6-year-old children (pre-school year preceding compulsory education) and centre-based day care for 3-to 5-year-old children, based on an expenditure estimation of 50%.
The inability to reliably identify expenditure on public health potentially increases the ease with which public health budgets can be reallocated when budgets are being reduced, as no systematic monitoring is taking place [ 53].
These figures are from adult based studies, making it difficult to identify expenditure on children, but it could be hypothesised that as family spending on CAM increases a proportion of this will be for use by children and adolescents.
Diagnosis-based models performed better in identifying high-expenditure users with manageable diseases; prior expenditures models were better in statistics-based indicators and identifying people with higher average expenditures.
The increased availability of administrative date sources has largely increased the number of studies examining diseases-related costs, with the final aim of monitoring health care expenditure, identifying heterogeneities of expenditure among subgroups of patients and suggest strategies to improve resources.
No matter how perfect the risk adjustment models can be in identifying high-expenditure users, if no effective programs are implemented, the ultimate goal of containing the expansion of medical expenditures will not be realized.
Not only does the budget dedicate 20 per cent of its discretionary spending to benefit children; it also includes an annex that identifies specific expenditures for education, health, nutrition, and child protection.
"He could not even identify his expenditures by categories to the nearest million," marveled the judge.
On the one hand, consumption smoothing benefits identified from expenditure data overestimate the true marginal benefits of UI.
Studies from a wide range of settings have identified OOP expenditure as a risk factor of catastrophic financial burden on households (Roy and Howard [12]; Van Doorslaer et al. [13] for a range of Asian countries; Limwattananon, Tangcharoensathien and Prakongsai [14] for Thailand; Arsenault et al. [15] for Mali Rabann, Dandonaa, and Dandonaa [16]; Ghosh, 2010 [17] for India).
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Justyna Jupowicz-Kozak
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