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"CHMT have other options to cope with late disbursement of funds by the central government, such as the use of cost sharing funds to purchase drugs and other supplies, especially when there is a really urgent problem" (KI 1).
The reforms have encouraged increased use of cost sharing, payment according to input factors, and prioritizing cost-effective medical interventions [ 40, 41].
Respondents mentioned three major strategies referred to here as sub-themes; namely, borrowing money from other projects, obtaining supplies and other services on credit, and the use of cost sharing funds.
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In particular, children from low-income households showed decreased use of healthcare services as a result of cost sharing.
In particular, research on health impacts, the distributional consequences of cost sharing, and whether cost sharing for certain services affects the use of other services is sparse [1].
Most applications of VBID, however, have not used higher cost sharing to discourage specific services.
The third strategy is the use of money generated from cost sharing.
Total costs of vaccination were distributed to employers or employees based on the proportion of immunization cost sharing ('Vaccination Cost Sharing % by Employers').
In particular, the sourcing strategy mainly affects the supplier's reaction to incentives and the uses of cost data shared, while the nature of open books agreements primarily influences the buyer's attitude to commit resources to specific suppliers and, therefore, to activate the more costly incentives.
- The limitations in managerial capacity and financial stewardship brought to the surface as a result of the shift in strategy to sustainability of the project necessitate adapting the training in capacity building to bridge the identified gaps and to introduce rational use of resources and modalities for cost sharing.
Although surveys are widely used to measure self-reported and hypothetical use of health care by enrollees with cost sharing arrangements, the test-retest reliability of these surveys has not been adequately studied.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com