Successes and obstacles in implementing social health insurance in developing and middle-income countries: A scoping review of 5-year recent literatures
Social health insurance (SHI) is a form of health finance mechanism that had been implemented in many countries to achieve universal health care (UHC). To emulate the successes of SHI in many developed countries, many developing and middle-income countries (MICs) have attempted to follow suit. Howev...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.918188/full |
| _version_ | 1811257542167232512 |
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| author | Mohammad Husni Jamal Mohammad Husni Jamal Aznida Firzah Abdul Aziz Azimatun Noor Aizuddin Azimatun Noor Aizuddin Syed Mohamed Aljunid |
| author_facet | Mohammad Husni Jamal Mohammad Husni Jamal Aznida Firzah Abdul Aziz Azimatun Noor Aizuddin Azimatun Noor Aizuddin Syed Mohamed Aljunid |
| author_sort | Mohammad Husni Jamal |
| collection | DOAJ |
| description | Social health insurance (SHI) is a form of health finance mechanism that had been implemented in many countries to achieve universal health care (UHC). To emulate the successes of SHI in many developed countries, many developing and middle-income countries (MICs) have attempted to follow suit. However, the SHI implementation has problems and obstacles. Many more obstacles were observed despite some successes. This scoping review aimed to study the various developments of SHI globally in its uses, implementation, successes, and obstacles within the last 5 years from 2017 to 2021. Using three databases (i.e., PubMed, EBSCO, and Google Scholar), we reviewed all forms of articles on SHI, including gray literature. The PRISMA-ScR protocol was adapted as the guideline. We used the following search terms: social health insurance, national health insurance, and community health insurance. A total of 57,686 articles were screened, and subsequently, 46 articles were included in the final review. Results showed that the majority of SHI studies were in China and African countries, both of which were actively pursuing SHI programs to achieve UHC. China was still regarded as a developing country. There were also recent experiences from other Asian countries, but only a few from South America. Implementing SHI to achieve UHC was desirable but will need to consider several factors and issues. This was especially the case in developing and MICs. Eventually, full UHC would only be possible with a combination of general taxation and SHI. |
| first_indexed | 2024-04-12T17:59:02Z |
| format | Article |
| id | doaj.art-1081feda2a634d759a53f73cea3ddc9d |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-12T17:59:02Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-1081feda2a634d759a53f73cea3ddc9d2022-12-22T03:22:13ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-10-011010.3389/fpubh.2022.918188918188Successes and obstacles in implementing social health insurance in developing and middle-income countries: A scoping review of 5-year recent literaturesMohammad Husni Jamal0Mohammad Husni Jamal1Aznida Firzah Abdul Aziz2Azimatun Noor Aizuddin3Azimatun Noor Aizuddin4Syed Mohamed Aljunid5University of Cyberjaya, Cyberjaya, MalaysiaAcademy of Family Physicians of Malaysia, Kuala Lumpur, MalaysiaDepartment of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, MalaysiaDepartment of Community Health, Faculty of Medicine, Universiti Kebangsaan Malaysia, Cheras, MalaysiaInternational Centre for Casemix and Clinical Coding, Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Cheras, MalaysiaDepartment of Health Policy and Management, College of Public Health, Kuwait University, Kuwait City, KuwaitSocial health insurance (SHI) is a form of health finance mechanism that had been implemented in many countries to achieve universal health care (UHC). To emulate the successes of SHI in many developed countries, many developing and middle-income countries (MICs) have attempted to follow suit. However, the SHI implementation has problems and obstacles. Many more obstacles were observed despite some successes. This scoping review aimed to study the various developments of SHI globally in its uses, implementation, successes, and obstacles within the last 5 years from 2017 to 2021. Using three databases (i.e., PubMed, EBSCO, and Google Scholar), we reviewed all forms of articles on SHI, including gray literature. The PRISMA-ScR protocol was adapted as the guideline. We used the following search terms: social health insurance, national health insurance, and community health insurance. A total of 57,686 articles were screened, and subsequently, 46 articles were included in the final review. Results showed that the majority of SHI studies were in China and African countries, both of which were actively pursuing SHI programs to achieve UHC. China was still regarded as a developing country. There were also recent experiences from other Asian countries, but only a few from South America. Implementing SHI to achieve UHC was desirable but will need to consider several factors and issues. This was especially the case in developing and MICs. Eventually, full UHC would only be possible with a combination of general taxation and SHI.https://www.frontiersin.org/articles/10.3389/fpubh.2022.918188/fullsocial health insurancecommunity health insurancenational health insurancesuccesses and obstaclesdeveloping countrieslow and middle income countries |
| spellingShingle | Mohammad Husni Jamal Mohammad Husni Jamal Aznida Firzah Abdul Aziz Azimatun Noor Aizuddin Azimatun Noor Aizuddin Syed Mohamed Aljunid Successes and obstacles in implementing social health insurance in developing and middle-income countries: A scoping review of 5-year recent literatures Frontiers in Public Health social health insurance community health insurance national health insurance successes and obstacles developing countries low and middle income countries |
| title | Successes and obstacles in implementing social health insurance in developing and middle-income countries: A scoping review of 5-year recent literatures |
| title_full | Successes and obstacles in implementing social health insurance in developing and middle-income countries: A scoping review of 5-year recent literatures |
| title_fullStr | Successes and obstacles in implementing social health insurance in developing and middle-income countries: A scoping review of 5-year recent literatures |
| title_full_unstemmed | Successes and obstacles in implementing social health insurance in developing and middle-income countries: A scoping review of 5-year recent literatures |
| title_short | Successes and obstacles in implementing social health insurance in developing and middle-income countries: A scoping review of 5-year recent literatures |
| title_sort | successes and obstacles in implementing social health insurance in developing and middle income countries a scoping review of 5 year recent literatures |
| topic | social health insurance community health insurance national health insurance successes and obstacles developing countries low and middle income countries |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.918188/full |
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