Scoping literature review on the basic health benefit package and its determinant criteria
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REVIEW
Open Access
Scoping literature review on the basic health benefit package and its determinant criteria Ramin Hayati1, Peivand Bastani2, Mohammad Javad Kabir3, Zahra Kavosi2* and Ghasem Sobhani4
Abstract Background: There are various criteria and methods to develop Basic Health Benefit Package (BHBP) in world health systems. The present study aimed to extract criteria used in health systems in different countries around the world using scoping review method. Methods: A systematic search was carried out in Cochrane Library, PubMed, Scopus, Science Direct, Web of Science, ProQuest, World Bank, World Health Organization, and Google databases between January and April 2016. Papers and reports were gathered according to selected keywords and were examined by two authors. Finally, the criteria were extracted from the selected papers. Results: The primary search included 8876 papers. After studying the articles’ titles, abstracts, and full texts, 9 articles and 14 reports were selected for final analysis. After the final analysis, 19 criteria were extracted. Due to diversity of criteria in terms of number and nature, they were divided into three categories. The categories included intervention-related criteria, disease-related criteria, and community-related criteria. The largest number of criteria belonged to the first category. Indeed, the most widely applied criteria included cost-effectiveness (20), effectiveness (19), budget impact (12), equity (12), and burden of disease (10). Conclusion: According to the results, different criteria were identified in terms of number and nature in developing BHBP in world health systems. It seems that certain criteria, such as cost-effectiveness, effectiveness, budget impact, burden of disease, equity, and necessity, that were most widely utilized in countries under study could be for designing BHBP with regard to social, cultural, and economic considerations. Keywords: Universal health coverage, Basic health benefit package, Priority setting, Criteria
Background Provision of healthcare services at reasonable cost is a worldwide challenge. In this context, numerous reforms were implemented in healthcare systems. Nowadays, health system reforms with focus on Universal Health Coverage (UHC) have been implemented as overall trends in many countries to meet the needs of public health in the context of rapidly changing socioeconomic issues and health resource constraints [1]. The ultimate goal of UHC is access to needed services without the risk of financial hardship and the consequent poverty [2]. * Correspondence: [email protected] 2 Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran Full list of author information is available at the end of the article
Achievement of UHC in many countries will be a long journey along a meandering road. In this trip, every country needs to answer questions, such as which people, what services, and how much cost sharing should be covered. Regarding what
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