Could the employment-based targeting approach serve Egypt in moving towards a social health insurance model?

Author's Department

Social Research Center (SRC)

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https://doi.org/10.26719/2010.16.6.663

Document Type

Research Article

Publication Title

Eastern Mediterranean Health Journal

Publication Date

1-1-2010

doi

10.26719/2010.16.6.663

Abstract

The current health insurance system in Egypt targets the productive population through an employment-based scheme bounded by a cost ceiling and focusing on curative care. Egypt Social Contract Survey data from 2005 were used to evaluate the impact of the employment-based scheme on health system accessibility and financing. Only 22.8% of the population in the productive age range (19-59 years) benefited from any health insurance scheme. The employment-based scheme covered 39.3% of the working population and was skewed towards urban areas, older people, females and the wealthier. It did not increase service utilization, but reduced out-of-pocket expenditure. Egypt should blend all health insurance schemes and adopt an innovative approach to reach universal coverage.

First Page

663

Last Page

670

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