RESUMO
Investigates the effects of economic and social changes on state health care financing in 10 caricom countries; St. Vincent and Grenadines, Trinidad and Tobago, St. Lucia, St. Kitts and Nevis, Dominica, Antigua and Barbuda, Montserrat, Barbados, The Bahamas and Belize. Provides statistical and graphic data on each country for the period 1980-1988 such as recurrent health expenditure, capital health expenditure and total health expenditure as percentages of GDP (AU)
Assuntos
Humanos , Atenção à Saúde/economia , Financiamento Governamental/economia , Índias Ocidentais , Atenção à Saúde , Economia e Organizações de Saúde , InflaçãoRESUMO
Statistics show a modest increase in both total real per capita expenditure and real per capita recurrent expenditure on public health services respectively by 15 percent and 14.6 percent with the highest average annual expenditure in Kingston and Montego Bay areas. The share of allocations to personal emoluments fell from 61 percent to 44 percent in the budget for general administration while the share of other expenditure-mainly food, drink, drugs and medical supplies has increased. The decline in allocation to personal emoluments led to a reduction in numbers of most categories of health personnel employed in public health sector. Data also suggest the growth of population and utilisation outstripped the rate of growth of employment of health personnel, thus affecting the quality of health care offered (AU)