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- W1699015269 abstract "This study forms part of a support document of the World Bank in Tunisia. It aims to highlight the issues and problems currently facing the public health facilities by documenting preliminary and exploratory analyses through case studies. The paper posits that health outcomes of Tunisia are generally better than other countries in the region and the overall system performance, relative to countries that have a level of comparable income, was relatively good in recent decades. However many challenges remain in a context where the burden of disease is growing particularly owing to demographic and epidemiological transition that leads to the chronic conditions affecting a population that begins to show an aging trend. Tunisia has undertaken in recent years a major reform of its insurance program to increase coverage, reduce the financial burden of health care of the population and increase access and quality of services, particularly in the public sector. This report is divided into two main parts: The first part presents the results of the diagnostic study. The second part of the paper focuses on the economic assessment from two pathologies tracers. The first section recalls the purpose, objectives and assumptions used in the economic study. In the second section, after showing how this study fits into the model of the general performance evaluation used in the first part, the authors describe the strategy and methods (choice of diseases, study population, and variables perspectives of the study, treatment and data analysis). A third section presents and discusses the results by setting and presenting a cross-sectional analysis: cost per activity, cost and quality of care, continuity of care. A partial conclusion discusses some ideas and work sites that could result from this study. The paper concludes with a reflection on the major projects that should be undertaken to provide answers to key questions raised by the diagnosis." @default.
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- W1699015269 date "2008-10-01" @default.
- W1699015269 modified "2023-09-24" @default.
- W1699015269 title "Etude diagnostique : Performance des établissements publics de santé en Tunisie" @default.
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