Fifteen years later: moving forward Heller's heritage on fiscal space for health.

ABSTRACT: Economist Peter Heller, writing a seminal paper published in Health, Policy and Planning in 2006, identified five opportunities for expanding fiscal space for health: raising revenue, reprioritizing expenditure, borrowing, using seigniorage and mobilizing external grants. The development of the initial framework marked a significant conceptual advancement in health financing, by situating health reforms within a broader macro-fiscal context. Fifteen years later, fiscal space for health is not viewed simply as a question of finding additional revenues but also as a matter of improving public financial management (PFM) in the health sector, specifically for publicly funded health systems. This paper advances the concept of budgetary space for health, which explores available resources genera

SUBMITTER: Barroy H 

PROVIDER: S-EPMC8428612 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature