OECD Journal on Budgeting

The OECD Journal on Budgeting is published three times per year. It draws on the best of the recent work of the OECD Committee of Senior Budget Officials (SBO), as well as special contributions from finance ministries, academics and experts in the field and makes it available to a wider community in an accessible format. The journal provides insight on leading-edge institutional arrangements, systems and instruments for the allocation and management of resources in the public sector.

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Budgeting practices to improve health system performance

An OECD survey of countries from the Latin American and Caribbean region

This article presents the main findings of two OECD Surveys of Senior Budget and Health Officials conducted in the Latin American and Caribbean region. The surveys help to understand the approaches to budgeting, and take account of the prominent role of agents in the health system across the region, including social health insurance agencies and subnational governments. The focus, however, is on the application of performance-orientated reforms to budgeting, and the extent to which countries in the region have adopted such reforms to improve the efficiency of health expenditure to achieve universal health coverage. The findings point to the use of performance and results-based budgeting in the region, along with new models of provider payment systems integrating performance measures.


Keywords: Budgeting, performance, Latin America and Caribbean, health sector
JEL: I13: Health, Education, and Welfare / Health / Health Insurance, Public and Private; H51: Public Economics / National Government Expenditures and Related Policies / Government Expenditures and Health; I18: Health, Education, and Welfare / Health / Health: Government Policy; Regulation; Public Health
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