Funding Health Care

Options for Europe

Author: Elias Mossialos

Publisher: N.A

ISBN: 9780335209255

Category: Health & Fitness

Page: 309

View: 7894

This book examines the advantages and disadvantages of funding arrangements currently in use across Europe. Adopting a cross-national, cross-dischiplinary perspective, it assesses the relative merits of the main methods of raising resources including taxation; social voluntary and supplemental forms of insurance; and self-pay including co-payments. Chapters review recent evidence and experience in both eastern and western Europe. The volume is introduced by a summary chapter which integrates conceptual issues in funding with an overview of the main advantages and disadvantages of each method of funding drawn from the expert chapters.

Funding Health Care

Author: Elias Mossialos

Publisher: Open University Press

ISBN: 9780335209248

Category: Medical

Page: 309

View: 862

The question of how to generate sufficient revenue to pay for health care has become a serious concern for nearly all European policy-makers. This book examines the advantages and disadvantages of funding arrangements currently in use across Europe. Adopting a cross-national, cross-disciplinary perspective, it assesses the relative merits of the main methods of raising resources including taxation; social, voluntary and supplemental forms of insurance; and self-pay including co-payments. Chapters written by leading health policy analysts review recent evidence and experience in both eastern and western Europe. The volume is introduced by a summary chapter which integrates conceptual issues in funding with an overview of the main advantages and disadvantages of each method of funding drawn from the expert chapters. This is an important book for students of health policy, health economics, public policy and managment, and for health managers and policy makers.

Assuring the Quality of Health Care in the European Union

A Case for Action

Author: Helena Legido-Quigley

Publisher: World Health Organization

ISBN: 9289071931

Category: Medical

Page: 210

View: 1542

People have always travelled within Europe for work and leisure, although never before with the current intensity. Now, however, they are travelling for many other reasons, including the quest for key services such as health care. Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard?". This book examines, for the first time, the systems that have been put in place in all of the European Union's 27 Member States. The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.

Financing Health Care in the European Union

Challenges and Policy Responses

Author: Sarah Thomson,Thomas Foubister,Elias Mossialos

Publisher: N.A

ISBN: 9789289041652

Category: Medical

Page: 200

View: 4591

Focusing on the three health care financing functions, collection, pooling and purchasing, as well as on coverage, this book analyses the organization of health care financing in the Member States of the European Union, discusses the principal financing reform trends of recent years, and assesses the capacity of these to help ensure fiscal sustainability.

Social Health Insurance Systems In Western Europe

Author: Saltman, Richard,Rico, Ana,Boerma, Wienke

Publisher: McGraw-Hill Education (UK)

ISBN: 0335213634

Category: Education

Page: 310

View: 4986

This title explores the nature of the pressures social health insurance systems confront to be more efficient, more effective, and more responsive.

Voluntary health insurance in the European Union

Author: Elias Mossialos,Sarah Thomson,Reinhard Busse,European Observatory on Health Systems and Policies,World Health Organization

Publisher: N.A

ISBN: 9789289010658

Category: Health insurance

Page: 206

View: 6037

Health Systems in Transition


Author: Gregory P. Marchildon,Elias Mossialos,Sara Allin,European Observatory on Health Systems and Policies

Publisher: University of Toronto Press

ISBN: 0802094007

Category: Health & Fitness

Page: 156

View: 3905

The health care system in Canada is much-touted in the international sphere, but often overlooked when it comes to an examination of its actual administration and regulation. Health Systems in Transition: Canada provides an objective description and analysis of the public, private, and mixed components that make up health care in Canada today. Published in co-operation with the World Health Organization Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies, Gregory P. Marchildon's study offers a statistical and visual description of the many facets of Canadian health care financing, administration, and service delivery. This study's most distinctive feature is a comparative description and analysis. For international comparison, five other countries have been selected: The United States, Australia, the United Kingdom, France, and Sweden. Because public health care administration and delivery is highly decentralized in Canada, Marchildon also analyzes the important health status and health care features within Canada by province and territory, and describes in some detail the unique constitutional, jurisdictional, and financial features of the Canadian system. Balancing careful assessment, summary, and illustration, Health Systems in Transition: Canada is a thorough and illuminating look at one of the nation's most complex institutions.

Trends in Health Systems in the Former Soviet Countries

Author: Bernd Rechel,Who Regional Office for Europe

Publisher: N.A

ISBN: 9789289050289

Category: Medical

Page: 238

View: 1523

After the break-up of the Soviet Union in 1991, the countries that emerged from it faced myriad challenges, including the need to reorganize the organization, financing and provision of health services. Over two decades later, this book analyzes the progress that twelve of these countries (Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, the Republic of Moldova, the Russian Federation, Tajikistan, Turkmenistan, Ukraine and Uzbekistan) have made in reforming their health systems. Building on the health system reviews of the European Observatory on Health Systems and Policies (the HiT series), it illustrates the benefits of international comparisons of health systems, describing the often markedly different paths taken and evaluating the consequences of these choices. This book will be an important resource for those with an interest in health systems and policies in the post-Soviet countries, but also for those interested in health systems in general. It will be of particular use to governments in central and eastern Europe and the former Soviet countries (and those advising them), to international and non-governmental organizations active in the region, and to researchers of health systems and policies.

Voluntary Health Insurance in Europe

Role and Regulation

Author: Anna Sagan,Sarah Thomson

Publisher: World Health Organization

ISBN: 9789289050388

Category: Business & Economics

Page: 136

View: 4796

If public resources were unlimited, there would be no gaps in health coverage and no real need for VHI. However, most health systems face fiscal constraints and VHI is often seen as a way to address these pressures. This study draws from the experiences of 34 countries to assess VHI's contribution to health spending and to understand its role in Europe and in relation to publicly financed coverage. It looks at who sells VHI, who purchases it and why. It also reviews public policy towards VHI at national and EU levels and the related national policy debates. The analysis shows that while the different markets for VHI vary considerably in size, operation and regulation the vast majority are small. Where there are substantial markets these tend to be the oldest ones, having a tradition of non-profit insurers, and to be the most heavily regulated to ensure VHI policies are accessible and affordable. The study also suggests that VHI is normally a better way of meeting population health needs than out-of-pocket payments, although there are notable exceptions. VHI can contribute to financial protection, especially where it plays a substitutive and complementary role covering co-payments. However, it is a complex, challenging and highly context-specific policy instrument that may undermine other health system goals, including equitable access, efficiency, transparency and accountability, even where markets are well regulated. Policy-makers should therefore exercise real caution before expanding VHI to fill coverage gaps.. This volume and its companion set of country profiles were developed jointly by the Observatory's LSE hub and the WHO Regional Office for Europe. The study draws on contributions from national experts from the EU, EFTA and other countries in Europe.

Health Financing Revisited

A Practitioner's Guide

Author: Pablo Enrique Gottret,George Schieber

Publisher: World Bank Publications

ISBN: 082136586X

Category: Medical

Page: 318

View: 3566

This overview of health financing tools, policies and trends--with a particular focus on challenges facing developing countries--provides the basis for effective policy-making. Analyzing the current global environment, the book discusses health financing goals in the context of both the underlying health, demographic, social, economic, political and demographic analytics as well as the institutional realities faced by developing countries, and assesses policy options in the context of global evidence, the international aid architecture, cross-sectoral interactions, and countries' macroeconomic frameworks and overall development plans.

Cross-border Health Care in the European Union

Mapping and Analysing Practices and Policies

Author: Matthias Wismar,J. Figueras,W. Palm

Publisher: N.A

ISBN: 9789289002219

Category: Health & Fitness

Page: 376

View: 2022

Cross-border health care has become a much more prominent phenomenon in the European Union. When in need of medical treatment, patients increasingly act as informed consumers who claim the right to choose their own providers, including those beyond borders. This book explores such trends and also looks at the legal framework for cross-border care as well as examining some of the uncertainties surrounding it. After the adoption of the Directive on the application of patient rights in cross-border care, Member States will now have to start implementing these provisions. One of the challenges will be to see how various national practices related to access, benefits and tariffs, quality and safety, patient rights, cooperation etc. will be affected by these new rules. The information and analysis presented in the study can be of considerable use to policy-makers and those with an interest in key aspects of cross-border health care to accompany or follow this process.

Hospitals in a Changing Europe

Author: Martin McKee,Judith Healy

Publisher: N.A

ISBN: 9780335209293

Category: Medical

Page: 295

View: 3128

* What roles do hospitals play in the health care system and how are these roles changing? * If hospitals are to optimize health gains and respond to public expectations, how should they be configured, managed, and sustained? * What lessons emerge from experiences of changing hospital systems across Europe? Hospitals of the future will confront difficult challenges: new patterns of disease, rapidly evolving medical technologies, ageing populations, and continuing budget constraints. This book explores the competing pressures facing policymakers across Europe as they struggle to respond to these complex challenges. It argues that hospitals, as part of a larger health system, should focus on enhancing health outcomes while also responding to public expectations. Adopting a cross-national, cross-disciplinary perspective, the study assesses recent evidence on the factors driving hospital reform and the strategies used to improve organizational performance. It reviews the evidence from eastern as well as western Europe and combines academic research with real-world policy experience. It looks at the role of hospitals in enhancing health rather than simply processing patients. The book concludes that hospitals cannot be managed in isolation from society and the wider health system, and that policymakers have a responsibility to define the broader health care goals that hospitals should strive to meet. Hospitals in a Changing Europe synthesizes current evidence in a readable and accessible form for all practitioners, policy-makers, academics and graduate level students concerned with health reform.

Voluntary Health Insurance in Europe

Country Experience

Author: Anna Sagan,Sarah Thomson

Publisher: World Health Organization

ISBN: 9789289050371

Category: Business & Economics

Page: 177

View: 9956

No two markets for voluntary health insurance (VHI) are identical. All differ in some way because they are heavily shaped by the nature and performance of publicly financed health systems and by the contexts in which they have evolved. This volume contains short, structured profiles of markets for VHI in 34 countries in Europe. These are drawn from European Union member states plus Armenia, Iceland, Georgia, Norway, the Russian Federation, Switzerland and Ukraine. The book is aimed at policy-makers and researchers interested in knowing more about how VHI works in practice in a wide range of contexts. Each profile, written by one or more local experts, identifies gaps in publicly-financed health coverage, describes the role VHI plays, outlines the way in which the market for VHI operates, summarizes public policy towards VHI, including major developments over time, and highlights national debates and challenges. The book is part of a study on VHI in Europe prepared jointly by the European Observatory on Health Systems and Policies and the WHO Regional Office for Europe. A companion volume provides an analytical overview of VHI markets across the 34 countries.

Health System Efficiency

How to Make Measurement Matter for Policy and Management

Author: Jonathan Cylus,Irene Papanicolas,Who Regional Office for Europe,Peter C. Smith

Publisher: Health Policy

ISBN: 9789289050418

Category: Medical

Page: 264

View: 8598

Efficiency is one of the central preoccupations of health policy-makers and managers, and justifiably so. Inefficient care can lead to unnecessarily poor outcomes for patients, either in terms of their health, or in their experience of the health system. What is more, inefficiency anywhere in the system is likely to deny health improvement to patients who might have been treated if resources had been used better. Improving efficiency is therefore a compelling policy goal, especially in systems facing serious resource constraints. The desire for greater efficiency motivates a great deal of decision-making, but the routine use of efficiency metrics to guide decisions is severely lacking. To improve efficiency in the health system we must first be able to measure it and must therefore ensure that our metrics are relevant and useful for policy-makers and managers. In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: 1) the core idea of efficiency is easy to understand in principle -- maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations; 2) there have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered; 3) our simple analytical framework can facilitate the development and interpretation of efficiency indicators. The authors use examples from Europe and around the world to explore how policy-makers and managers have used efficiency measurement to support their work in the past, and suggest ways they can make better use of efficiency measurement in the future. The study came out of the Observatory's LSE hub. It links to a forthcoming study offering further insights into how to develop and interpret policy relevant efficiency metrics and to the earlier volumes on performance measurement. It will be of considerable use to policymakers and their advisors, health care regulators, patient representative groups, managers and researchers.

Private Voluntary Health Insurance in Development

Friend Or Foe?

Author: Alexander S. Preker,Richard M. Scheffler,Mark C. Bassett

Publisher: World Bank Publications

ISBN: 0821366203

Category: Business & Economics

Page: 424

View: 4414

Private voluntary health insurance already plays an important role in the health sector of many low and middle income countries. The book reviews the context under which private insurance could contribute to an improvement in the financial sustainability of the health sector, financial protection against the costs of illness, household income smoothing, access to care, and market productivity. This volume is the third in aseries of in-depth reviews of the role of health care financing in providing access for low-income populations to needed healthcare, protecting them from the impoverishing effects of illness, and addressing the important issues of social exclusion in government financed programs.

International Encyclopedia of Public Health

Author: N.A

Publisher: Academic Press

ISBN: 0128037083

Category: Medical

Page: 4470

View: 3026

International Encyclopedia of Public Health, Second Edition is an authoritative and comprehensive guide to the major issues, challenges, methods, and approaches of global public health. Taking a multidisciplinary approach, this new edition combines complementary scientific fields of inquiry, linking biomedical research with the social and life sciences to address the three major themes of public health research, disease, health processes, and disciplines. This book helps readers solve real-world problems in global and local health through a multidisciplinary and comprehensive approach. Covering all dimensions of the field, from the details of specific diseases, to the organization of social insurance agencies, the articles included cover the fundamental research areas of health promotion, economics, and epidemiology, as well as specific diseases, such as cancer, cardiovascular diseases, diabetes, and reproductive health. Additional articles on the history of public health, global issues, research priorities, and health and human rights make this work an indispensable resource for students, health researchers, and practitioners alike. Provides the most comprehensive, high-level, internationally focused reference work available on public health Presents an invaluable resource for both researchers familiar with the field and non-experts requiring easy-to-find, relevant, global information and a greater understanding of the wider issues Contains interdisciplinary coverage across all aspects of public health Incorporates biomedical and health social science issues and perspectives Includes an international focus with contributions from global domain experts, providing a complete picture of public health issues

Building Primary Care in a Changing Europe

Author: Who Regional Office for Europe

Publisher: N.A

ISBN: 9789289050319

Category: Medical

Page: 172

View: 4384

For many citizens primary health care is the first point of contact with their health care system, where most of their health needs are satisfied but also acting as the gate to the rest of the system. In that respect primary care plays a crucial role in how patients value health systems as responsive to their needs and expectations. This volume analyses the way how primary are is organized and delivered across European countries, looking at governance, financing and workforce aspects and the breadth of the service profiles. It describes wide national variations in terms of accessibility, continuity and coordination. Relating these differences to health system outcomes the authors suggest some priority areas for reducing the gap between the ideal and current realities.

Investing in Hospitals of the Future

Author: Bernd Rechel,S. Wright,N. Edwards

Publisher: WHO Regional Office Europe

ISBN: 9289043040

Category: Business & Economics

Page: 284

View: 337

Despite considerable investments in health facilities worldwide, little systematic evidence is available on how to plan, design and build new facilities that maximise health gain and ensure that services are responsive to the legitimate expectations of users. This book brings together current knowledge about key dimensions of capital investment in the health sector. A number of issues are examined, including new models of long-term care, capacity planning, the impact of capital investment on the health care workforce, markets and competition, systems used for procurement and financing, the whole lifecycle of health facilities, facility management, the wider impact of capital investment on the local community and economy, how care models can be translated into capital asset solutions, and issues of therapeutic and sustainable design. This book is of value to those interested in the planning, financing, construction, and management of new health facilities. It identifies critical lessons that increase the chances that capital projects will be successful.

Governing Mandatory Health Insurance

Learning from Experience

Author: William D. Savedoff,Pablo Enrique Gottret

Publisher: World Bank Publications

ISBN: 0821375490

Category: Business & Economics

Page: 277

View: 8491

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Health Professional Mobility and Health Systems

Evidence from 17 European Countries

Author: Matthias Wismar

Publisher: N.A

ISBN: 9789289002479

Category: Medical

Page: 597

View: 5699

The mobility of health professionals affects the performance of health systems, and increasingly so since the European Union (EU) enlargements in 2004 and 2007. This publication presents research on the gaps in knowledge about the numbers, trends, impacts and policy responses to this dynamic situation, in particular in Austria, Belgium, Estonia, Finland, France, Germany, Hungary, Italy, Lithuania, Poland, Romania, Serbia, Slovakia, Slovenia, Spain, Turkey and the United Kingdom. Conducted within the framework of the European Commission s Health PROMeTHEUS project, the research posed a set of questions of key interest to policy-makers: * What are the scale and characteristics of health professional mobility in the EU? * What have been the effects of EU enlargement? * What are the motivations of the mobile workforce? * What are the resulting impacts on health system performance? * What is the policy relevance of those impacts? * What are the policy options to address health professional mobility issues? In answering these questions, this publication offers policymakers evidence of the nature and extent of health professional mobility in the EU, analyzes its impact on country health systems and outlines some major policy strategies to address mobility.