The Link Between Health Care Systems and Financing: Evaluation of Payment Systems in Selected OECD Countries

2011 ◽  
Author(s):  
Eero Siljander
2015 ◽  
Vol 37 (1) ◽  
pp. 73-88
Author(s):  
Petra Baji ◽  
Márta Péntek ◽  
Imre Boncz ◽  
Valentin Brodszky ◽  
Olga Loblova ◽  
...  

In the past few years, several papers have been published in the international literature on the impact of the economic crisis on health and health care. However, there is limited knowledge on this topic regarding the Central and Eastern European (CEE) countries. The main aims of this study are to examine the effect of the financial crisis on health care spending in four CEE countries (the Czech Republic, Hungary, Poland and Slovakia) in comparison with the OECD countries. In this paper we also revised the literature for economic crisis related impact on health and health care system in these countries. OECD data released in 2012 were used to examine the differences in growth rates before and after the financial crisis. We examined the ratio of the average yearly growth rates of health expenditure expressed in USD (PPP) between 2008–2010 and 2000–2008. The classification of the OECD countries regarding “development” and “relative growth” resulted in four clusters. A large diversity of “relative growth” was observed across the countries in austerity conditions, however the changes significantly correlate with the average drop of GDP from 2008 to 2010. To conclude, it is difficult to capture visible evidence regarding the impact of the recession on the health and health care systems in the CEE countries due to the absence of the necessary data. For the same reason, governments in this region might have a limited capability to minimize the possible negative effects of the recession on health and health care systems.


2018 ◽  
Vol 15 (2) ◽  
pp. 160-172 ◽  
Author(s):  
Federico Toth

AbstractThis article proposes a classification of the different national health care systems based on the way the network of health care providers is organised. To this end, we present two rivalling models: on the one hand, the integrated model and, on the other, the separated model. These two models are defined based on five dimensions: (1) integration of insurer and provider; (2) integration of primary and secondary care; (3) presence of gatekeeping mechanisms; (4) patient's freedom of choice; and (5) solo or group practice of general practitioners. Each of these dimensions is applied to the health care systems of 24 OECD countries. If we combine the five dimensions, we can arrange the 24 national cases along a continuum that has the integrated model and the separated model at the two opposite poles. Portugal, Spain, New Zealand, the UK, Denmark, Ireland and Israel are to be considered highly integrated, while Italy, Norway, Australia, Greece and Sweden have moderately integrated provision systems. At the opposite end, Austria, Belgium, France, Germany, the Republic of Korea, Japan, Switzerland and Turkey have highly separated provision systems. Canada, The Netherlands and the United States can be categorised as moderately separated.


2016 ◽  
Vol 2 (01) ◽  
Author(s):  
Najah Soraya Niah

BPJS health targets provide benefits to all those involved in BPJS, meetingmedical needs of participants, the precautionary principle of sustainabletransparency in financial management BPJS. Many of the problems in itsimplementation, namely the health care system, payment systems, and thequality of health care systems. Purpose of this study is to describe, analyzeand Interpret the implementation of Program Policy BPJS using a modelapproach to the implementation of policies of George Edward III and vanMatter van Horn. Analyze and interpret the limiting factor and drivingforce in the implementation of the Program Policy BPJS Develop modelimplementation of effective policies BPJS Program - efficient fit thepurpose of providing health services to the community. This research wasconducted using qualitative method. Implementation of the marked lack ofcoordination/communication, lack of socialization. The existence of awaiting period the user card BPJS can only be activated one week afterregistration is received and may only select one health facility to obtain areferral and can not go to faskes other and service flow tiered very difficultfor the patient (member BPJS), as well as payment of medical expenses arenot borne entirely by BPJS. Communication - socialization of theadministration and the issue of quality of service is still lacking, the endpeople do not understand the process of administration , patient carefacilities are still limited .Keywords : Health service, implementation, BPJS, Jombang


2004 ◽  
Vol 171 (4S) ◽  
pp. 42-43 ◽  
Author(s):  
Yair Latan ◽  
David M. Wilhelm ◽  
David A. Duchene ◽  
Margaret S. Pearle

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