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Health Systems in Transition

journal
https://read.qxmd.com/read/30277214/bulgaria-health-system-review
#1
Antoniya Dimova, Maria Rohova, Stefka Koeva, Elka Atanasova, Lubomira Koeva-Dimitrova, Todorka Kostadinova, Anne Spranger
This analysis of the Bulgarian health system reviews developments in its organization and governance, health financing, health care provision, health reforms and health system performance. With the 2015 National Health Strategy 2020 at its core, there have been ambitious reform plans to introduce more decentralization, strategic purchasing and integrated care into the Bulgarian social health insurance system. However, the main characteristics of the Bulgarian health system, including a high level of centralization and a single payer to administer social health insurance, remain intact and very few reforms have been implemented (for example, the introduction of health technology assessment)...
September 2018: Health Systems in Transition
https://read.qxmd.com/read/30277215/austria-health-system-review
#2
Florian Bachner, Julia Bobek, Katharina Habimana, Joy Ladurner, Lena Lepuschutz, Herwig Ostermann, Lukas Rainer, Andrea E Schmidt, Martin Zuba, Wilm Quentin, Juliane Winkelmann
This analysis of the Austrian health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. Two major reforms implemented in 2013 and 2017 are among the main issues today. The central aim of the reforms that put in place a new governance system was to strengthen coordination and cooperation between different levels of government and self-governing bodies by promoting joint planning, decision-making and financing...
August 2018: Health Systems in Transition
https://read.qxmd.com/read/30277216/spain-health-system-review
#3
Enrique Bernal-Delgado, Sandra Garcia-Armesto, Juan Oliva, Fernando Ignacio Sanchez Martinez, Jose Ramon Repullo, Luz Maria Pena-Longobardo, Manuel Ridao-Lopez, Cristina Hernandez-Quevedo
This analysis of the Spanish health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. Overall health status continues to improve in Spain, and life expectancy is the highest in the European Union. Inequalities in self-reported health have also declined in the last decade, although long-standing disability and chronic conditions are increasing due to an ageing population. The macroeconomic context in the last decade in the country has been characterized by the global economic recession, which resulted in the implementation of health system-specific measures addressed to maintain the sustainability of the system...
May 2018: Health Systems in Transition
https://read.qxmd.com/read/30277217/estonia-health-system-review
#4
Triin Habicht, Marge Reinap, Kaija Kasekamp, Riina Sikkut, Laura Aaben, Ewout van Ginneken
This analysis of the Estonian health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. In 2017, the Estonian government took the historic step of expanding the revenue base of the health system, which has been a longstanding challenge. However, in terms of percentage of GDP it remains a small increase and long-term financial sustainability could still pose a problem. That said, if these additional funds are invested wisely, they could play a positive role in further improving the health system...
March 2018: Health Systems in Transition
https://read.qxmd.com/read/29972131/greece-health-system-review
#5
REVIEW
Charalampos Economou, Daphne Kaitelidou, Marina Karanikolos, Anna Maresso
This analysis of the Greek health system reviews developments in its organization and governance, health financing, health care provision, health reforms and health system performance. The economic crisis has had a major impact on Greek society and the health system. Health status indicators such as life expectancy at birth and at age sixtyfive are above the average in the European Union but health inequalities and particular risk factors such as high smoking rates and child obesity persist. The highly centralized health system is a mixed model incorporating both tax-based financing and social health insurance...
September 2017: Health Systems in Transition
https://read.qxmd.com/read/29972130/georgia-health-system-review
#6
REVIEW
Erica Richardson, Nino Berdzuli
This analysis of the Georgian health system reviews developments in its organization and governance, health financing, health care provision, health reforms and health system performance. Since 2012, political commitment to improving access to health care, to protecting the population from the financial risks of health care costs and to reducing inequalities has led to the introduction of reforms to provide universal health coverage. Considerable progress has been made. Over 90% of the resident population became entitled to a tightly defined package of state-funded benefits in 2013; previously, only 45% of the population had been eligible...
July 2017: Health Systems in Transition
https://read.qxmd.com/read/28485716/the-former-yugoslav-republic-of-macedonia-health-system-review
#7
Neda Milevska Kostova, Snezhana Chichevalieva, Ninez A Ponce, Ewout van Ginneken, Juliane Winkelmann
This analysis of the health system of the former Yugoslav Republic of Macedonia reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. The country has made important progress during its transition from a socialist system to a market-based system, particularly in reforming the organization, financing and delivery of health care and establishing a mix of private and public providers. Though total health care expenditure has risen in absolute terms in recent decades, it has consistently fallen as share of GDP, and high levels of private health expenditure remain...
May 2017: Health Systems in Transition
https://read.qxmd.com/read/28485714/portugal-health-system-review
#8
Jorge de Almeida Simoes, Goncalo Figueiredo Augusto, Ines Fronteira, Cristina Hernandez-Quevedo
This analysis of the Portuguese health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. Overall health indicators such as life expectancy at birth and at age 65 years have shown a notable improvement over the last decades. However, these improvements have not been followed at the same pace by other important dimensions of health: child poverty and its consequences, mental health and quality of life after 65...
March 2017: Health Systems in Transition
https://read.qxmd.com/read/28485715/malta-health-system-review
#9
Natasha Azzopardi-Muscat, Stefan Buttigieg, Neville Calleja, Sherry Merkur
Maltese life expectancy is high, and Maltese people spend on average close to 90% of their lifespan in good health, longer than in any other EU country. Malta has recently increased the proportion of GDP spent on health to above the EU average, though the private part of that remains higher than in many EU countries. The total number of doctors and GPs per capita is at the EU average, but the number of specialists remains relatively low; education and training are being further strengthened in order to retain more specialist skills in Malta...
January 2017: Health Systems in Transition
https://read.qxmd.com/read/28139461/slovakia-health-system-review
#10
Martin Smatana, Peter Pazitny, Daniela Kandilaki, Michaela Laktisova, Darina Sedlakova, Monika Paluskova, Ewout van Ginneken, Anne Spranger
This analysis of the Slovak health system reviews recent developments in organization and governance, health financing, health-care provision, health reforms and health system performance. The health care system in Slovakia is based on universal coverage, compulsory health insurance, a basic benefit package and a competitive insurance model with selective contracting of health care providers. Containment of health spending became a major policy goal after the 2008 financial crisis. Health spending stabilized after 2010 but remains well below European averages...
November 2016: Health Systems in Transition
https://read.qxmd.com/read/27929376/pharmaceutical-regulation-in-15-european-countries-review
#11
REVIEW
Dimitra Panteli, Francis Arickx, Irina Cleemput, Guillaume Dedet, Helen Eckhardt, Emer Fogarty, Sophie Gerkens, Cornelia Henschke, Jennifer Hislop, Claudio Jommi, Daphne Kaitelidou, Pawel Kawalec, Ilmo Keskimaki, Madelon Kroneman, Julio Lopez Bastida, Pedro Pita Barros, Joakim Ramsberg, Peter Schneider, Susan Spillane, Sabine Vogler, Lauri Vuorenkoski, Helle Wallach Kildemoes, Olivier Wouters, Reinhard Busse
In the context of pharmaceutical care, policy-makers repeatedly face the challenge of balancing patient access to effective medicines with affordability and rising costs. With the aim of guiding the health policy discourse towards questions that are important to actual and potential patients, this study investigates a broad range of regulatory measures, spanning marketing authorization to generic substitution and resulting price levels in a sample of 16 European health systems (Austria, Belgium, Denmark, England, Finland, France, Germany, Greece, Ireland, Italy, the Netherlands, Poland, Portugal, Scotland, Spain and Sweden)...
October 2016: Health Systems in Transition
https://read.qxmd.com/read/27603897/romania-health-system-review
#12
Cristian Vladescu, Silvia Gabriela Scintee, Victor Olsavszky, Cristina Hernandez-Quevedo, Anna Sagan
This analysis of the Romanian health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. The Romanian health care system is a social health insurance system that has remained highly centralized despite recent efforts to decentralize some regulatory functions. It provides a comprehensive benefits package to the 85% of the population that is covered, with the remaining population having access to a minimum package of benefits...
August 2016: Health Systems in Transition
https://read.qxmd.com/read/27467813/slovenia-health-system-review
#13
REVIEW
Tit Albreht, Radivoje Pribakovic Brinovec, Dusan Josar, Mircha Poldrugovac, Tatja Kostnapfel, Metka Zaletel, Dimitra Panteli, Anna Maresso
This analysis of the Slovene health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. The health of the population has improved over the last few decades. While life expectancy for both men and women is similar to EU averages, morbidity and mortality data show persistent disparities between regions, and mortality from external causes is particularly high. Satisfaction with health care delivery is high, but recently waiting times for some outpatient specialist services have increased...
June 2016: Health Systems in Transition
https://read.qxmd.com/read/27467715/netherlands-health-system-review
#14
REVIEW
Madelon Kroneman, Wienke Boerma, Michael van den Berg, Peter Groenewegen, Judith de Jong, Ewout van Ginneken
This analysis of the Dutch health system reviews recent developments in organization and governance, health financing, healthcare provision, health reforms and health system performance. Without doubt, two major reforms implemented since the mid-2000s are among the main issues today. The newly implemented long-term care reform will have to realize a transition from publicly provided care to more self-reliance on the part of the citizens and a larger role for municipalities in its organization. A particular point of attention is how the new governance arrangements and responsibilities in long-term care will work together...
March 2016: Health Systems in Transition
https://read.qxmd.com/read/27172509/tajikistan-health-system-review
#15
REVIEW
Ghafur Khodjamurodov, Dilorom Sodiqova, Baktygul Akkazieva, Bernd Rechel
The pace of health reforms in Tajikistan has been slow and in many aspects the health system is still shaped by the countrys Soviet legacy. The country has the lowest total health expenditure per capita in the WHO European Region, much of it financed privately through out-of-pocket payments. Public financing depends principally on regional and local authorities, thus compounding regional inequalities across the country. The high share of private out-of-pocket payments undermines a range of health system goals, including financial protection, equity, efficiency and quality...
January 2016: Health Systems in Transition
https://read.qxmd.com/read/26106880/ukraine-health-system-review
#16
Valery Lekhan, Volodymyr Rudiy, Maryna Shevchenko, Dorit Nitzan Kaluski, Erica Richardson
This analysis of the Ukrainian health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. Since the country gained independence from the Soviet Union in 1991, successive governments have sought to overcome funding shortfalls and modernize the health care system to meet the needs of the population's health. However, no fundamental reform of the system has yet been implemented and consequently it has preserved the main features characteristic of the Semashko model; there is a particularly high proportion of total health expenditure paid out of pocket (42...
March 2015: Health Systems in Transition
https://read.qxmd.com/read/27050102/israel-health-system-review
#17
Bruce Rosen, Ruth Waitzberg, Sherry Merkur
Israel is a small country, with just over 8 million citizens and a modern market-based economy with a comparable level of gross domestic product per capita to the average in the European Union. It has had universal health coverage since the introduction of a progressively financed statutory health insurance system in 1995. All citizens can choose from among four competing, non-profit-making health plans, which are charged with providing a broad package of benefits stipulated by the government. Overall, the Israeli health care system is quite efficient...
2015: Health Systems in Transition
https://read.qxmd.com/read/27049966/united-kingdom-health-system-review
#18
Jonathan Cylus, Erica Richardson, Lisa Findley, Marcus Longley, Ciaran O'Neill, David Steel
This analysis of the United Kingdom health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. It provides an overview of how the national health services operate in the four nations that make up the United Kingdom, as responsibility for organizing health financing and services was devolved from 1997. With devolution, the health systems in the United Kingdom have diverged in the details of how services are organized and paid for, but all have maintained national health services which provide universal access to a comprehensive package of services that are mostly free at the point of use...
2015: Health Systems in Transition
https://read.qxmd.com/read/26766626/switzerland-health-system-review
#19
REVIEW
Carlo De Pietro, Paul Camenzind, Isabelle Sturny, Luca Crivelli, Suzanne Edwards-Garavoglia, Anne Spranger, Friedrich Wittenbecher, Wilm Quentin
This analysis of the Swiss health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. The Swiss health system is highly complex, combining aspects of managed competition and corporatism (the integration of interest groups in the policy process) in a decentralized regulatory framework shaped by the influences of direct democracy. The health system performs very well with regard to a broad range of indicators...
2015: Health Systems in Transition
https://read.qxmd.com/read/26766545/france-health-system-review
#20
REVIEW
Karine Chevreul, Karen Berg Brigham, Isabelle Durand-Zaleski, Cristina Hernandez-Quevedo
This analysis of the French health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. The French population has a good level of health, with the second highest life expectancy in the world for women. It has a high level of choice of providers, and a high level of satisfaction with the health system. However, unhealthy habits such as smoking and harmful alcohol consumption remain significant causes of avoidable mortality...
2015: Health Systems in Transition
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