Written by a local health economics expert, each of the eight chapters in this timely handbook and ready reference describes the national healthcare system of a different industrialized country. In each case, the 4-5 specific policies with the highest impact on that respective country over the past 20-30 years are identified. In addition, the economic characteristics of each policy are described and, where possible, its success evaluated, discussing the current policy agenda. A final chapter summarizes and synthesizes the major points of the analysis.
While the main focus is on economics, this guide is written in non-technical language for an audience of health policy decision makers or students of health policy, making it an invaluable contribution to the current debate surrounding the control of rising healthcare-related costs in the developed world.
Содержание
Introduction And Summary (John Rapoport)
— Highlights of each country’s approach
— How are Cost containment and economic efficiency related?
— Strategies and their effects: a cross country analysis
— Current Policy Agenda
Canada (Raisa Deber)
— Canada’s Health Care System
— Paying for Canadian Health Care
— Delivering Health Care in Canada
— Overall expenditure trends
— Cost control strategies employed
— Current situation
Strategies To Improve Efficiency In The English National Health Service (Adam Oliver)
— Introduction
— Structural characteristics of the NHS
— The efficiency initiatives
— Conclusion
Strategies For Cost Containment In Finnish Health Care: Decentralization And Price Regulation (Unto Hakkinen)
— Introduction
— Finnish health care system
— Strategies for municipal health services
— Cost containment in services covered by NHI
— Lessons from Finland
Germany (Markus Worz and Reinhard Busse)
— A review of the major structural and operational characteristics of German health system
— Major cost containment and efficiency seeking strategies
— Report on the current situation
The Netherlands: From Limiting Supply To Limiting Demand (Werner Brouwer and Frans Rutten)
— Introduction
— The Dutch health care system in transition
— Cost containment through the years
— Future challenges
Japan (Akinoi Hisashige)
— Healthcare Expenditure Trends in Japan
— Healthcare System in Japan
— Cost Containment Strategy in Japan
— Recent trends and Future challenges
New Zealand (Toni Ashton)
— Introduction
— Overview of NZ system
— Global budgets
— The quasi-market reforms
— Management of pharmaceutical expenditure
— Priority setting
— Management of waiting lists
— Current agenda
— Conclusion
Sweden (Bengt Jonsson)
— Introduction
— Paying for performance — DRG based payments to ospitals
— Reference pricing and generic substitution
— Health technology assessment
— The current situation
Об авторе
EDITORS
John Rapoport
Professor of Economics
Mount Holyoke College
South Hadley, Ma
USA
[email protected]
Philip Jacobs
Institute of Health Economics
Edmonton, Alberta
Canada
[email protected]
Egon Jonsson
Institute of Health Economics
Edmonton, Alberta
Canada
[email protected]
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