John Rapoport & Philip Jacobs 
Cost Containment and Efficiency in National Health Systems [PDF ebook] 
A Global Comparison

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.

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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

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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]