Exploring social insurance: can a dose of Europe cure Canadian health care finance?
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Kingston, Ont. [u.a.]
School of Policy Studies, Queen's University Press
2008
|
| Schriftenreihe: | Queen's policy studies
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index |
| Beschreibung: | XII, 290 S. Ill. 24 cm |
| ISBN: | 9781553392132 1553392132 9781553391364 1553391365 |
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| 245 | 1 | 0 | |a Exploring social insurance |b can a dose of Europe cure Canadian health care finance? |c ed. by Colleen M. Flood ... |
| 264 | 1 | |a Kingston, Ont. [u.a.] |b School of Policy Studies, Queen's University Press |c 2008 | |
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| 650 | 4 | |a Medical economics / Canada | |
| 650 | 4 | |a Medical economics / Europe | |
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| 650 | 4 | |a Insurance, Health / Europe | |
| 650 | 4 | |a Prestation de soins / Canada | |
| 650 | 4 | |a Prestation de soins / Europe | |
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| 650 | 4 | |a Economics, Medical |z Canada |v Congresses | |
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Datensatz im Suchindex
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|---|---|
| adam_text | Titel: Exploring social insurance
Autor: Flood, Colleen M.
Jahr: 2008
Contents
List of Tables and Figures vii
Foreword xi
Hugh Segal
Acknowledgements xiii
1. Introduction: Seeking the Grail: Financing for Quality,
Accessibility, and Sustainability in the Health Care System 1
Colleen M. Flood, Mark Stabile, and Carolyn Hughes Tuohy
2. Health Care Financing, Efficiency, and Equity 37
Sherry Glied
3. Efficient and Fair Financing of the Public Share of Canadian
Health Care Insurance with Greater Reliance on the User-Pay
Approach 59
Jack M. Mintz and Andrey Tarasov
4. Payroll-Tax Financed Health Insurance: A Way for the Future? 91
Morley Gunderson and Douglas Hyatt
5. Social Insurance versus Tax Financing in Health Care:
Reflections from Germany 115
Stefan Grefi, Stephanie Maas, andJiirgen Wasem
6. A Competitive Market for Social Health Insurance in
Five Countries: Is There a Relation between Funding and
Organizing Health Care? 139
Wynand P.M.M. van de Ven
VI CONTENTS
7. Funding Health Care Services: The Optimal Balance 163
Timothy Stoltzfus Jost
8. The Comparative Dimension of Policy Analysis:
Rules of the Game? 185
Ted Marmor
9. Challenges and Changes in Pharmacare: Could Social Insurance
Be the Answer? 199
Steve Morgan
10. Between the Dream and Sleepwalking: Pragmatic Possibilities
for Canada 221
Terrence Sullivan
11. Policy and Politics: A Commentary on the Conference on
Social Insurance for Health Care: Economic, Legal, and
Political Considerations 233
Joseph White
12. Conclusion 251
Colleen M. Flood, Mark Stabile, and Carolyn Hughes Tuohy
Index . 277
Contributors 285
List of Tables and Figures
TABLES
CHAPTER 1
A2.1 Relationship between financing type and health care
expenditure 35
CHAPTER 2
1 Relationship between spending composition and spending
growth 45
2 Lifetime spending by quintile and redistributive effect of
health care spending 51
CHAPTER 3
1 Health care spending in developed OECD countries 65
2 Sources of health care funding and out-of-pocket payments
in developed OECD countries 67
3 User-fee rates in the simulated policy options 77
4 Expected decrease in total demand for physician and
hospital services in response to the implementation of
user-fee policy options 1-6, Canadian average 79
5 Expected reductions in provincial public spending on
physician services by policy option and by province 80
6 Average per household premium caps by province-specific
household income distribution quintiles 81
7 Average per household premium caps, by family size 82
8 Total expected annual user-fee premium payments per
person, after premium allowances and caps are taken
into account 82
9 Total expected annual user-fee premium payments per
family, after premium allowances and caps are taken
into account 83
VIII LIST OF TABLES AND FIGURES
10 Expected health premium revenues, by policy option and
by province 84
11 Expected total provincial public revenues/savings from
the proposed user-fee program 84
CHAPTER 5
1 Taxes vs. social insurance: fairness 119
2 Taxes vs. social insurance: financial sustainability 121
3 Taxes vs. social insurance: employment 123
4 Income, morbidity, and consumption of health care
services of enrollees in social health insurance and
private health insurance 126
5 Employment consequences of a substition of social
insurance funding 133
CHAPTER 6
1 Risk Equalization System 2006 147
2 Level of competition on the social health insurance market
in 2006 152
3 Tools for an individual health insurer to influence its health
care expenses for mandatory social health insurance, 2006 156
CHAPTER 11
1 Canadian health care expenditure 234
LIST OF TABLES AND FIGURES IX
FIGURES
CHAPTER 1
1 The menu of policy responses 10
2 Health expenditure in the OECD as a share of GDP, 2003 14
Al.l Public confidence: Canadian attitudes toward needed
changes in health care system, 1988-2004 28
A1.2 Public confidence in international perspective:
percent responding System needs to be entirely rebuilt,
six nations, 2004, 2005 28
A1.3 Public confidence - sustainability: percent very or
somewhat confident quality care will be available when
needed, five nations, 2004 29
A 1.4 Provider satisfaction: hospital executives very or
somewhat satisfied with health care system, five nations, 2004 29
A1.5 Provider concern - sustainability: hospital executives
reporting own institution funding insufficient to maintain
current service levels, five nations, 2004 30
A 1.6 Public health expenditures as a percentage of GDP,
two scenarios, 11 nations, 2005 and 2050 30
A2.1 Average growth in public health spending by funding type 31
A2.2 Changes in social insurance and tax funding:
social insurance countries 32
A2.3 Changes in social insurance and tax funding: tax financed
countries 33
CHAPTER 2
1 Composition of financing, 2000 40
2 PPP adjusted health care spending per capita,
1960 and 1990 44
3 Cohort survival by quintile: Canadian men 48
4 Cohort survival by quintile: Canadian women 48
5 Annual spending by quintile, men 49
6 Annual spending by quintile, women 50
7 Change in tax share and health share of GDP, 1975-2003 55
8 Change in tax share and in public health expenditure share
of GDP 55
CHAPTER 5
1 Sources of health care financing in Germany 2004 124
2 Sources of health insurance premiums of employees
as a percentage of pre-tax income 125
X LIST OF TABLES AND FIGURES
3 Income tax as a percentage of taxable income 128
4 Federal sales tax as a percentage of disposable income 128
5 Health care expenditure and premium income in social
health insurance 130
6 Tax funding of social health insurance in Germany,
2003-2010 131
CHAPTER 6
1 The financing system in the Netherlands, 2006 142
2 Three modalities of a subsidy system 145
CHAPTER 8
1 Total health care expenditure and public share of
total health care financing in 1970 190
2 Total health care expenditure and public share of
total health care financing in 2000 191
3 Public health care financing as a percentage of total
health care financing in 1970 and change of total health
expenditue as a percentage of GDP from 1970 to 2000 191
4 Comparative health care costs: US, UK, Germany, and
OECD average 193
CHAPTER 9
1 Health care financing as the flow of funds between pools 201
2 The financing of medically necessary physician and
hospital services in Canada 202
3 The financing of Pharmaceuticals in Canada 204
4 Canadian expenditure on physicians services, hospitals, and
Pharmaceuticals, 1975 to 2005, with projections to 2017 207
5 Canada s 2006 population pyramid and the public liability
of age-based pharmacare 210
CHAPTER 10
1 Public and private sector shares of total health expenditure 222
2 Provincial/territorial government health expenditure
proportion of Gross Domestic Product, Canada, 1974-1975
to 2006-2007, in current dollars 223
3 Provincial/territorial government expenditure as a
proportion of provincial/territorial Gross Domestic
Product, Canada, 1992-1993 to 2005-2006 224
4 Top priorities for health care spending 226
|
| adam_txt |
Titel: Exploring social insurance
Autor: Flood, Colleen M.
Jahr: 2008
Contents
List of Tables and Figures vii
Foreword xi
Hugh Segal
Acknowledgements xiii
1. Introduction: Seeking the Grail: Financing for Quality,
Accessibility, and Sustainability in the Health Care System 1
Colleen M. Flood, Mark Stabile, and Carolyn Hughes Tuohy
2. Health Care Financing, Efficiency, and Equity 37
Sherry Glied
3. Efficient and Fair Financing of the Public Share of Canadian
Health Care Insurance with Greater Reliance on the User-Pay
Approach 59
Jack M. Mintz and Andrey Tarasov
4. Payroll-Tax Financed Health Insurance: A Way for the Future? 91
Morley Gunderson and Douglas Hyatt
5. Social Insurance versus Tax Financing in Health Care:
Reflections from Germany 115
Stefan Grefi, Stephanie Maas, andJiirgen Wasem
6. A Competitive Market for Social Health Insurance in
Five Countries: Is There a Relation between Funding and
Organizing Health Care? 139
Wynand P.M.M. van de Ven
VI CONTENTS
7. Funding Health Care Services: The Optimal Balance 163
Timothy Stoltzfus Jost
8. The Comparative Dimension of Policy Analysis:
Rules of the Game? 185
Ted Marmor
9. Challenges and Changes in Pharmacare: Could Social Insurance
Be the Answer? 199
Steve Morgan
10. Between the Dream and Sleepwalking: Pragmatic Possibilities
for Canada 221
Terrence Sullivan
11. Policy and Politics: A Commentary on the Conference on
Social Insurance for Health Care: Economic, Legal, and
Political Considerations 233
Joseph White
12. Conclusion 251
Colleen M. Flood, Mark Stabile, and Carolyn Hughes Tuohy
Index . 277
Contributors 285
List of Tables and Figures
TABLES
CHAPTER 1
A2.1 Relationship between financing type and health care
expenditure 35
CHAPTER 2
1 Relationship between spending composition and spending
growth 45
2 Lifetime spending by quintile and redistributive effect of
health care spending 51
CHAPTER 3
1 Health care spending in developed OECD countries 65
2 Sources of health care funding and out-of-pocket payments
in developed OECD countries 67
3 User-fee rates in the simulated policy options 77
4 Expected decrease in total demand for physician and
hospital services in response to the implementation of
user-fee policy options 1-6, Canadian average 79
5 Expected reductions in provincial public spending on
physician services by policy option and by province 80
6 Average per household premium caps by province-specific
household income distribution quintiles 81
7 Average per household premium caps, by family size 82
8 Total expected annual user-fee premium payments per
person, after premium allowances and caps are taken
into account 82
9 Total expected annual user-fee premium payments per
family, after premium allowances and caps are taken
into account 83
VIII LIST OF TABLES AND FIGURES
10 Expected health premium revenues, by policy option and
by province 84
11 Expected total provincial public revenues/savings from
the proposed user-fee program 84
CHAPTER 5
1 Taxes vs. social insurance: fairness 119
2 Taxes vs. social insurance: financial sustainability 121
3 Taxes vs. social insurance: employment 123
4 Income, morbidity, and consumption of health care
services of enrollees in social health insurance and
private health insurance 126
5 Employment consequences of a substition of social
insurance funding 133
CHAPTER 6
1 Risk Equalization System 2006 147
2 Level of competition on the social health insurance market
in 2006 152
3 Tools for an individual health insurer to influence its health
care expenses for mandatory social health insurance, 2006 156
CHAPTER 11
1 Canadian health care expenditure 234
LIST OF TABLES AND FIGURES IX
FIGURES
CHAPTER 1
1 The menu of policy responses 10
2 Health expenditure in the OECD as a share of GDP, 2003 14
Al.l Public confidence: Canadian attitudes toward needed
changes in health care system, 1988-2004 28
A1.2 Public confidence in international perspective:
percent responding "System needs to be entirely rebuilt,"
six nations, 2004, 2005 28
A1.3 Public confidence - sustainability: percent very or
somewhat confident quality care will be available when
needed, five nations, 2004 29
A 1.4 Provider satisfaction: hospital executives very or
somewhat satisfied with health care system, five nations, 2004 29
A1.5 Provider concern - sustainability: hospital executives
reporting own institution funding insufficient to maintain
current service levels, five nations, 2004 30
A 1.6 Public health expenditures as a percentage of GDP,
two scenarios, 11 nations, 2005 and 2050 30
A2.1 Average growth in public health spending by funding type 31
A2.2 Changes in social insurance and tax funding:
social insurance countries 32
A2.3 Changes in social insurance and tax funding: tax financed
countries 33
CHAPTER 2
1 Composition of financing, 2000 40
2 PPP adjusted health care spending per capita,
1960 and 1990 44
3 Cohort survival by quintile: Canadian men 48
4 Cohort survival by quintile: Canadian women 48
5 Annual spending by quintile, men 49
6 Annual spending by quintile, women 50
7 Change in tax share and health share of GDP, 1975-2003 55
8 Change in tax share and in public health expenditure share
of GDP 55
CHAPTER 5
1 Sources of health care financing in Germany 2004 124
2 Sources of health insurance premiums of employees
as a percentage of pre-tax income 125
X LIST OF TABLES AND FIGURES
3 Income tax as a percentage of taxable income 128
4 Federal sales tax as a percentage of disposable income 128
5 Health care expenditure and premium income in social
health insurance 130
6 Tax funding of social health insurance in Germany,
2003-2010 131
CHAPTER 6
1 The financing system in the Netherlands, 2006 142
2 Three modalities of a subsidy system 145
CHAPTER 8
1 Total health care expenditure and public share of
total health care financing in 1970 190
2 Total health care expenditure and public share of
total health care financing in 2000 191
3 Public health care financing as a percentage of total
health care financing in 1970 and change of total health
expenditue as a percentage of GDP from 1970 to 2000 191
4 Comparative health care costs: US, UK, Germany, and
OECD average 193
CHAPTER 9
1 Health care financing as the flow of funds between pools 201
2 The financing of medically necessary physician and
hospital services in Canada 202
3 The financing of Pharmaceuticals in Canada 204
4 Canadian expenditure on physicians services, hospitals, and
Pharmaceuticals, 1975 to 2005, with projections to 2017 207
5 Canada's 2006 population pyramid and the public liability
of age-based pharmacare " 210
CHAPTER 10
1 Public and private sector shares of total health expenditure 222
2 Provincial/territorial government health expenditure
proportion of Gross Domestic Product, Canada, 1974-1975
to 2006-2007, in current dollars 223
3 Provincial/territorial government expenditure as a
proportion of provincial/territorial Gross Domestic
Product, Canada, 1992-1993 to 2005-2006 224
4 Top priorities for health care spending 226 |
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| genre | (DE-588)4143413-4 Aufsatzsammlung gnd-content (DE-588)1071861417 Konferenzschrift gnd-content |
| genre_facet | Aufsatzsammlung Konferenzschrift |
| geographic | Europa Kanada Europa (DE-588)4015701-5 gnd Kanada (DE-588)4029456-0 gnd |
| geographic_facet | Europa Kanada |
| id | DE-604.BV023371825 |
| illustrated | Illustrated |
| index_date | 2024-07-02T21:12:49Z |
| indexdate | 2024-07-09T21:17:05Z |
| institution | BVB |
| isbn | 9781553392132 1553392132 9781553391364 1553391365 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-016555079 |
| oclc_num | 185078061 |
| open_access_boolean | |
| owner | DE-12 |
| owner_facet | DE-12 |
| physical | XII, 290 S. Ill. 24 cm |
| publishDate | 2008 |
| publishDateSearch | 2008 |
| publishDateSort | 2008 |
| publisher | School of Policy Studies, Queen's University Press |
| record_format | marc |
| series2 | Queen's policy studies |
| spelling | Exploring social insurance can a dose of Europe cure Canadian health care finance? ed. by Colleen M. Flood ... Kingston, Ont. [u.a.] School of Policy Studies, Queen's University Press 2008 XII, 290 S. Ill. 24 cm txt rdacontent n rdamedia nc rdacarrier Queen's policy studies Includes bibliographical references and index Medical care / Canada Medical care / Europe Medical economics / Canada Medical economics / Europe Insurance, Health / Canada Insurance, Health / Europe Prestation de soins / Canada Prestation de soins / Europe Économie de la santé / Canada Économie de la santé / Europe Assurance-maladie / Canada Assurance-maladie / Europe Assurance-maladie - Canada Assurance-maladie - Europe Prestation de soins - Canada Prestation de soins - Europe Économie de la santé - Canada Économie de la santé - Europe Delivery of Health Care economics Canada Congresses Delivery of Health Care economics Europe Congresses Economics, Medical Canada Congresses Economics, Medical Europe Congresses Health insurance Canada Health insurance Europe Medical care Canada Finance Medical care Europe Finance Medical economics Canada Medical economics Europe Medical policy Canada Medical policy Europe Gesundheitsökonomie (DE-588)4130935-2 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Krankenversicherung (DE-588)4032836-3 gnd rswk-swf Gesundheitsfürsorge (DE-588)4136585-9 gnd rswk-swf Europa Kanada Europa (DE-588)4015701-5 gnd rswk-swf Kanada (DE-588)4029456-0 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content (DE-588)1071861417 Konferenzschrift gnd-content Kanada (DE-588)4029456-0 g Gesundheitsfürsorge (DE-588)4136585-9 s Gesundheitsökonomie (DE-588)4130935-2 s Krankenversicherung (DE-588)4032836-3 s Gesundheitswesen (DE-588)4020775-4 s Europa (DE-588)4015701-5 g DE-604 Flood, Colleen M. Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016555079&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Exploring social insurance can a dose of Europe cure Canadian health care finance? Medical care / Canada Medical care / Europe Medical economics / Canada Medical economics / Europe Insurance, Health / Canada Insurance, Health / Europe Prestation de soins / Canada Prestation de soins / Europe Économie de la santé / Canada Économie de la santé / Europe Assurance-maladie / Canada Assurance-maladie / Europe Assurance-maladie - Canada Assurance-maladie - Europe Prestation de soins - Canada Prestation de soins - Europe Économie de la santé - Canada Économie de la santé - Europe Delivery of Health Care economics Canada Congresses Delivery of Health Care economics Europe Congresses Economics, Medical Canada Congresses Economics, Medical Europe Congresses Health insurance Canada Health insurance Europe Medical care Canada Finance Medical care Europe Finance Medical economics Canada Medical economics Europe Medical policy Canada Medical policy Europe Gesundheitsökonomie (DE-588)4130935-2 gnd Gesundheitswesen (DE-588)4020775-4 gnd Krankenversicherung (DE-588)4032836-3 gnd Gesundheitsfürsorge (DE-588)4136585-9 gnd |
| subject_GND | (DE-588)4130935-2 (DE-588)4020775-4 (DE-588)4032836-3 (DE-588)4136585-9 (DE-588)4015701-5 (DE-588)4029456-0 (DE-588)4143413-4 (DE-588)1071861417 |
| title | Exploring social insurance can a dose of Europe cure Canadian health care finance? |
| title_auth | Exploring social insurance can a dose of Europe cure Canadian health care finance? |
| title_exact_search | Exploring social insurance can a dose of Europe cure Canadian health care finance? |
| title_exact_search_txtP | Exploring social insurance can a dose of Europe cure Canadian health care finance? |
| title_full | Exploring social insurance can a dose of Europe cure Canadian health care finance? ed. by Colleen M. Flood ... |
| title_fullStr | Exploring social insurance can a dose of Europe cure Canadian health care finance? ed. by Colleen M. Flood ... |
| title_full_unstemmed | Exploring social insurance can a dose of Europe cure Canadian health care finance? ed. by Colleen M. Flood ... |
| title_short | Exploring social insurance |
| title_sort | exploring social insurance can a dose of europe cure canadian health care finance |
| title_sub | can a dose of Europe cure Canadian health care finance? |
| topic | Medical care / Canada Medical care / Europe Medical economics / Canada Medical economics / Europe Insurance, Health / Canada Insurance, Health / Europe Prestation de soins / Canada Prestation de soins / Europe Économie de la santé / Canada Économie de la santé / Europe Assurance-maladie / Canada Assurance-maladie / Europe Assurance-maladie - Canada Assurance-maladie - Europe Prestation de soins - Canada Prestation de soins - Europe Économie de la santé - Canada Économie de la santé - Europe Delivery of Health Care economics Canada Congresses Delivery of Health Care economics Europe Congresses Economics, Medical Canada Congresses Economics, Medical Europe Congresses Health insurance Canada Health insurance Europe Medical care Canada Finance Medical care Europe Finance Medical economics Canada Medical economics Europe Medical policy Canada Medical policy Europe Gesundheitsökonomie (DE-588)4130935-2 gnd Gesundheitswesen (DE-588)4020775-4 gnd Krankenversicherung (DE-588)4032836-3 gnd Gesundheitsfürsorge (DE-588)4136585-9 gnd |
| topic_facet | Medical care / Canada Medical care / Europe Medical economics / Canada Medical economics / Europe Insurance, Health / Canada Insurance, Health / Europe Prestation de soins / Canada Prestation de soins / Europe Économie de la santé / Canada Économie de la santé / Europe Assurance-maladie / Canada Assurance-maladie / Europe Assurance-maladie - Canada Assurance-maladie - Europe Prestation de soins - Canada Prestation de soins - Europe Économie de la santé - Canada Économie de la santé - Europe Delivery of Health Care economics Canada Congresses Delivery of Health Care economics Europe Congresses Economics, Medical Canada Congresses Economics, Medical Europe Congresses Health insurance Canada Health insurance Europe Medical care Canada Finance Medical care Europe Finance Medical economics Canada Medical economics Europe Medical policy Canada Medical policy Europe Gesundheitsökonomie Gesundheitswesen Krankenversicherung Gesundheitsfürsorge Europa Kanada Aufsatzsammlung Konferenzschrift |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016555079&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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