Joint report on health systems:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Luxembourg
Publ. Off. of the Europ. Union
2010
|
| Schriftenreihe: | European economy
Occasional papers ; 74 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | 447 S. graph. Darst. |
| ISBN: | 9789279188633 |
Internformat
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Datensatz im Suchindex
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| adam_text |
Titel: Joint report on health systems
Autor:
Jahr: 2010
TABLE OF CONTENTS
Executive Summary.13
1. Introduction.25
2. The economie importance of the health sector.33
2.1.Impact of health on economie growth.33
2.2.The health sector as a productive sector.35
2.3.The health sector - a potential for high-skilled and flexible employment.38
3. Past and recent trends in health expenditure and brief overview of the
2009 EPC/EC expenditure projections.43
3.1.Past trends in public expenditure on health.43
3.2.The potential impact of the economie crisis on health related expenditure.46
3.2.1.Theoretical considerations and empirical observations from past crises.46
3.2.2.Simulation of the computational effect.50
3.3.Long-term projection of public expenditure on health care and long-run sustainability
of public finances: short overview of the EPC/EC 2009 Ageing Report.54
3.3.1.Factors affecting health care spending considered in 2009 EPC/EC projection
exercise and reported in the EPC/EC 2009 Ageing Report.55
3.3.2.Methodology and results.60
4. Survey of health system efficiency, effectiveness and sustainability issues 65
4.1.Concepts of efficiency and effectiveness regarding health systems.65
4.2.Efficiency analysis.68
4.3.The quest for measuring and improving health system performance.68
4.4.Health systems: possible ways to improve cost-effectiveness in the sector.77
4.4.1.Improve the management of information and knowledge to help decision-making
in the health sector:.78
4.4.2.Strengthen primary care, ambulatory practices and care coordination.80
4.4.3.Emphasise more strongly health promotion and disease prevention.80
4.4.4.Correct price signals in health services markets and align incentives with
effectiveness and efficiency.81
4.4.5.Training human resources for health and ensuring a balance between inputs:.81
4.4.6.Look outside the box: socio-economic determinants of health.82
4.4.7.Leadership and consensus building and governance.82
5. Health system characteristics and their relation to health expenditure.83
5.1.Health insurance coverage and its relation to expenditure.83
5.2.Collection, pooling and allocation of fmancial resources and system administration and
the link with expenditure.90
5.2.1.Collection, pooling and allocation of fmancial resources.90
5.2.2.System administration.93
5.2.3.Expenditure control mechanisms.97
5.3.Providers of health services: numbers and status.100
5.3.1.Numbers ofphysicians andnurses.100
5.3.2.Providers' status.113
5.3.3.Hospitalbeds.114
5.4.Rules on access: the use of primary care, referral systems, care coordination and patiënt
choice ofprovider.116
5.5.Purchasing, contracting and remuneration systems and sector outputs.120
5.5.1.Payments to physicians: primary care and specialists.120
5.5.2.Payments to hospitals.123
5.5.3.Policies regarding pharmaceuticals.128
5.6.Information and monitoring, use of health technology assessment including cost-
effectiveness information.134
5.7.Health status, health behaviour and health promotion and disease prevention policies 137
5.8.Social determinants of health: looking outside the health system.143
6. Main challenges ahead to contain costs and make the health systems more
efficiënt.145
6.1.Ensuring a sustainable fmancing basis to the sector, a good pooling of funds and that
resource allocation is not detrimental to more vulnerable regions.147
6.2.Adjusting existing cost-sharing systems to ensure that they encourage a cost-effective
use of care.149
6.3.Ensuring balanced mix of different staff skills and preparing for potential staff needs
due to ageing.151
6.4.Improving and better distribute primary health care services and reducing the
unnecessary use of specialist and hospital care.153
6.5.Increasing hospital efficiency through increasing use of day-case surgery and
concentrating some hospital services.155
6.6.More cost-effective use of medicines while allowing for innovation in the health sector.
.157
6.7.To improve the general governance (coherence of decision-making and management)
of the system.158
6.8.To improve data collection and information channels and to use available information
to support performance improvement.160
6.9.To use health technology assessment more systematically to help decision making
processes.161
6.10. Improving life-styles and access to more effective health promotion and disease
prevention.162
Annex 1: Health expenditure growth vs. GDP growth.165
Annex 2: Efficiency and effectiveness concepts and efficiency analysis.167
What is meant by effectiveness and efficiency?.167
Efficiency analysis.168
Annex 3: Institutional features of health systems.171
Annex 4: Country fiches.177
Belgium.177
Bulgaria.187
Czech Republic.199
Denmark.207
Germany.215
Estonia.225
Ireland.233
Greece.241
Spain.251
France.263
Italy.273
Cyprus.283
Latvia.293
Lithuania.303
Luxembourg. 313
Hungary.321
Malta.329
The Netherlands.337
Austria.347
Poland.357
Portugal.367
Romania.377
Slovenia.385
Slovakia.393
Finland.403
Sweden.413
United Kingdom.421
References.431 |
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| illustrated | Illustrated |
| indexdate | 2025-01-02T11:33:36Z |
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| isbn | 9789279188633 |
| language | English |
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| physical | 447 S. graph. Darst. |
| publishDate | 2010 |
| publishDateSearch | 2010 |
| publishDateSort | 2010 |
| publisher | Publ. Off. of the Europ. Union |
| record_format | marc |
| series | European economy |
| series2 | European economy : Occasional papers |
| spelling | Joint report on health systems prepared by the European Commission ... Luxembourg Publ. Off. of the Europ. Union 2010 447 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier European economy : Occasional papers 74 Europäische Union (DE-588)5098525-5 gnd rswk-swf Mitgliedsstaaten (DE-588)4170174-4 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Europäische Union (DE-588)5098525-5 b Mitgliedsstaaten (DE-588)4170174-4 s Gesundheitswesen (DE-588)4020775-4 s DE-188 Europäische Kommission Sonstige (DE-588)1024466-9 oth Europäische Kommission Generaldirektion Wirtschaft und Finanzen Economic Policy Committee Sonstige (DE-588)10038212-5 oth Erscheint auch als Online-Ausgabe 10.2765/10100 European economy Occasional papers ; 74 (DE-604)BV036621454 74 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=021145539&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Joint report on health systems European economy Europäische Union (DE-588)5098525-5 gnd Mitgliedsstaaten (DE-588)4170174-4 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| subject_GND | (DE-588)5098525-5 (DE-588)4170174-4 (DE-588)4020775-4 |
| title | Joint report on health systems |
| title_auth | Joint report on health systems |
| title_exact_search | Joint report on health systems |
| title_full | Joint report on health systems prepared by the European Commission ... |
| title_fullStr | Joint report on health systems prepared by the European Commission ... |
| title_full_unstemmed | Joint report on health systems prepared by the European Commission ... |
| title_short | Joint report on health systems |
| title_sort | joint report on health systems |
| topic | Europäische Union (DE-588)5098525-5 gnd Mitgliedsstaaten (DE-588)4170174-4 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Europäische Union Mitgliedsstaaten Gesundheitswesen |
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