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The splendours and miseries of combined healthcare financing


Authors: T. Zelený 1;  V. Bencko 2
Authors place of work: Institut ekonomických studií, Fakulta sociálních věd, Univerzita Karlova v Praze Ředitel: PhDr. Martin Gregor, PhD. 1;  Ústav hygieny a epidemiologie, 1. Lékařská fakulta, Univerzita Karlova v Praze Přednosta: doc. MUDr. Milan Tuček, CSc. 2
Published in the journal: Prakt. Lék. 2011; 91(4): 206-209
Category: Of different specialties

Summary

This article analyses two attributes of health care systems. The first is the continual growth of health expenditure seen right across the western world; and the second is the efficiency of mixed health care systems in select countries, of which combined healthcare financing is one, with significant private and public sector involvement. The countries that have been selected are the

– USA (as the country with the highest influence of the private sector in health care),

– France (with its middling influence), and

– Japan, where the private sector is allowed input into health care but is very strictly regulated by a zero profit rule.

The result is that the systems with greater private sector influence tend to have lesser occupancy, worse quality factors and significantly higher expenditure. This suggests the hypothesis that the influence of the private sector on health care is negatively correlated to its efficiency. The confirmation or refutal of this hypothesis is left for further more detailed analysis.

Key words:
health care, private sector, public sector, efficiency, expenditure, trends, financing.


Zdroje

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10. United States Courts. Growth in Bankruptcy Filings Slows In Calendar Year 2010 [on-line]. Dostupné na

http://www.uscourts.gov/News/ NewsView/11-02-15/Growth_in_Bankruptcy_Filings_Slows_In_ Calendar_Year_2010.aspx?CntPageID=1

11. US Department of Health&Human Services. Total personal health care spending, by age group, calendar years, 1987, 1996, 1999, 2002, 2004 [on-line]. Dostupné na https://www.cms.gov/NationalHealthExpendData/downloads/2004-age-tables.pdf.

Štítky
General practitioner for children and adolescents General practitioner for adults

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Číslo 4

2011 Číslo 4
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