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Social health insurance systems in European countries
 — the role of the insurer in the health care system: a comparative study of four European countries
Author(s)Rowena Jacobs, Maria Goddard
Corporate AuthorCentre for Health Economics, University of York
PublisherUniversity of York, York, 2000
Pages128 pp
SourceThe Publications Office, Centre for Health Economics, University of York, York YO10 5DD.
KeywordsHealth services ; Finance [care] ; Health insurance ; National insurance contributions ; Comparison ; Germany ; Switzerland ; Netherlands ; France.
AnnotationSocial health insurance systems share a number of features, although all are not strictly necessary for the system to be described as such. This paper examines the role of social health insurance in four European countries: Germany, Switzerland, France, and the Netherlands. It attempts to elucidate the organisational structure, regulation and management of each scheme, as well as the relationships between the insurers, providers and consumers in each country, with the aim of uncovering some of the inherent strengths, weaknesses and trade-offs within social insurance systems. Most countries face a similar set of urgent problems. The growth in demand, due to an ageing population, improvements in medical technology and real income growth is outpacing the supply of health care. There are insufficient incentives for patients or providers to restrain excessive use of health care systems. There is also general discontent with current methods of financing and delivering health care; however, there is no quick-fix solution for implementing the changes necessary. (RH).
Accession NumberCPA-000817005 B
ClassmarkL: QC: WPG: JBC: 48: 767: 76C: 76H: 765

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