DEVELOPMENT OF A HEALTH FINANCING SYSTEM IN GERMANY

2020 ◽  
Vol 2 (6) ◽  
pp. 159-170
Author(s):  
E. V. SOKOLOV ◽  
◽  
D. A. GRECHKIN ◽  
Keyword(s):  
Health Care ◽  
Health Financing ◽  
The State ◽  
Financing System ◽  
Non Profit ◽  
Financing Health Care

The article discloses a system of financing health care in Germany. The features and advantages of competing sickness funds (funds) and organizations of interaction between the state by associations of doctors and state non-profit and commercial hospitals are shown.

WHICH HEALTH FINANCING MODEL IS BETTER: TAX-FINANCED OR SOCIAL HEALTH INSURANCE? WHAT DOES INTERNATIONAL EXPERIENCE PROVE?

2021 ◽  
Vol 67 (1) ◽  
pp. 9-9
Author(s):  
E.G. Potapchik ◽  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Structural Characteristics ◽  
Health Expenditures ◽  
Health Financing ◽  
Health Care Expenditures ◽  
Developed Countries ◽  
Financing System ◽  
Financing Model ◽  
The Developed Countries

In Russia disputes on the need to abandon Compulsory Health Insurance (CHI) and return to the tax-based financing are yet to subside. At present, after the statement of the President of the Russian Federation V. Putin about the possibility to establish a state health care corporation, discussions on the issue have only escalated. Purpose. To conduct a comparative assessment of the public health financing model impact on the access and structural characteristics of health care delivery in the developed countries. Material and methods. Assessment of the potential impact of public funding models on the health system performance is carried out by analyzing variations in the main indicators of financial access, health care uptake and health status of the population, achieved in the developed countries with different health financing models. Results. Health care expenditures in countries with CHI are higher than in countries with the tax-based financing model. In countries with CHI the share of administrative expenses is slightly higher than in countries with the tax-based financing system. The share of spending on preventive care is slightly higher in countries with the tax-based financing system. There is a slightly lower level of outpatient and inpatient care uptake in countries with the tax-based financing system compared to countries with CHI. The premature mortality rate in countries with CHI is slightly lower than in countries with the tax-based system. Conclusion. The obtained data indicate that there are no significant differences in the access and structural characteristics of medical care in the health care system of the developed countries with different financing models. The main difference remains the level of health expenditures. In countries with CHI, the level of health expenditures is higher than in countries with the tax-based financing, which is largely due to the existence of a separate source of funding. The level of administrative costs in countries with CHI is also higher than in countries with the tax-based system.

Economic development trends and aspects of healthcare reform in Russia under COVID-2019 pandemic

2021 ◽  
Vol 17 (4) ◽  
pp. 503-513
Author(s):  
Natalya Krivenko
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Socioeconomic Development ◽  
Large Scale ◽  
Mutual Influence ◽  
Health Financing ◽  
The State ◽  
Point Of View ◽  
State Of The Economy ◽  
Care System

The article is aimed at studying the state of the Russian economy and health care system before and after the COVID-2019 pandemic, identifying the main trends in the economy and health care, regardless of the pandemic, as well as its impact on the socioeconomic development of the country. The interrelation and mutual influence of the levels of development of the economy and health care of the country is noted. An analysis of the state of the economy and health care system in Russia for 2017–2019 is presented, problems and achievements in the pre-pandemic period are identified. The COVID-2019 pandemic is considered not only from the point of view of a medical manifestation but as a powerful trigger that provoked large-scale socioeconomic changes in the world, as a bifurcation point in world development, requiring states to objectively assess the state of the economy and healthcare, revise the current coordinate system, getting out of the state of uncertainty and choosing promising areas of socioeconomic development. A cross-country analysis of the response of various health systems to the COVID-19 pandemic has shown the advantages of countries with centralized management, health financing, and subordinate sanitary and epidemiological services. Along with the achievements of Russia in the fight against COVID-19, the existing specific problems of the domestic health care system are noted, which negatively affected the preparedness for a pandemic. Analyzed the consequences of the COVID-2019 pandemic for the socio-economic state of countries at the global level. The change in socio-economic indicators in Russia in 2020 compared to 2019 is presented as a result of the consequences of the COVID-2019 pandemic. The main results of the study are to identify the main trends in the development of the economy and the healthcare system in Russia in the context of the ongoing COVID-2019 pandemic, defining the directions of reforming the national healthcare, trajectories of increasing the level of socioeconomic development of the country

scholarly journals THE STATE OFFINANCIAL SECURITYOFTHE HEALTHCARE SECTORIN UKRAINE

2017 ◽  
pp. 156-165
Author(s):  
Liudmyla PARKHETA
Keyword(s):  
Health Care ◽  
Financial Support ◽  
Health Sector ◽  
Health Care Expenditures ◽  
The State ◽  
Financial Resources ◽  
Effective Control ◽  
Current State ◽  
Financing Health Care ◽  
Care System

Introduction. Organization ofeffective functioning and development ofhealth care system in the conditions of limited financial resources is the most important task ofthe authorities at all levels. Therefore, the question ofassessing the current state ofhealth and identifying the main problems of financing health care institutions relevant is more than ever. Purpose. The purpose of the article is to analyze the current state of financial securement ofhealth care in Ukraine. To identify the main problems ofthe development ofthe health sector and to develop recommendations for improving existing and finding new sources of financial support forthe health care system. Results. The results of the analysis show that in recent years, despite an annual increase in health care expenditures, their share in the budget structure is reduced by redistribution to finance other activities ofthe state. The financial support ofhealth care at the state level is extremely insufficient. Apart from the problem of financing health expenditures, attention is drawn to the problem of inefficient and inappropriate use of available resources by the network ofhealth care facilities, which in many cases does not correspond to the real needs ofthe population. Conclusion. It is concluded that the problems of financing health care are largely solved by the introduction of insurance medicine, which ensures not only the ability to receive proper medical care by the population of Ukraine, but also provides effective control by insurance organizations to the rational use of financial resources of the health care sector.

HEALTH FINANCING IN A CRISIS

2021 ◽  
Vol 2 (3) ◽  
pp. 83-87
Author(s):  
L. M. RUBAEVA ◽  
◽  
D. R. KELEKHSAEVA ◽  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
National Economy ◽  
Health Financing ◽  
Health Care Sector ◽  
Entire System ◽  
Financing Health Care

Fundamental changes in the entire system of the national economy of our country cannot but affect individual structural subdivisions of this system. In this sense, transformations in the health care sector are in no way limited to the introduction of health insurance. Health care as a branch of the national economy is a very autonomous subsystem, but still initially dependent. The article deals with the problem of financing health care in modern conditions. The analysis of the main indicators of the budget of the FFOMS is carried out, conclusions are drawn, proposals are made aimed at improving the balance of the budget of this fund.

Buying cures versus renting health: Financing health care with consumer loans

2016 ◽  
Vol 8 (327) ◽  
pp. 327ps6-327ps6 ◽  
Author(s):  
Vahid Montazerhodjat ◽  
David M. Weinstock ◽  
Andrew W. Lo
Keyword(s):  
Health Care ◽  
Health Financing ◽  
Consumer Loans ◽  
Financing Health Care

scholarly journals State Financing Policy of the Modern Health Care System on the Example of Federal Compulsory Medical Insurance Fund

2019 ◽  
Vol 9 (4) ◽  
pp. 111-114
Author(s):  
A. A. Martynova ◽  
V. E. Shorokhov
Keyword(s):  
Health Care ◽  
Health Care Financing ◽  
Medical Insurance ◽  
The State ◽  
Insurance Fund ◽  
Social Significance ◽  
Financing Policy ◽  
Modern System ◽  
Financing Health Care ◽  
State Financing

Some of the many existing activities of the state are characterised by their special social significance. These areas are associated with the implementation of the fundamental social functions of the state, as a result of which they require a special order of financing. Health care financing is a type of financial activity associated with the formation of centralised funds of financial resources, as well as their distribution and redistribution through specialised insurance funds and organisations, carried out within the framework of financial relations regulated by law and based on payments when an insured event occurs by a medical organisation. This article discusses the modern system of financing health care in terms of government policy. A detailed analysis is carried out, and the special status of the Federal Compulsory Medical Insurance Fund as an actor in this field is determined, the powers and activities of which are not limited to financial components. It emphasises the need to clarify the existing scientific ideas about the regulation of the modern system of financing health care as one of the mandatory state functions.

THE ROLE OF HEALTH FINANCING IN VARIOUS COUNTRIES OF THE WORLD

2020 ◽  
Author(s):  
Natalia Vladimirovna Lazareva ◽  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Care System ◽  
Health Financing ◽  
The State ◽  
Life Index ◽  
The World ◽  
Quality Of Life Index

In this article, the authors consider the state of the health care system of various countries that were included in the sample based on their place in the ranking on the quality of life index of the population.

scholarly journals Economic aspects of telemedicine

2021 ◽  
Vol 7 (3) ◽  
pp. 65-72
Author(s):  
I.A. Shaderkin ◽  
◽  
Keyword(s):  
Health Care ◽  
Health Financing ◽  
Cost Effective ◽  
Point Of View ◽  
Financing System ◽  
Formative Stage ◽  
Lead Generation ◽  
Monitoring Technologies ◽  
Low Prevalence ◽  
Further Development

Introduction. For the recent years telemedicine (TM) has been actively integrated into daily life, and its growth was especially significant during COVID-19 pandemic. However, its economic component has its own specificities depending on the health financing system. The aim of this article is to analyze reasons of economical inefficiency of TM technologies in different health financing systems and to determine its further development path in economic terms. Results. It’s not justified to expect cost reduction of health care after integrating TM technologies into medical practice. In private health-care system TM technologies in the form of TM consultation aren’t cost-effective for beneficiaries. Representatives of private clinics use TM as a part of lead generation. From private clinics’ point of view, it’s cost-effective to use distant monitoring technologies integrated into programs of patients’ management. It’s economically appropriate to apply all varieties of TM including TM consultation on the voluntary health insurance (VHC) system. However, due to the low prevalence of VHC in Russia we can’t expect significant growth of TM in Russia based on using this sector. Conclusions. TM technologies require financing in its formative stage, implementation, development and further functioning phases.

The Health-Care State in Europe: Convergence or Divergence?

1992 ◽  
Vol 10 (1) ◽  
pp. 77-90 ◽  
Author(s):  
M Moran
Keyword(s):  
Health Care ◽  
Medical Treatment ◽  
The State ◽  
Three Dimensions ◽  
Delivery Of Care ◽  
Role Of The State ◽  
Financing Health Care

The role of the state in the provision of health care in the capitalist states of Europe is examined along three dimensions: The extent to which states ensure medical treatment as a right of citizenship; the role they play in financing health care; and the part they play in the delivery of care. The evidence suggests that there are great variations in the scope and structure of the health-care state. Furthermore, states seem to be diverging from, rather than converging towards, each other.

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