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Towards sustainable health care systems

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98pages
Temps de lecture
4heures

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As the population ages, managing the costs and quality of medical and long-term health care becomes increasingly critical. Countries with social insurance systems are adopting various strategies to address these challenges. This study examines four nations—France, Germany, Japan, and the Netherlands—that utilize Bismarckian social health insurance models. It is structured into three sections. The first section analyzes the institutional and organizational frameworks of social health insurance, covering aspects such as benefit structures, enrollment, and ownership issues. The second section delves into funding mechanisms, comparing contribution rates, assessment bases, and the overall burden of contributions. The final section evaluates different strategies for providing and purchasing health services across these countries. The effectiveness of competition versus regulation in addressing widespread issues remains uncertain. Ongoing changes in long-term care, health insurance, supplemental private insurance, and the introduction of Diagnosis-Related Groups (DRGs) are part of the evolving strategies. Notably, future developments in social health insurance systems will likely emphasize the need for integrated health care to enhance quality and resource efficiency, alongside the exploration of innovative financing approaches for sustainable health care.

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Towards sustainable health care systems, Klaus-Dirk Henke

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Année de publication
2004
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