Forms of Delivery of Medical Care

Peter Zweifel (), Friedrich Breyer and Mathias Kifmann ()
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Peter Zweifel: University of Zurich
Mathias Kifmann: University of Augsburg

Chapter 11 in Health Economics, 2009, pp 379-400 from Springer

Abstract: Abstract Forms of delivery of medical care differ considerably between countries. These differences ultimately reflect basic differences of philosophy.Where the state grants the citizen a right to health, government tends to be directly responsible for the provision of health care services. Examples include the former eastern bloc countries as well as the United Kingdom and Italy with their National Health Services. Conversely, in the United States it is the individuals themselves who in principle assume responsibility for their health. Nonetheless, the public purse finances 40 percent of total U.S. health care expenditure (HCE), supports public hospitals, and acts directly as a health insurer through the programs Medicare (for pensioners) and Medicaid (for the poor). While there is no National Health Service in Canada, the country has a national health insurance scheme. In the Netherlands, more than 30 percent of the population were members of a private health insurance scheme before the 2006 reform. Since then, formerly public and private health insurers compete for consumers side by side. Swedish hospitals, financed by district health authorities, play a key role in the provision of medical care.

Keywords: National Health Service; Health Care Expenditure; Health Insurer; National Health Insurance Scheme; Manage Care Organization (search for similar items in EconPapers)
Date: 2009
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DOI: 10.1007/978-3-540-68540-1_11

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