Towards sustainable health care systems strategies in health insurance schemes in France, Germany, Japan and Netherlands ; a comparative study
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| Format: | Buch |
| Sprache: | English |
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Baden-Baden
Nomos
2004
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| Ausgabe: | 1. Aufl. |
| Schriftenreihe: | Europäische Schriften zu Staat und Wirtschaft
15 |
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| 245 | 1 | 0 | |a Towards sustainable health care systems |b strategies in health insurance schemes in France, Germany, Japan and Netherlands ; a comparative study |c Klaus-Dirk Henke ; Jonas Schreyögg |
| 250 | |a 1. Aufl. | ||
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| 650 | 4 | |a Health insurance |v Cross-cultural studies | |
| 650 | 4 | |a Health insurance |z France | |
| 650 | 4 | |a Health insurance |z Germany | |
| 650 | 4 | |a Health insurance |z Japan | |
| 650 | 4 | |a Health insurance |z Netherlands | |
| 650 | 4 | |a Insurance, Health |z France | |
| 650 | 4 | |a Insurance, Health |z Germany | |
| 650 | 4 | |a Insurance, Health |z Japan | |
| 650 | 4 | |a Insurance, Health |z Netherlands | |
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Datensatz im Suchindex
| _version_ | 1804133317657755648 |
|---|---|
| adam_text | Contents in short
Figures 11
Tables 12
Abbreviations 13
Summary 15
1. Introduction 15
2. Impacts on health care systems 15
3. Comparison between social health insurance systems of Japan, Germany,
France and the Netherlands 17
4. Lessons to ensure sustainable social health insurance systems and future
developments 24
1. Introduction 26
2. Challenges for health care systems 33
2.1 Trends in expenditures for health care 33
2.2 Causes for expenditure trends 35
3. Comparison among the social health insurance systems of Japan, Germany,
France and the Netherlands 47
3.1 Institutional and organisational framework 47
3.2 Funding 57
3.3 Provision and Purchasing of health services 70
4. Lessons to ensure sustainable social health insurance systems and future
developments 88
4.1 Lessons towards sustainable social health insurance 88
4.2 Further Developments 90
References 95
7
Contents
Figures *
Tables 12
Abbreviations ^
Summary 1 5
1. Introduction 15
2. Impacts on health care systems 15
2.1. Trends in expenditures for health care 15
2.2 Causes for expenditure trends 15
Demographic characteristics 15
Changes in disease structure 16
Technological progress 16
Economic situation 16
Changes in preferences 17
Structural weaknesses of the system 17
3. Comparison between social health insurance systems of Japan, Germany,
France and the Netherlands 17
3.1. Institutional and organisational framework 17
Membership, Enrolment, Coverage 17
Benefits 17
Ownership, number of sickness funds and freedom of choice 18
Competition and risk structure compensation 18
3.2. Funding 19
Contribution rates, income ceiling and contribution assessment bases 19
Contribution of pensioners 20
Separation of health and long term care 20
Burden of contributions at different income levels 20
Burden sharing between employers and employees 20
Governments subsidies for sickness funds and out of pocket payments 21
3.3 Provision and Purchasing of health services 21
Health expenditures by type of services 21
Hospital Care 21
Ambulatory Care 22
Long Term Care 23
4. Lessons to ensure sustainable social health insurance systems and future
developments 24
4.1 Lessons towards sustainable social health insurance 24
Competition vs. regulation of sickness funds 24
Separation of long term care and high cost medical care 24
Private Health Insurance 24
User charges 25
Reimbursing hospital care with DRG s 25
8
4.2 Further Developments 25
1. Introduction 26
Financial and other current problems 26
Risk management in theory 28
Health policy: goals and entitlements 29
Elements of health care reform 31
2. Challenges for health care systems 33
2.1 Trends in expenditures for health care 33
2.2 Causes for expenditure trends 35
2.2.1 Demographic characteristics 35
2.2.2 Changes in disease structure 38
2.2.3 Technological Progress 41
2.2.4 Economic situation 42
2.2.5 Changes in Preferences 44
2.2.6 Structural weaknesses of the systems 45
3. Comparison among the social health insurance systems of Japan, Germany,
France and the Netherlands 47
3.1 Institutional and organisational framework 47
Membership, Enrolment, Coverage 47
Benefits 48
Ownership, number of sickness funds and freedom of choice 48
Competition and risk structure compensation 53
3.2 Funding 57
Contribution rates, income ceiling and contribution assessment bases 57
Contribution of pensioners 58
Separation of health and long term care 58
Burden of contributions at different income levels 59
Burden sharing between employers and employees 63
Governments subsidies for sickness funds and out of pocket payment 67
3.3 Provision and Purchasing of health services 70
3.3.1 Health expenditures by type of services 70
3.3.2 Hospital Care 72
Ownership 72
Access to services 73
Hospital planning and contracting 74
Reimbursement and spending control 76
User charges 76
3.3.3 Ambulatory Care 79
Employment status and organisation 79
Dispensation of Pharmaceuticals 79
Manpower planning 79
Contracting 82
Claiming fees 82
Reimbursement method 82
9
3.3.4. Long Term Care 85
Planning 85
Benefits 85
Access 86
User charges 86
4. Lessons to ensure sustainable social health insurance systems and future
developments 88
4.1 Lessons towards sustainable social health insurance 88
Competition vs. regulation of sickness funds 88
Separation of long term care and high cost medical care 88
Private Health Insurance 89
User charges 89
Reimbursing hospital care with DRG s 90
4.2 Further Developments 90
Functional approach and comprehensive all around care 90
Setting priorities in health care 91
New ways of funding health care 92
The future of the European Welfare State and international comparisons 93
References 95
10
Figures
Figure 1.1: Financing gaps in social health insurance systems 27
Figure 1.2: The current situation of the four health care systems 28
Figure 1.3: Risk management and social welfare 29
Figure 1.4: Goals of social security 30
Figure 1.5: Entitlements to Health Care 30
Figure 1.6: Elements of health care reform 31
Figure 2.1: Total Health Expenditures per capita 33
Figure 2.2: Total Health Expenditures in % of GDP 34
Figure 2.3: Aging of the population in the four countries 36
Figure 2.4: Standardized Expenditures in Germany according to age and gender 38
Figure 2.5: Average Life expectancy at birth in the four countries 40
Figure 2.6: Potential years of life lost due to diseases in the four countries 42
Figure 2.7: Standardised unemployment rates in the four countries 43
Figure 2.8: Development of state budgets in the four countries 44
Figure 2.9: Maslow s hierarchy of needs pyramid 45
Figure 3.1: Different sources of funding as % of total health expenditures 60
Figure 3.2: Contributions at different income levels according to contribution
rates in the four countries. 63
Figure 3.3: Contributions at different income levels according to contribution
rates of employees in the four countries 64
Figure 3.4: Employee and total contribution at different income level for
each country 65
Figure 4.1: Integration of providers in health care of the elderly 91
Figure 4.2: Setting priorities in health care 92
Figure 4.3: Financing health care in the future 93
Figure 4.4: The future of the European welfare state I 94
Figure 4.5: The future of the European welfare state II 94
11
Tables
Table 2.1: Population and population density in 2001 and 2050 37
Table 2.2: Body Mass Index in the four countries 39
Table 2.3: Healthy life expectancy (HALE) from WHO at birth and at age 60,
estimates for 2000 and 2001 40
Table 3.1: Membership in different sickness funds as % of total population 51
Table 3.2: Number of sickness funds according to different schemes 52
Table 3.3: Comparison of the institutional and organizational framework of
social health insurance on the basis of selected criteria 55
Table 3.4: Change of funding sources as % of the total health expenditure 62
Table 3.5: Comparison of funding principles of social health insurance systems
according to selected criteria 68
Table 3.6: Health expenditures by type of services as % of total health expenditure 71
Table 3.7: Development of ownership of general hospitals in each country 73
Table 3.8: Access to inpatient services 74
Table 3.9: Hospital infrastructure and utilization 75
Table 3.10: Planning, contracting, reimbursement and user charges in hospital care 78
Table 3.11: Number of physicians 80
Table 3.12: Organisation, Employment status, planning and access to
ambulatory care 81
Table 3.13: Purchasing and contracting of ambulatory care 84
Table 3.14: Infrastructure characteristics of long term care 85
Table 3.15: Long term care: planning, coverage, access and user charges 87
12
|
| any_adam_object | 1 |
| author | Henke, Klaus-Dirk 1942- Schreyögg, Jonas 1976- |
| author_GND | (DE-588)121038165 (DE-588)123827604 |
| author_facet | Henke, Klaus-Dirk 1942- Schreyögg, Jonas 1976- |
| author_role | aut aut |
| author_sort | Henke, Klaus-Dirk 1942- |
| author_variant | k d h kdh j s js |
| building | Verbundindex |
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| callnumber-raw | RA412 |
| callnumber-search | RA412 |
| callnumber-sort | RA 3412 |
| callnumber-subject | RA - Public Medicine |
| ctrlnum | (OCoLC)57010741 (DE-599)BVBBV019816733 |
| dewey-full | 350 |
| dewey-hundreds | 300 - Social sciences |
| dewey-ones | 350 - Public administration and military science |
| dewey-raw | 350 |
| dewey-search | 350 |
| dewey-sort | 3350 |
| dewey-tens | 350 - Public administration and military science |
| discipline | Soziologie |
| edition | 1. Aufl. |
| format | Book |
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| geographic | Deutschland Frankreich Niederlande Deutschland (DE-588)4011882-4 gnd Niederlande (DE-588)4042203-3 gnd Japan (DE-588)4028495-5 gnd Frankreich (DE-588)4018145-5 gnd |
| geographic_facet | Deutschland Frankreich Niederlande Japan |
| id | DE-604.BV019816733 |
| illustrated | Illustrated |
| indexdate | 2024-07-09T20:06:48Z |
| institution | BVB |
| isbn | 3832909346 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-013142069 |
| oclc_num | 57010741 |
| open_access_boolean | |
| owner | DE-12 DE-2070s DE-188 DE-83 |
| owner_facet | DE-12 DE-2070s DE-188 DE-83 |
| physical | 98 S. graph. Darst. 23 cm |
| publishDate | 2004 |
| publishDateSearch | 2004 |
| publishDateSort | 2004 |
| publisher | Nomos |
| record_format | marc |
| series | Europäische Schriften zu Staat und Wirtschaft |
| series2 | Europäische Schriften zu Staat und Wirtschaft |
| spelling | Henke, Klaus-Dirk 1942- Verfasser (DE-588)121038165 aut Towards sustainable health care systems strategies in health insurance schemes in France, Germany, Japan and Netherlands ; a comparative study Klaus-Dirk Henke ; Jonas Schreyögg 1. Aufl. Baden-Baden Nomos 2004 98 S. graph. Darst. 23 cm txt rdacontent n rdamedia nc rdacarrier Europäische Schriften zu Staat und Wirtschaft 15 Literaturverz. S. 95 - 98 Cross-Cultural Comparison France Cross-Cultural Comparison Germany Cross-Cultural Comparison Japan Cross-Cultural Comparison Netherlands Health insurance Cross-cultural studies Health insurance France Health insurance Germany Health insurance Japan Health insurance Netherlands Insurance, Health France Insurance, Health Germany Insurance, Health Japan Insurance, Health Netherlands National Health Programs France National Health Programs Germany National Health Programs Japan National Health Programs Netherlands National health services Cross-cultural studies National health services France National health services Germany National health services Japan National health services Netherlands Krankenversicherung (DE-588)4032836-3 gnd rswk-swf Internationaler Vergleich (DE-588)4120509-1 gnd rswk-swf Nachhaltigkeit (DE-588)4326464-5 gnd rswk-swf Gesetzliche Krankenversicherung (DE-588)4071796-3 gnd rswk-swf Gesundheitswesen (DE-588)4020775-4 gnd rswk-swf Deutschland Frankreich Niederlande Deutschland (DE-588)4011882-4 gnd rswk-swf Niederlande (DE-588)4042203-3 gnd rswk-swf Japan (DE-588)4028495-5 gnd rswk-swf Frankreich (DE-588)4018145-5 gnd rswk-swf Krankenversicherung (DE-588)4032836-3 s Internationaler Vergleich (DE-588)4120509-1 s DE-604 Gesundheitswesen (DE-588)4020775-4 s Nachhaltigkeit (DE-588)4326464-5 s DE-188 Deutschland (DE-588)4011882-4 g Gesetzliche Krankenversicherung (DE-588)4071796-3 s Frankreich (DE-588)4018145-5 g Japan (DE-588)4028495-5 g Niederlande (DE-588)4042203-3 g 1\p DE-604 Schreyögg, Jonas 1976- Verfasser (DE-588)123827604 aut Europäische Schriften zu Staat und Wirtschaft 15 (DE-604)BV012760772 15 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=013142069&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis 11 1\p cgwrk 20201028 DE-101 https://d-nb.info/provenance/plan#cgwrk |
| spellingShingle | Henke, Klaus-Dirk 1942- Schreyögg, Jonas 1976- Towards sustainable health care systems strategies in health insurance schemes in France, Germany, Japan and Netherlands ; a comparative study Europäische Schriften zu Staat und Wirtschaft Cross-Cultural Comparison France Cross-Cultural Comparison Germany Cross-Cultural Comparison Japan Cross-Cultural Comparison Netherlands Health insurance Cross-cultural studies Health insurance France Health insurance Germany Health insurance Japan Health insurance Netherlands Insurance, Health France Insurance, Health Germany Insurance, Health Japan Insurance, Health Netherlands National Health Programs France National Health Programs Germany National Health Programs Japan National Health Programs Netherlands National health services Cross-cultural studies National health services France National health services Germany National health services Japan National health services Netherlands Krankenversicherung (DE-588)4032836-3 gnd Internationaler Vergleich (DE-588)4120509-1 gnd Nachhaltigkeit (DE-588)4326464-5 gnd Gesetzliche Krankenversicherung (DE-588)4071796-3 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| subject_GND | (DE-588)4032836-3 (DE-588)4120509-1 (DE-588)4326464-5 (DE-588)4071796-3 (DE-588)4020775-4 (DE-588)4011882-4 (DE-588)4042203-3 (DE-588)4028495-5 (DE-588)4018145-5 |
| title | Towards sustainable health care systems strategies in health insurance schemes in France, Germany, Japan and Netherlands ; a comparative study |
| title_auth | Towards sustainable health care systems strategies in health insurance schemes in France, Germany, Japan and Netherlands ; a comparative study |
| title_exact_search | Towards sustainable health care systems strategies in health insurance schemes in France, Germany, Japan and Netherlands ; a comparative study |
| title_full | Towards sustainable health care systems strategies in health insurance schemes in France, Germany, Japan and Netherlands ; a comparative study Klaus-Dirk Henke ; Jonas Schreyögg |
| title_fullStr | Towards sustainable health care systems strategies in health insurance schemes in France, Germany, Japan and Netherlands ; a comparative study Klaus-Dirk Henke ; Jonas Schreyögg |
| title_full_unstemmed | Towards sustainable health care systems strategies in health insurance schemes in France, Germany, Japan and Netherlands ; a comparative study Klaus-Dirk Henke ; Jonas Schreyögg |
| title_short | Towards sustainable health care systems |
| title_sort | towards sustainable health care systems strategies in health insurance schemes in france germany japan and netherlands a comparative study |
| title_sub | strategies in health insurance schemes in France, Germany, Japan and Netherlands ; a comparative study |
| topic | Cross-Cultural Comparison France Cross-Cultural Comparison Germany Cross-Cultural Comparison Japan Cross-Cultural Comparison Netherlands Health insurance Cross-cultural studies Health insurance France Health insurance Germany Health insurance Japan Health insurance Netherlands Insurance, Health France Insurance, Health Germany Insurance, Health Japan Insurance, Health Netherlands National Health Programs France National Health Programs Germany National Health Programs Japan National Health Programs Netherlands National health services Cross-cultural studies National health services France National health services Germany National health services Japan National health services Netherlands Krankenversicherung (DE-588)4032836-3 gnd Internationaler Vergleich (DE-588)4120509-1 gnd Nachhaltigkeit (DE-588)4326464-5 gnd Gesetzliche Krankenversicherung (DE-588)4071796-3 gnd Gesundheitswesen (DE-588)4020775-4 gnd |
| topic_facet | Cross-Cultural Comparison France Cross-Cultural Comparison Germany Cross-Cultural Comparison Japan Cross-Cultural Comparison Netherlands Health insurance Cross-cultural studies Health insurance France Health insurance Germany Health insurance Japan Health insurance Netherlands Insurance, Health France Insurance, Health Germany Insurance, Health Japan Insurance, Health Netherlands National Health Programs France National Health Programs Germany National Health Programs Japan National Health Programs Netherlands National health services Cross-cultural studies National health services France National health services Germany National health services Japan National health services Netherlands Krankenversicherung Internationaler Vergleich Nachhaltigkeit Gesetzliche Krankenversicherung Gesundheitswesen Deutschland Frankreich Niederlande Japan |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=013142069&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| volume_link | (DE-604)BV012760772 |
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