Social Health Insurance Systems in Western Europe / Edition 1

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More About This Textbook

Overview

· What are the characteristics that define a Social Health Insurance system?

· How is success measured in SHI systems?

· How are SHI systems developing in response to external pressures?

Using the seven Social Health Insurance countries in western Europe - Austria, Belgium, France, Germany, Luxembourg, the Netherlands and Switzerland - as well as Israel, this important book reviews core structural and organizational dimensions, as well as recent reforms and innovations.

Covering a wide range of policy issues, the book:

· Explores the pressures these health systems confront to be more efficient, more effective, and more responsive

· Reviews their success in addressing these pressures

· Examines the implications of change on the structure of SHI’s as they are currently defined

· Draws out policy lessons about past experience and likely future developments in SHI systems in a manner useful to policymakers in Europe and elsewhere

Social Health Insurance Systems in Western Europe will be of interest to students of health policy and management as well as health managers and policy-makers.

Contributors: Helmut Brand, Jan Bultman, Reinhard Busse, Laurent Chambaud, David Chinitz, Diana M.J. Delnoij, André P. den Exter, Aad A. de Roo, Anna Dixon, Isabelle Durand-Zaleski, Hans F.W. Dubois, Josep Figueras, Bernhard Gibis, Stefan Greß, Bernhard J. Güntert, Jean Hermesse, Maria M. Hofmarcher, Martin McKee, Pedro W. Koch-Wulkan, Claude Le Pen, Kieke G.H. Okma, Martin Pfaff, Richard B. Saltman, Wendy G.M. van der Kraan, Jürgen Wasem, Manfred Wildner, Matthias Wismar.

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Product Details

Table of Contents

1 Social health insurance in perspective : the challenge of sustaining stability 3
2 The historical and social base of social health insurance systems 21
3 Organization and financing of social health insurance systems : current status and recent policy developments 33
4 Patterns and performance in social health insurance systems 81
5 Assessing social health insurance systems : present and future policy issues 141
6 Governance and (self-)regulation in social health insurance systems 155
7 Solidarity and competition in social health insurance countries 170
8 Shifting criteria for benefit decisions in social health insurance systems 189
9 Contracting and paying providers in social health insurance systems 207
10 The role of private health insurance in social health insurance countries 227
11 The changing role of the individual in social health insurance systems 248
12 Prevention and public health in social health insurance systems 267
13 Long-term care in social health insurance systems 281
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