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Author
Rabiej Ewelina (University of Rzeszów)
Title
The Financing of Health Care in Insurance Systems and the Sustainability of Public Finances
Source
Optimum : Economic Studies, 2020, nr 4(102), s. 27-39, tab., bibliogr. s. 37-39
Keyword
Stabilność finansowa, Finanse publiczne, Finansowanie ochrony zdrowia
Financial sustainability, Public finance, Financing of health protection
Note
JEL Classification: G38, H51, H72, H75, I13, I18
summ.
Abstract
Purpose - The purpose of the paper is to examine the relationship between the organisation of the state (determined by selected characteristics, i.e. the organisational structure model and the position of the SNG sector) and the organisation of the health care system, and an indication of the possible consequences for the sustainability of public finance. Research method - The author uses a method of descriptive analysis and the analysis of statistical data on health care expenditure in 12 EU Member States with an insurance model of health care. The quantitative analysis was based on the latest available statistical data (2017) from the OECD, the WHO and Eurostat databases (according to ICHA and SHA2011). Results - It was concluded that despite the legal separation and theoretical independence from the budget system, the insurance model of health care may pose a threat to the sustainability of public finance. This applies both to the state budget and the SNG sector, which is particularly vulnerable in countries where the decentralisation of public services is not accompanied by an appropriate design of the financing system. Originality / value / implications / recommendations - This paper discusses the problem of the compatibility of the health care system and state organisation, omitted in literature, including the position of the SNG sector, in the context of fiscal sustainability. (original abstract)
Accessibility
The Library of Warsaw School of Economics
The Library of University of Economics in Katowice
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ISSN
1506-7637
Language
eng
URI / DOI
http://dx.doi.org/10.15290/oes.2020.04.102.03
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