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Autor
Łyszczarz Błażej (Nicolaus Copernicus University in Toruń, Poland)
Tytuł
The Effect of Health Care Model on Health Systems' Responses to Economic Crises
Źródło
Ekonomia i Prawo, 2016, t. 15, nr 4, s. 493-501, tab., bibliogr. 12 poz.
Economics and Law
Słowa kluczowe
Opieka zdrowotna, System opieki społecznej, Kryzys gospodarczy
Health care, Social services system, Economic crisis
Uwagi
summ.
Kraj/Region
Kraje OECD
OECD countries
Abstrakt
Motivation: The paper is concerned with relationships between model of health care and the responses of health systems to economic crises in OECD countries (1970-2013). The institutional arrangements are considered to affect the operation and performance of health systems in several ways; however, so far the topic has not been investigated in the economic crises context. Aim: This research attempts to bridge this gap by comparing the dynamics of health systems measures (male and female life expectancy; health expenditure; and doctors' density) during years of recession with the average annual growth rate of the same measures for the countries clustered in four model groups. Results: The results show that the health care model applied is related with the systems' responses to economic downturns. The Bismarck-type countries perform poorly in terms of health improvement and are incapable of containing costs during recessions. The Beveridge-type countries perform better in health improvement during stagnation; they also have effective cost-containment policies but they provide less security in terms of human resources for health than the Bismarck-type states. The market-oriented countries are in a superior position in health improvement when economies collapse; however, they fail to restrict health expenditure increase and to sustain the dynamics of doctors' availability. The systems in transitions are characterized by a relatively low performance in female health improvement during recessions, a moderate situation in securing access to physicians and the greatest possibilities of containing costs. For the policymakers, the results imply that there is no universally superior model of health care organization. (original abstract)
Pełny tekst
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Bibliografia
Pokaż
  1. Abel-Smith, B., & Mossialos, E. (1994). Cost containment and health care reform A study of the European Union. Health Policy, 28(2). doi:10.1016/0168-8510(94)90030-2.
  2. Antoun, J., Phillips, F., & Johnson, T. (2011). Post-Soviet transition: Improving health services delivery and management. Mount Sinai Journal of Medicine, 78(3). doi:10.1002/msj.20261.
  3. Birula-Białynicki, P. (2010). Wielowymiarowe porównania systemów zdrowotnych w krajach OECD w kontekście realizowanych modeli ochrony zdrowia. Prace Naukowe UE we Wrocławiu, 112.
  4. Carrin, G., & Hanvoravongchai P. (2002). Health care cost-containment policies in high-income countries: How successful are monetary incentives? WHO Discussion Paper, 2.
  5. Docteur, E., & Oxley, H. (2003). Health-care systems: Lessons from the reform experience. OECD Health Working Papers, 9. doi:10.2139/ssrn.1329305.
  6. Lee, S.Y., Chun, C.B., Lee, Y.G., & Seo, N.K. (2008). The National Health Insurance as one type of new typology: The case of South Korea and Taiwan. Health Policy, 85(1). doi:10.1016/j.healthpol.2007.07.006.
  7. Łyszczarz, B. (2014). Ocena efektywności systemów opieki zdrowotnej w krajach OECD. Warszawa: Wolters Kluwer.
  8. Mills, A.J., & Ranson M.K. (2012). The design of health systems. In M.H. Merson, R.E. Black, & A.J. Mills (Eds.), Global health: Diseases, programs, systems, and policies, 3rd ed. New York: Jones & Bartlett.
  9. OECD. (2015). OECD Health Statistics 2015 (database). Retrieved 09.04.2015 from http://www.oecd.org.
  10. Suhrcke, M., & Stuckler D. (2012). Will the recession be bad for our health? It depends. Social Science & Medicine, 74(5). doi:10.1016/j.socscimed.2011.12.011.
  11. van der Zee, J., & Kroneman M.W. (2007). Bismarck or Beveridge: A beauty contest between dinosaurs. BMC Health Services Research, 7. doi:10.1186/1472-6963-7-94.
  12. WHO. (2000). World health report 2000. Health systems: Improving performance. Retrieved 09.09.2015 from http://www.who.int.
Cytowane przez
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ISSN
1898-2255
Język
eng
URI / DOI
http://dx.doi.org/10.12775/EiP.2016.033
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