Starting from a classification of Oecd countries into six groups on the basis of the prevalent way in which health care is funded, we analysed the composition of the various financing schemes, considering in particular the role of private health insurance. Then, we investigated whether the pre- vailing form of funding health care influenced the trend of expenditure in the period 1960-2006. The data examined show that for Oecd countries the total expenditure on health care as a percentage of the GDP is globally stable or, more often, increasing. In the general trend, the traditional relation between different typical health care funding systems is confirmed, namely that national health services are cheaper than social insurance systems, which are cheaper than private insurance-based systems. In ad- dition, the dynamics of total expenditure respect these relations. The public share of total expenditure is stable or increasing. The crisis of the welfare state and the effort to decrease public expenditure af- ter 1980 did not proportionately affect resources devoted to public health care, which increased in re- lation to total public expenditure.

Il finanziamento della sanità nei paesi dell'OCSE: struttura e dinamica

MURARO, GILBERTO;REBBA, VINCENZO
2008

Abstract

Starting from a classification of Oecd countries into six groups on the basis of the prevalent way in which health care is funded, we analysed the composition of the various financing schemes, considering in particular the role of private health insurance. Then, we investigated whether the pre- vailing form of funding health care influenced the trend of expenditure in the period 1960-2006. The data examined show that for Oecd countries the total expenditure on health care as a percentage of the GDP is globally stable or, more often, increasing. In the general trend, the traditional relation between different typical health care funding systems is confirmed, namely that national health services are cheaper than social insurance systems, which are cheaper than private insurance-based systems. In ad- dition, the dynamics of total expenditure respect these relations. The public share of total expenditure is stable or increasing. The crisis of the welfare state and the effort to decrease public expenditure af- ter 1980 did not proportionately affect resources devoted to public health care, which increased in re- lation to total public expenditure.
2008
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11577/2460355
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