Written by a local health economics expert, each of the eight chapters in this timely handbook and ready reference describes the national healthcare system of a different industrialized country. In each case, the 4-5 specific policies with the highest impact on that respective country over the past 20-30 years are identified. In addition, the economic characteristics of each policy are described and, where possible, its success evaluated, discussing the current policy agenda. A final chapter summarizes and synthesizes the major points of the analysis. While the main focus is on economics, this guide is written in non-technical language for an audience of health policy decision makers or students of health policy, making it an invaluable contribution to the current debate surrounding the control of rising healthcare-related costs in the developed world.
EDITORS John RapoportProfessor of EconomicsMount Holyoke CollegeSouth Hadley, Ma USArapoport@mtholyoke.edu Philip JacobsInstitute of Health EconomicsEdmonton, AlbertaCanadapjacobs@ihe.ca Egon JonssonInstitute of Health EconomicsEdmonton, AlbertaCanadaejonsson@ihe.ca
Introduction And Summary (John Rapoport)- Highlights of each country's approach- How are Cost containment and economic efficiency related?- Strategies and their effects: a cross country analysis- Current Policy AgendaCanada (Raisa Deber)- Canada's Health Care System- Paying for Canadian Health Care- Delivering Health Care in Canada- Overall expenditure trends- Cost control strategies employed -Current situationStrategies To Improve Efficiency In The English National Health Service (Adam Oliver)- Introduction- Structural characteristics of the NHS- The efficiency initiatives- ConclusionStrategies For Cost Containment In Finnish Health Care: Decentralization And Price Regulation (Unto Hakkinen)- Introduction- Finnish health care system- Strategies for municipal health services- Cost containment in services covered by NHI- Lessons from FinlandGermany (Markus Worz and Reinhard Busse)- A review of the major structural and operational characteristics of German health system- Major cost containment and efficiency seeking strategies- Report on the current situationThe Netherlands: From Limiting Supply To Limiting Demand (Werner Brouwer and Frans Rutten)- Introduction- The Dutch health care system in transition- Cost containment through the years- Future challengesJapan (Akinoi Hisashige)- HealthcareExpenditure Trends in Japan- Healthcare System in Japan- Cost Containment Strategy in Japan- Recent trends and Future challengesNew Zealand (Toni Ashton)- Introduction- Overview of NZ system- Global budgets- The quasi-market reforms- Management of pharmaceutical expenditure- Priority setting- Management of waiting lists- Current agenda- ConclusionSweden (Bengt Jonsson)- Introduction- Paying for performance -DRG based payments to ospitals- Reference pricing and generic substitution- Health technology assessment- The current situation