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Forms of Delivery of Medical Care

In: Health Economics

Author

Listed:
  • Peter Zweifel

    (University of Zurich)

  • Friedrich Breyer

    (University of Konstanz)

  • Mathias Kifmann

    (University of Augsburg)

Abstract

Forms of delivery of medical care differ considerably between countries. These differences ultimately reflect basic differences of philosophy.Where the state grants the citizen a right to health, government tends to be directly responsible for the provision of health care services. Examples include the former eastern bloc countries as well as the United Kingdom and Italy with their National Health Services. Conversely, in the United States it is the individuals themselves who in principle assume responsibility for their health. Nonetheless, the public purse finances 40 percent of total U.S. health care expenditure (HCE), supports public hospitals, and acts directly as a health insurer through the programs Medicare (for pensioners) and Medicaid (for the poor). While there is no National Health Service in Canada, the country has a national health insurance scheme. In the Netherlands, more than 30 percent of the population were members of a private health insurance scheme before the 2006 reform. Since then, formerly public and private health insurers compete for consumers side by side. Swedish hospitals, financed by district health authorities, play a key role in the provision of medical care.

Suggested Citation

  • Peter Zweifel & Friedrich Breyer & Mathias Kifmann, 2009. "Forms of Delivery of Medical Care," Springer Books, in: Health Economics, chapter 11, pages 379-400, Springer.
  • Handle: RePEc:spr:sprchp:978-3-540-68540-1_11
    DOI: 10.1007/978-3-540-68540-1_11
    as

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