THE RELATIONSHIP BETWEEN THE SCOPE OF ESSENTIAL HEALTH BENEFITS AND STATUTORY FINANCING: AN INTERNATIONAL COMPARISON ACROSS EIGHT EUROPEAN COUNTRIES

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VAN DER WEES PHILIP J.; WAMMES JOOST J.G.; WESTERT GERT P.; JEURISSEN PATRICK P.T.

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Journal: International Journal of Health Policy and Management Year:2016 | Volume:5 | Issue:1 Page(s): 13-22

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Title

THE RELATIONSHIP BETWEEN THE SCOPE OF ESSENTIAL HEALTH BENEFITS AND STATUTORY FINANCING: AN INTERNATIONAL COMPARISON ACROSS EIGHT EUROPEAN COUNTRIES

Author(s)

VAN DER WEES PHILIP J. | WAMMES JOOST J.G. | WESTERT GERT P. | JEURISSEN PATRICK P.T. | Issue Writer Certificate

Keywords

HEALTHCARE REFORM

ESSENTIAL HEALTH BENEFITS

COST-SHARING

Abstract

Background: Both rising healthcare costs and the global financial crisis have fueled a search for policy tools in order to avoid unsustainable future financing of ESSENTIAL HEALTH BENEFITS. The scope of ESSENTIAL HEALTH BENEFITS (the range of services covered) and depth of coverage (the proportion of costs of the covered benefits that is covered publicly) are corresponding variables in determining the benefits package. We hypothesized that a more comprehensive health benefit package may increase user COST-SHARING charges.Methods: We conducted a desktop research study to assess the interrelationship between the scope of covered health benefits and the height of statutory spending in a sample of 8 European countries: Belgium, England, France, Germany, the Netherlands, Scotland, Sweden, and Switzerland. We conducted a targeted literature search to identify characteristics of the healthcare systems in our sample of countries. We analyzed similarities and differences based on the dimensions of publicly financed healthcare as published by the European Observatory on Health Care Systems.Results: We found that the scope of services is comparable and comprehensive across our sample, with only marginal differences. COST-SHARING arrangements show the most variation. In general, we found no direct interrelationship in this sample between the ranges of services covered in the health benefits package and the height of public spending on healthcare. With regard to specific services (dental care, physical therapy), we found indications of an association between coverage of services and COST-SHARING arrangements. Strong variations in the volume and price of healthcare services between the 8 countries were found for services with large practice variations.Conclusion: Although reducing the scope of the benefit package as well as increasing user charges may contribute to the financial sustainability of healthcare, variations in the volume and price of care seem to have a much larger impact on financial sustainability. Policy-makers should focus on a variety of measures within an integrated approach. There is no silver bullet for addressing the sustainability of healthcare.

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APA: Copy

VAN DER WEES, PHILIP J., WAMMES, JOOST J.G., WESTERT, GERT P., & JEURISSEN, PATRICK P.T.. (2016). THE RELATIONSHIP BETWEEN THE SCOPE OF ESSENTIAL HEALTH BENEFITS AND STATUTORY FINANCING: AN INTERNATIONAL COMPARISON ACROSS EIGHT EUROPEAN COUNTRIES. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 5(1), 13-22. SID. https://sid.ir/paper/338226/en

Vancouver: Copy

VAN DER WEES PHILIP J., WAMMES JOOST J.G., WESTERT GERT P., JEURISSEN PATRICK P.T.. THE RELATIONSHIP BETWEEN THE SCOPE OF ESSENTIAL HEALTH BENEFITS AND STATUTORY FINANCING: AN INTERNATIONAL COMPARISON ACROSS EIGHT EUROPEAN COUNTRIES. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2016;5(1):13-22. Available from: https://sid.ir/paper/338226/en

IEEE: Copy

PHILIP J. VAN DER WEES, JOOST J.G. WAMMES, GERT P. WESTERT, and PATRICK P.T. JEURISSEN, “THE RELATIONSHIP BETWEEN THE SCOPE OF ESSENTIAL HEALTH BENEFITS AND STATUTORY FINANCING: AN INTERNATIONAL COMPARISON ACROSS EIGHT EUROPEAN COUNTRIES,” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 5, no. 1, pp. 13–22, 2016, [Online]. Available: https://sid.ir/paper/338226/en

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