9. Financing in Health Care Flashcards
Categories of health care system according to economic criterion (3)
- developed country systems
- systems of developing and transition countries
- underdeveloped countries systems
Health care system by administrative structure
- from state to privatized
- from centralized to decentralized
- from pluralistic to the monistic
Health care system division accoding to health financing mechanism
- The Bismarck model
- The Beverdige model
- Private insurance model
- Combined model
What is the oldest health insurance system?
The Bismarck model; in Germany, 1883
The main source of health care funding in The Bismarck model is …
Social security funds, where As a rule, employers and employees pay equal contributions
The role of sickness funds or insurance companies
- determines the rates of contribution for health insurance,
- determine the rights of insured persons
in relation to health services and cash benefits, and - enter into contracting relationships with healthcare institutions or private individual
What role does the state have in The Bismarck model?
regulatory and supervisory role
The Bismarck’s model is based on ….
The Bismarck’s model is based on compulsory,
universal social security
Explain the Beveridge model
Taxes collected in the state budget are used as a
source of funding, which means that the health care system does not have its own funds
Role of state in The Beveridge model
The state assumes the role of leadership and
management in the health system
Main disadvantage of Market System
partial coverage of health insurance and the
large differences in the availability of health
services
What system is the best correlate with solidarity
The Beveridge healthcare model
Difference between Beveridge and Bismarck system
Beveridge’s National Health Insurance System
guarantees everyone’s health care at the risk of
possibly lower quality of health care
Bismarck’s system guarantees quality health care
but does not provide it to the entire population
