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Using the seven Social Health Insurance countries in western Europe - Austria, Belgium, France, Germany, Luxembourg, the Netherlands and Switzerland - as well as Israel, this important book reviews core structural and organizational dimensions, as well as recent reforms and innovations.
Covering a wide range of policy issues, the book::
· Explores the pressures these health systems confront to be more efficient, more effective, and more responsive
· Reviews their success in addressing these pressures
· Examines the implications of change on the structure of SHI’s as they are currently defined
· Draws out policy lessons about past experience and likely future developments in SHI systems in a manner useful to policymakers in Europe and elsewhere
Social Health Insurance Systems in Western Europe will be of interest to students of health policy and management as well as health managers and policy-makers.
Contributors:: Helmut Brand, Jan Bultman, Reinhard Busse, Laurent Chambaud, David Chinitz, Diana M.J. Delnoij, André P. den Exter, Aad A. de Roo, Anna Dixon, Isabelle Durand-Zaleski, Hans F.W. Dubois, Josep Figueras, Bernhard Gibis, Stefan Greß, Bernhard J. Güntert, Jean Hermesse, Maria M. Hofmarcher, Martin McKee, Pedro W. Koch-Wulkan, Claude Le Pen, Kieke G.H. Okma, Martin Pfaff, Richard B. Saltman, Wendy G.M. van der Kraan, Jürgen Wasem, Manfred Wildner, Matthias Wismar.
Data sheet
Part One
Social health insurance in perspective: the challenge of sustaining stability
The historical and social base of social health insurance systems
Organization and financing of social health insurance systems: current status and recent policy developments
Patterns and performance in social health insurance systems
Assessing social health insurance systems: present and future policy issues
Part Two
The challenge to solidarity
Governance and (self-)regulation in social health insurance systems
Solidarity and competition in social health insurance countries
Key organizational issues
Shifting Criteria for benefit decisions in social health insurance systems
Contracting and paying providers in social health insurance systems
The role of private health insurance in social health insurance countries
The changing role of the individual in social health insurance systems
Beyond acute care
Prevention and public health in social health insurance systems
Long-term care in social health insurance systems
Index