International Conference on the Social Sciences and Medicine. Peebles GBR, 1996/09/02.
In many (predominantly) publicly financed health care systems market-oriented health care reforms are being implemented or have been proposed.
The purpose of these reforms is to make resource allocation in health care more efficient, more innovative and more responsive to consumers preferences while maintaining equity.
At the same time, the advances in technology result in a divergence of consumers'preferences with respect to health care and urge society to (re) think about the meaning of the solidarity principle in health care.
In this paper we indicate some international trends in health care reforms and explore some potential future options.
From an international perspective we can observe a trend towards universal mandatory health insurance, contracts between third-party purchasers and the providers of care, competition among providers of care and a strengthening of primary care.
These trends can be expected to continue.
A more controversial issue is whether there should also be competition among the third-party purchasers and whether in the long run there will occur a convergence towards some « ideal » model.
Although regulated competition in health care can be expected to yield more value for money, it might yield both more efficiency and higher total costs.
It has been argued that equity can be maintained in a competitive health care system if we interpret equity as « equal access to cost-effective care within a reasonable period of time ». (...)
Mots-clés Pascal : Système santé, Tendance, International, Choix, Contrôle coût, Economie santé, Soin santé primaire, Assurance maladie, Compétition, Motivation, Réforme
Mots-clés Pascal anglais : Health system, Trend, International, Choice, Cost control, Health economy, Primary health care, Health insurance, Competition, Motivation
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0397532
Code Inist : 002B30A01B. Création : 10/04/1997.