Cost Containment and Efficiency in National

Written by local health economics experts, each of the eight chapters in this timely handbook and ready reference describes the national healthcare system of a different industrialized country. In each case, the 4-5 specific policies with the highest impact on that respective country over the past 20-30 years are identified. In addition, the economic characteristics of each policy are described and, where possible, its success evaluated, discussing the current policy agenda. A final chapter summarizes and synthesizes the major points of the analysis. While the main focus is on economics, this guide is written in non-technical language for an audience of health policy decision makers or students of health policy, making it an invaluable contribution to the current debate surrounding the control of rising healthcare-related costs in the developed world.

EDITORS

John Rapoport
Professor of Economics
Mount Holyoke College
South Hadley, Ma
USA
rapoport@mtholyoke.edu

Philip Jacobs
Institute of Health Economics
Edmonton, Alberta
Canada
pjacobs@ihe.ca

Egon Jonsson
Institute of Health Economics
Edmonton, Alberta
Canada
ejonsson@ihe.ca

Introduction And Summary
Highlights of each country's approach
How are Cost containment and economic efficiency related?
Strategies and their effects: a cross country analysis
Current Policy Agenda
Canada
Canada's Health Care System
Paying for Canadian Health Care
Delivering Health Care in Canada
Overall expenditure trends
Cost control strategies employed
Current situation
Strategies To Improve Efficiency In The English National Health Service
Introduction
Structural characteristics of the NHS
The efficiency initiatives
Conclusion
Strategies For Cost Containment In Finnish Health Care: Decentralization And Price Regulation
Introduction
Finnish health care system
Strategies for municipal health services
Cost containment in services covered by NHI
Lessons from Finland
Germany
A review of the major structural and operational characteristics of German health system
Major cost containment and efficiency seeking strategies
Report on the current situation
The Netherlands: From Limiting Supply To Limiting Demand
Introduction
The Dutch health care system in transition
Cost containment through the years
Future challenges
Japan
HealthcareExpenditure Trends in Japan
Healthcare System in Japan
Cost Containment Strategy in Japan
Recent trends and Future challenges
New Zealand
- Introduction
Overview of NZ system
Global budgets
The quasi-market reforms
Management of pharmaceutical expenditure
Priority setting
Management of waiting lists
Current agenda
Conclusion
Sweden
Introduction
Paying for performance
DRG based payments to ospitals
Reference pricing and generic substitution
Health technology assessment
The current situation
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Cost Containment and Efficiency in National Health Systems A Global Comparison

Summary

Author Biography

Table of Contents

Supplemental Materials