Bismarck or Beveridge: a beauty contest between dinosaurs

Abstract

Background: Health systems delivery systems can be divided into two broad categories: National Health Services (NHS) on the one hand and Social Security (based) Health care systems (SSH) on the other hand. Existing literature is inconclusive about which system performs best. In this paper we would like to improve the evidence-base for discussion about pros and cons of NHS-systems versus SSH-system for health outcomes, expenditure and population satisfaction.

The Emergence of Occupational Science in Austria: An Insider Perspective

“…Corporatism is inherent in a conservative welfare state regime (Arts & Gelissen, 2002;Esping-Andersen, 1990) and refers to a social-partner system whereby in any political decision-making various social, religious, economic or popular organizations are incorporated in the process. These institutions become defined by law and include business associations, social welfare groups, trade unions, as well as associations of sickness funds, physicians and dentists (Gooijer, 2007;van der Zee & Kroneman, 2007;Wild & Gibis, 2003). In a corporatist state such as Austria, policies are created by the interaction among the state and the social partners (Howlett, Ramesh, & Perl, 2009).…”

Comparing health policy agendas across eleven high income countries: Islands of difference in a sea of similarity

“…If this is true, we would expect social insurance and tax-funded systems to pay more policy attention to their characteristic weaknesses. Despite some blurring of boundaries between tax-based and social insurance systems [9,10], the distinction remains an important and defining feature of health system institutions.…”

Breast cancer genetic counselling referrals: how comparable are the findings between the UK and the Netherlands?

“…(Private insurance schemes fund only a small proportion of healthcare). Health care is organised in geographic subdivisions, commissioned via Strategic Health Authorities ( Van der Zee and Kroneman 2007). In contrast, the Dutch Social Security (based) Health care system is funded by means of earmarked premiums.…”

“…The Dutch system is strongly influenced by health care providers and insurers. Care is provided by non-profit hospitals and individual GPs, subject to national legislation and policies (Van der Zee and Kroneman 2007).…”