Health care coverage in OECD countries in 2012

Abstract

JT03396582Complete document available on OLIS in its original format This document and any map included herein are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area.DELSA/HEA/WD/HWP (2016) This series is designed to make available to a wider readership selected health studies prepared for use within the OECD. Authorship is usually collective, but principal writers are named. The papers are generally available only in their original language -English or French -with a summary in the other.The statistical data for Israel are supplied by and under the responsibility of the relevant Israeli authorities. The use of such data by the OECD is without prejudice to the status of the Golan Heights, East Jerusalem and Israeli settlements in the West Bank under the terms of international law. This document and any map included herein are without prejudice to the status of or sovereignty over any territory, to the delimitation of international frontiers and boundaries and to the name of any territory, city or area. ABSTRACTThis paper provides a detailed description of health coverage in OECD countries in 2012. It includes information on the organisation of health coverage (residence-based vs contributory systems), on the range of benefits covered by basic health coverage and on cost-sharing requirements. It also describes policies implemented to ensure universal health coverage -in most countries-and to limit user charges for vulnerable populations or people exposed to high health spending. The paper then describes the role played by voluntary health insurance as a secondary source of coverage. Combining qualitative information collected through a survey of OECD countries on benefits covered and cost-sharing requirements with spending data collected through the system of health accounts for 2012, this paper provides valuable information on health care coverage in OECD countries at a time universal health coverage is high on the policy agenda of many countries. RÉSUMÉCe document fournit une description détaillée de la couverture santé dans les pays de l'OCDE en 2012. Il contient des informations sur l'organisation de la couverture santé (selon que les droits sont contributifs ou accordé à tout résident), sur l'étendue des services couverts par le régime de base et sur les contributions aux frais demandés aux usagers. Il décrit également les politiques introduites pour atteindre la couverture universelle-dans la plupart des pays ou pour les limiter les dépenses pour les usagers vulnérables ou exposés à des dépenses élevées. Ce document décrit ensuite le rôle joué par l'assurance privée volontaire en tant que source « secondaire » de couverture santé. Combinant l'information qualitative recueillie sur les services couverts et dépenses laissées à la charge des usagers lors d'une enquête menée auprès des pays de l'OCDE et les données sur les dépenses recueillies à travers les comptes de la santé, ce doc...

Which policies increase value for money in health care?

“…In many OECD countries, basic coverage is complemented by other sources of coverage, most often private health insurance offering complementary, supplementary or duplicative coverage on a voluntary basis (Paris et al 2016). It is therefore important to take into account the role of private health insurance as a secondary source of coverage.…”

“…Using total OOP payments as a proxy to assess the level of coverage for health care raises a number of problems(Paris et al 2016). However, only a few OECD countries provide data separately on cost sharing on covered goods and services and on OOP payments for non-covered care as the SHA framework allows for.…”

National health insurance system for universal health coverage: prospects and challenges in Saudi Arabia

“…14 In Turkey, the government subsidizes the contributions of the lower income strata of society. 15 Ghana and Rwanda achieved UHC through community-based health insurance programs as part of a national scheme in which the government subsidizes poorer households. 16 Countries' health financing and delivery systems can be categorized using common features of the Bismarck or Beveridge models, and many health systems in the world use contributions and taxation.…”

Number (median) of sick days in the last 12 months among employed people aged 50-59, by obesity status, 14 European countries, 2013

“…Frames are often exempt from public coverage leaving private households to bear the full cost if they are not covered by complementary private insurance. Paris, V. et al (2016), "Health Care Coverage in OECD Countries in 2012", OECD Health Working Papers, No. 88, OECD Publishing, Paris, http://dx.doi.org/10.1787.…”