Worlds of Healthcare: A Healthcare System Typology of OECD Countries

Reibling, Nadine; Ariaans, Mareike; Wendt, Claus

doi:10.1016/j.healthpol.2019.05.001

Cited by 125 publications

(120 citation statements)

References 39 publications

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“…Several strategies to measure and classify healthcare systems have been proposed since the 1970s, often based on healthcare expenditure, healthcare financing, service provision, and access regulation and resulting in versions of three healthcare system ideal types closely connected to Esping-Andersens welfare state regimes: voluntary insurance, social health insurance, and national health service [7]. Reibling, Ariaans, and Wendt [28] used 13 country-level variables to construct a typology of healthcare systems across 29 high-income countries. Health expenditure per capita and the number of GPs per population indicated healthcare supply, the financial and human resources spent on health.…”

Section: Welfare and Healthcare Typologiesmentioning

confidence: 99%

“…Here, tobacco and alcohol consumption were used as proxies for the effectiveness of a healthcare system's preventive efforts, as adequate data on regulatory and monitoring activities was not available. Factor analyses of these indicators resulted in a five-fold typology of healthcare systems (countries included in our data in bold): Since we wanted to utilize the full range of our data, and to avoid calculating with singlecountry clusters, we grouped Lithuania (which is not included in the data of Reibling et al [28]) in Type 4, and Switzerland (which is the only Type 5 country in our data) in Type 1. This is done based on an assessment of key indicators used in the initial factor analysis.…”

Section: Welfare and Healthcare Typologiesmentioning

confidence: 99%

“…Apparently similar programs and policies may be differently organized, and indicators upon which a typology is based, for instance choice restrictions and funding, may be confounded. However, the healthcare system typologies first developed by Wendt [6] and later followed up by Reibling et al [28] is to our knowledge the most comprehensive typology to our knowledge, aiming to intercept all important aspects of a healthcare system.…”

Section: Limitationsmentioning

confidence: 99%

“…Some compatibility issues occurred between the country-level healthcare system typology and the individual-level cause-specific mortality data. The Reibling et al [28] typology is based on data from 2011 to 2014, while the mortality data covers the period 1998 to 2006 (depending on country, see S1 Table). Though the 2019 healthcare system types have similarities with earlier typologies (cf.…”

Section: Limitationsmentioning

confidence: 99%

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Educational inequalities in mortality amenable to healthcare. A comparison of European healthcare systems

et al. 2020

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Background Educational inequalities in health and mortality in European countries have often been studied in the context of welfare regimes or political systems. We argue that the healthcare system is the national level feature most directly linkable to mortality amenable to healthcare. In this article, we ask to what extent the strength of educational differences in mortality amenable to healthcare vary among European countries and between European healthcare system types. Methods This study uses data on mortality amenable to healthcare for 21 European populations, covering ages 35-79 and spanning from 1998 to 2006. ISCED education categories are used to calculate relative (RII) and absolute inequalities (SII) between the highest and lowest educated. The healthcare system typology is based on the latest available classification. Metaanalysis and ANOVA tests are used to see if and how they can explain between-country differences in inequalities and whether any healthcare system types have higher inequalities. Results All countries and healthcare system types exhibited relative and absolute educational inequalities in mortality amenable to healthcare. The low-supply and low performance

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Section: Welfare and Healthcare Typologiesmentioning

confidence: 99%

Section: Welfare and Healthcare Typologiesmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

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Educational inequalities in mortality amenable to healthcare. A comparison of European healthcare systems

et al. 2020

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“…A valid interpretation of the results of our study in this context requires knowledge on the characteristics of the German healthcare system. Generally, it is classified as supply-oriented and choice-oriented public system with a high level of financial and human resources predominantly funded by public financing 17. In comparison to other countries, access to resources is not strongly regulated and free choice among providers exist.…”

Section: Methodsmentioning

confidence: 99%

A retrospective cohort study on the provision and outcomes of pharmacological therapy after revascularisation for peripheral arterial occlusive disease: a study protocol

Peters

Kreutzburg

Kuchenbecker

et al. 2020

BMJ Surg Interv Health Technologies

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BackgroundSymptomatic peripheral arterial occlusive disease (PAOD) involves highly complex and costly revascularisations for preventing adverse limb events and impaired survival. Contrary to recommendations from valid guidelines, a large group of patients do not receive adequate pharmacological therapy after such interventions. Based on health insurance claims data, our study aims to assess (1) the extent of provision of pharmacological therapy after revascularisation and (2) related long-term outcomes for all patients and subgroups, that is, gender and disease severity.MethodsA retrospective observational population-based cohort study will be based on data from the second largest statutory health insurance fund in Germany (BARMER) covering about 13% of the insured population (~10 million patients). Study entry is the index revascularisation for symptomatic PAOD. Study variables will be analysed and compared among subgroups using parametric and non-parametric tests, generalised linear regression analysis and survival models.DiscussionThis study will provide a comprehensive insight in the extent and time trends of adequate provision of pharmacological therapy and long-term outcomes for patients with symptomatic PAOD. This may help to identify those patients benefiting most from improved pharmacological therapy for increasing the success of revascularisations in general.Trial registrationNCT03909022.

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Corporate social responsibility and technological perspectives in healthcare: An exploratory analysis of the evolution of the anti‐corruption system through multiple case studies

Campra

Esposito

Brescia

2023

Corp Soc Responsibility Env

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Corruption is one of the main variables to be considered in corporate social responsibility (CSR) to guarantee the well‐being of society in the long term. Information technology (IT) is able to reduce this phenomenon of corruption. However, no practical studies highlight the real effect on health organisations. This study ascertains the impact of a pilot project to prevent corruption and the introduction of new dedicated technologies in the healthcare organisation. It uses the association of institutional theory, information and communications technology (ICT), and new technologies to cover the gap and highlight the effect of an anti‐corruption pilot project of International Transparency Italia in the healthcare sector. A longitudinal approach‐based interventionist approach, coding of semi‐structured open interviews and corporate anti‐corruption plans using AltasIT from the 13 Health Organisations that joined the pilot project over a long term reveals that a positive effect spreads by mimetic approach within organisations. The study has detected open‐access databases, changes in personnel and procurement management approach, information dissemination, citizen involvement and whistleblowing support change through technologies. More specifically, it examines the evolution of the anti‐corruption system and the stakeholders' perceptions in healthcare organisations as a new form of social responsibility. To the best of our knowledge, this study is the only one that applies this perspective to the analysis of the anti‐corruption process through CSR currently underway in healthcare institutions worldwide.

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Worlds of Healthcare: A Healthcare System Typology of OECD Countries

Cited by 125 publications

References 39 publications

Educational inequalities in mortality amenable to healthcare. A comparison of European healthcare systems

Educational inequalities in mortality amenable to healthcare. A comparison of European healthcare systems

A retrospective cohort study on the provision and outcomes of pharmacological therapy after revascularisation for peripheral arterial occlusive disease: a study protocol

Corporate social responsibility and technological perspectives in healthcare: An exploratory analysis of the evolution of the anti‐corruption system through multiple case studies

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