Adobe Systems Financing Healthcare Public Finance 2 Source: OECD: Health at Glance, 2019 3 Source: OECD: Health at Glance, 2021 Definitions and concepts •citizens x healthcare •ageing x technology •public x private •solidarity x free market (benefits x drawbacks) •state (government, regional authority) x employers x insurance companies x healthcare providers x citizens •drugs Factors that influence healthcare financing •legislature •new technology and development of new drugs •population health •demographic changes – ageing •international migration – insurance conditions for foreigners •economic a financial situation of the country – cost of healthcare in the country and in neighboring countries The models of financing healthcare •public insurance – payroll tax x state insured x cost of labor •financing of healthcare through taxis (from state budget) •private insurance, private payments for treatment or drugs x responsibility of the people for their health •Diagnosis-related group (DRG) financing – comparison of treatment by different group The problems of financing healthcare •healthcare standards and „quality“ of life •the role of insurance companies – what is paid and why? cream skimming – what is it? •regulatory fees – participation of patients – they have to pay some amount for treatment •private physicians and clinics – their role and financing •high consumption of drugs, the cost of the hospital stay – the tendency for corruption •salaries of medical staff (doctor, nurse etc.) 8 Zápatí prezentace 9 Source: OECD: Health at Glance, 2021 Zápatí prezentace 10 Source: OECD: Health at Glance, 2021 Zápatí prezentace 11 Source: OECD: Health at Glance, 2021 Sources Health at a Glance 2021 https://www.oecd-ilibrary.org/social-issues-migration-health/health-at-a-glance-2021_ae3016b9-en OECD Health Statistics 2021 http://www.oecd.org/els/health-systems/health-data.htm Qaly What does this concept mean? Calculating QALYs, comparing QALY and DALY calculations: http://heapol.oxfordjournals.org/content/21/5/402.full Q & A