Five types of OECD healthcare systems: empirical results of a deductive classification.
Health Policy
; 113(3): 258-69, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-24095274
ABSTRACT
This article classifies 30 OECD healthcare systems according to a deductively generated typology by Rothgang and Wendt [1]. This typology distinguishes three core dimensions of the healthcare system regulation, financing, and service provision, and three types of actors state, societal, and private actors. We argue that there is a hierarchical relationship between the three dimensions, led by regulation, followed by financing and finally service provision, where the superior dimension restricts the nature of the subordinate dimensions. This hierarchy rule limits the number of theoretically plausible types to ten. To test our argument, we classify 30 OECD healthcare systems, mainly using OECD Health Data and WHO country reports. The classification results in five system types the National Health Service, the National Health Insurance, the Social Health Insurance, the Etatist Social Health Insurance, and the Private Health System. All five types belong to the group of healthcare system types considered theoretically plausible. Merely Slovenia does not comply with our assumption of a hierarchy among dimensions and typical actors due to its singular transformation history.
Palavras-chave
Texto completo:
1
Temas:
ECOS
/
Estado_mercado_regulacao
/
Gestao
Bases de dados:
MEDLINE
Assunto principal:
Atenção à Saúde
/
Organização para a Cooperação e Desenvolvimento Econômico
Aspecto:
Determinantes_sociais_saude
Idioma:
En
Revista:
Health Policy
Assunto da revista:
PESQUISA EM SERVICOS DE SAUDE
/
SAUDE PUBLICA
Ano de publicação:
2013
Tipo de documento:
Article