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Economic shocks pose a threat to health and health system performance by increasing people's need for health care and making access to care more difficult - a situation compounded by cuts in public spending on health and other social services. But these negative effects can be avoided by timely public policy action. While important public policy levers lie outside the health sector, in the hands of those responsible for fiscal policy and social protection, the health system response is critical.This book looks at how health systems in Europe reacted to pressure created by the financial and economic crisis that began in 2008. Drawing on the experience of over 45 countries, the authors:
¿- analyse health system responses to the crisis in three policy areas: public funding for the health system; health coverage; and health service planning, purchasing and delivery
- ¿assess the impact of these responses on health systems and population health¿
- identify policies most likely to sustain the performance of health systems facing financial pressure¿
- explore the political economy of implementing reforms in a crisis
The book is essential reading for anyone who wants to understand the choices available to policy-makers - and the implications of failing to protect health and health-system performance - in the face of economic and other forms of shock.
Inhaltsverzeichnis
Making sense of health system responses to economic crisis
The crisis and its implications for household financial security, government resources and health expenditure
Changes to public funding for the health system
Changes to health coverage
Changes to health service planning, purchasing and delivery
The health effects of the crisis
The impact of the crisis on health systems and health: Lessons for policy
Appendix
Über den Autor / die Autorin
Sarah Thomson, WHO Regional Office for Europe, European Observatory on Health Systems and Policies, London School of Economics and Political Science Josep Figueras, European Observatory on Health Systems and Policies Tamás Evetovits, WHO Regional Office for Europe Matthew Jowett, WHO (Geneva)Philipa Mladovsky, European Observatory on Health Systems and Policies, London School of Economics and Political Science Anna Maresso, European Observatory on Health Systems and PoliciesJonathan Cylus, European Observatory on Health Systems and PoliciesMarina Karanikolos, European Observatory on Health Systems and PoliciesHans Kluge, WHO Regional Office for Europe
Zusammenfassung
This book looks at how health systems in Europe reacted to pressure created by the financial and economic crisis of 2008.
