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• W2132454825 abstract "textabstractSince 1960 the medical care expenditures have more than doubled worldwide as ashare of GDP (Kotlikoff and Hagist, 2005; Cutler, 2002). OECD countries have experiencedan average annual increase in per capita health care costs of 3.5 percent duringthe period 1990-2001, outpacing the average annual economic growth during thesame period by about 50 percent.1 The major driving forces behind the continuingrise in health care costs are medical technology,2 health care services price-infl ation,3and the aging of the population.4 Policymakers have expressed the view that continuedincreases in health care spending may be “unsustainable”, particularly in light ofgovernment budget defi cits.5For decades, governments have been seeking suitable solutions to fi nance the risinghealth care costs, given the increasingly constrained collective resources. Suitablerefers to the maintenance of affordable and universal access to basic health careservices, the containment of aggregate spending and the improvement of technical,allocative and dynamic effi ciency of health care delivery (Schut, 1995). In the attemptto fi nd a balance between affordability and effi ciency goals, a great variety of mixesof different sources of health care fi nancing have emerged across countries combiningout-of-pocket spending, supplementary health insurance, and collective funding(tax-based fi nancing or social health insurance).Throughout this thesis, the term affordability indicates the extent to which a sociallyacceptable level of insurance coverage is affordable for everybody.6 Dependingon the context, the terms cross-subsidisation or solidarity may be used instead ofaffordability. By effi ciency, we refer to dynamic effi ciency, which is defi ned as qualityimprovingand cost-reducing innovations in the organisation and delivery of care." @default.
• W2132454825 created "2016-06-24" @default.
• W2132454825 creator A5051623890 @default.
• W2132454825 date "2007-12-06" @default.
• W2132454825 modified "2023-09-27" @default.
• W2132454825 title "The design of basic and supplementary health care fi nancing schemes: Implications for effi ciency and affordability" @default.
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