[EQ] Health Systems in Transition- Israel Health system review

de: Ruggiero, Mrs. Ana Lucia (WDC) - ruglucia@paho.org
para: EQUIDAD@listserv.paho.org
fecha: 22 de junio de 2009 08:36
asunto: [EQ] Health Systems in Transition- Israel Health system review


Health Systems in Transition- Israel Health system review



Bruce Rosen, Director, Smokler Center for Health Policy Research, Myers-JDC-Brookdale Institute, Israel
Hadar Samuel, Smokler Center for Health Policy Research, Myers-JDC-Brookdale Institute, Israel
Edited by Sherry Merkur, European Observatory on Health Systems and Policies
World Health Organization 2009 on behalf of the European Observatory on Health Systems and Policies



Available online as PDF file [253p.] at: http://www.euro.who.int/Document/E92608.pdf



“……….The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis.

Israel has a national health insurance (NHI) system that provides a broad benefits package to the population. There is free choice among four competing, non-profit-making health plans that receive NHI funds from the Government according to a capitation formula. The system is financed primarily from public sources via payroll and general tax revenues. Health care accounts for approximately 8% of gross domestic product (GDP). Hospitals and public clinics each account for approximately 40% of national health expenditure, and dental care accounts for a further 10%. In recent years the share of public financing has declined to 64% of total health system financing, while the share of private financing, especially voluntary health insurance and co-payments, has increased to 36%.

In recent years the Ministry of Health has developed strong capabilities in the areas of technology assessment, the prioritization of new technologies, health plan regulation, quality monitoring for community-based care, as well as strategic planning, to set goals for population health and strategies for achieving them. Critical components of the Israeli health system include: a sophisticated public health effort, run by the Ministry of Health; high-level primary care services provided by the health plans; highly sophisticated hospital care; and a strong system of emergency care delivery……….”



Contents
Preface
Abstract
Executive summary
1. Introduction
1.1 Geography and socio-demography
1.2 Economic context
1.3 Political context
1.4 Health status
2. Organizational structure
3. Health care financing and expenditure
3.1 Overview
3.2 Health expenditure
3.3 Population coverage and basis for entitlement
3.4 Revenue collection/sources of funds
3.5 Pooling of funds
3.6 Purchasing and purchaser–provider relations
3.7 Payment mechanisms
4. Regulation and planning
5. Physical and human resources
6. Provision of services
6.1 Public health
6.2 Primary care
6.3 Secondary and tertiary care
6.4 Emergency care
6.5 Pharmaceutical care
6.6 Rehabilitation
6.7 Social care
6.8 Services for informal caregivers
6.9 Palliative care
6.10 Mental health care
6.11 Dental care
6.12 Complementary and alternative health care
6.13 Health care for specific populations
7. Health care reforms
7.1 The Netanyahu Commission
7.2 Introduction of national health insurance
7.3 Prioritization of new technologies
7.4 Mental health reform
7.5 The effort to transfer mother and child preventive health care services to the health plans
7.6 The hospital trusts initiative and other reforms of the hospital system
7.7 Reforming Israel’s emergency response system during and after the Second Lebanon War
7.8 The Patients’ Rights Law
7.9 Reforming the status and pay levels of physicians
7.10 Summary and timeline of health care reforms
8. Assessment of the health care system
9. Appendices
9.1 References
9.2 Further reading
9.3 Useful web sites
9.4 HiT methodology and production process





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