Can European Countries Improve Sustainability of Health Care Financing through Patient Cost-Sharing?

Frontiers in Public Health

Marzena Tambor¹ 

关键词: patient cost-sharing;    Europe;    health care financing;    sustainable health care;    value-based cost-sharing;   

DOI  :  10.3389/fpubh.2015.00196

学科分类：卫生学

来源: Frontiers

【 摘 要 】

Rising health care cost and resource constraints confront policy makers with the challenge to ensure the financial sustainability of health care systems, without jeopardizing the main health system objectives. To respond to this challenge, many European countries have introduced patient payments for publicly financed health care services (patient cost-sharing) (1–4). The potential of patient cost-sharing to contribute to the sustainability of the health care system relies on two elements. First, cost-sharing generates additional sources of funding. Hence, through cost-sharing, some of the health care cost might be shifted from public budgets to patients. Second, cost-sharing has the potential to improve efficiency in publicly financed health care, as it is expected that patients, when faced with the price of health care services, reduce the utilization of unnecessary and low-value health care (5, 6). It is also expected that this could slow the growth of health care costs. However, opponents of cost-sharing question the potential of cost-sharing to improve efficiency and instead point to its potentially negative effects on equity in health care. This is documented by evidence, among them the best known is the RAND health insurance experiment (7, 8).

【 授权许可】

CC BY