Health system financing in Estonia: situation and challenges in 2005

Autorid: Couffinhal A , Habicht T
Väljaandja/tellija: WHO Regional Office for Europe
Märksõnad: finantseerimine, tervishoid, tervishoiukorraldus, ravikindlustus, terviseteenused, kulud
Välja antud: 2005
Tüüp: Raport
Nimi SuurusFormaat
Couffinhal2005.pdf439.11 kBAdobe PDF
Alamvaldkonnad:Tervisepoliitika rakendamine ja hindamine
Terviseteenuste korraldus, kättesaadavus ja kvaliteet
Kirjeldus: In recent years, concern has grown about the sustainability of health system financing in Estonia. Nevertheless, no systematic overview of the health financing system has been available to serve as a basis for comprehensive discussions. This case study aims to fill this gap using a framework for country-level analysis of health care financing arrangements proposed by Kutzin (2001). The framework distinguished three subfunctions that all systems perform: collecting revenue that is ultimately used to purchase health services; pooling these funds: how the financial flows are organized; and purchasing, which describes the interaction between the intermediaries who manage the prepaid and pooled funds and those who deliver the services.
The executive summary gives an overview of the health financing system, underlines the challenges it faces and suggests possible way to move forward. The rest of the document is organized in three sections that describe in turn how each health financing function was organized in Estonia in early 2005.