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HEALTH SYSTEMS
AROUND THE WORLD
Memoona Arshad (Group 11)
Background
 Due to the various combinations of components that can be used for
their establishment, current health systems all over the world are
different.
 For several years, the ranking of health systems, particularly the
issue of results, has been a focal point.
 The World Health Organization (WHO) conducted a ranking in
2000 to compare the success of member countries' health systems.
 Since then, other health-care system rankings have been conducted,
and it has become a subject of public debate.
 The criteria used for both of these rankings is a point of dispute,
since there is no gold standard.
 This analysis therefore focuses on reviewing the methodologies of
each of the current performance rankings of the health system in
order to determine their reproducibility and accountability.
Methods
 A search was carried out to classify current rankings for the health system,
and a questionnaire was created to compare methodologies based on the
following indicators:
 General knowledge
 Methods for statistics
 Data
 The indicators.
 Nine overall rankings were established, while six concentrated instead on
population health calculation without any financial aspect and were
therefore omitted.
 Finally, for this study, three health system rankings were selected: "Health
Services: Improving Performance" by the WHO, "Mirror, Mirror on the
wall: How the US Health Care System's Performance Internationally
Compares" by the Commonwealth Fund and "Bloomberg's Most Effective
Health Care."
Results
 Following the completion of the comparison of the
rankings by awarding scores based on the metrics,
the WHO ranking was deemed the most rigorous in
terms of reproducibility and transparency of the
methodology.
Universal Health Coverage: A global
goal
 More people have gained access to essential health services such as
immunization, HIV antiretroviral care, family planning, and
malaria-prevention bed nets in the last decade. This is promising
news, but development has been uneven: there are significant
differences in service availability not only between countries, but
also within them. Half the world's population can't afford the care it
needs to stay safe on any given day.
 According to experts, the most successful way to improve health
outcomes is to ensure that people have access to high-quality health
care. Universal health coverage (UHC) refers to everyone's right to
see a doctor for medical treatment or when they become ill, and
then be able to pay for it. Governmental organizations such as the
United Nations, the World Health Organization, and the World Bank
are encouraging countries to implement UHC by 2030, with the UN
Sustainable Development Goals having a concrete deadline to reach
UHC.
There is no one-size-fits-all solution.
 Health-care programs vary tremendously across the
world.
 Countries follow multiple schemes, with varying levels
of government and private sector participation, to
provide their people with health care.
 The most critical outcome is that the programs are
available—and that people can afford them.
 It is possible to gather the spectrum of forms in which
health care is provided around the world into four
general categories, from comprehensive coverage
under fully funded national schemes to no coverage at
all, forcing people to pay out of pocket for health care.
Types of Universal Health Care
System
 There are multiple systems for Universal Health
Care System
 Stay with me to understand the types:
Universal coverage with single-payer
system
 A national health-care plan that is entirely funded
by the government, the so-called single payer,
protects everybody.
 The government also provides treatment through
public hospitals and clinics in countries with socialized
health care, such as Cuba and the United Kingdom.
 Doctors are not government workers in single-payer
schemes like Canada's.
Universal coverage with multi-payer
system
 For high-income individuals, a national health care
system run by competing insurers typically coexists
with a private insurance alternative. Via legislation
and direct negotiation with pharmaceutical firms,
governments keep costs down.
 People are expected to provide health insurance, which
is largely publicly supported, in countries like France,
Germany, and Switzerland.
 People in Singapore have the option of paying more
for better, more personalized service.
Multi-payer system with no universal
coverage
 There is a combination of health-care services, but
health care is not mandatory. The government, which
has given rise to advanced medical technologies along
with high prices and no guarantee of health coverage,
gives more autonomy to private insurance firms.
 The United States is the only example of this scheme,
through which individuals can provide private insurance
through their employers, be covered by single-payer
Medicare if they are 65 or older, be covered by
government-funded Medicaid if they have a disability or
earn less than a certain amount, receive socialised coverage
through the Veterans Health Administration if they have
served in the military; and seek private insurance through
their employers.
No national health-care infrastructure
(fully out of pocket)
 The fact that much of the developing world lacks a
national health-care system is a significant fourth
reality.
 The government of an average low-income nation spends
$23 per person on health, compared to the United States,
which spends $3,860, and the United Kingdom, which
spends $2,695.
 Health care is funded minimally, or not at all: There may be
restricted access to hospitals, vaccines, and drugs.
 Aid agencies fill in the gaps from time to time, but a
substantial majority of global health support today is aimed
at acute illnesses rather than comprehensive or preventive
treatment.
Top 5 Countries with the best
Healthcare System
 Japan
 According to the World Bank, Japan has one of the highest
life expectancies in the world at 84 years and the country is
widely recognized as having one of the world's best
healthcare systems.
 Every Japanese citizen is required to take out health
insurance, but this is paid largely by the government,
depending on the means, with the remaining 10-30 percent
paid by the individual.
 Health insurance providers are forbidden from making a
profit, resulting in a scheme that is less costly and more
effective for people. Overall, residents pay out-of-pocket
for just 12.8 percent of medical expenses.
Top 5 Countries with the best
Healthcare System (Contd..)
 Netherlands
 Healthcare is of high quality and readily available in
the Netherlands.
 The government regulates the scheme, but consumers
are forced to buy health insurance from private entities,
resulting in just 11% of all healthcare expenses being
charged out of pocket.
 The corona virus death rate in the country is 5,168,
much lower than in many European countries.
Top 5 Countries with the best
Healthcare System (Contd..)
 Norway
 Norway has a decentralized healthcare system in which
local governments are responsible for the provision of
care.
 Residents pay for care, including GP appointments, up
to a value of 2,000 Krone ($204/£163) per year, in
which they are eligible for an exemption card that
allows them to obtain free treatment.
 Given this, people pay just 14.2 percent of total
healthcare spending directly out of pocket.
Top 5 Countries with the best
Healthcare System (Contd..)
 France
 French people pay the least out-of-pocket for healthcare out of
all the countries on our list, at just 9.4 percent of overall
spending.
 However, the French government spends 9.3% of its GDP on
healthcare, which is higher than many other OECD countries,
such as Canada (7.5%) and the United Kingdom (7.5%),
although it remains slightly lower than the US government (14.3
percent ).
 "However, France's reaction to corona virus has been questioned,
with President Emmanuel Macron admitting in a recent TV
address to the nation: "Were we ready for this crisis? Not
acceptable on the face of it.
 Yet we've coped. At 25,201 as of 5 May, the country's COVID-
19 death toll is high.
Top 5 Countries with the best
Healthcare System (Contd..)
 Denmark
 The publicly funded healthcare system in Denmark is
primarily managed by each of its five regional
governments, although some specialized services are
managed nationally.
 Just 13.7 percent of its total expenditure on healthcare is
out-of-pocket, while it ranks eighth on the Legatum
Prosperity Index, placing it in fourth position overall in
terms of value.
 During the corona virus pandemic, the world went into
lockdown early on, and as a result the health service was
not overloaded and controls were able to be loosened.
Health care systems classification by
country
 Countries with universal government-funded health
system
 Government-funded healthcare is accessible to all people of
this system (also known as single-payer healthcare),
irrespective of their income or job status.
 Non-citizen nationals may be eligible for healthcare in
some countries, while others may require them to purchase
private insurance:
 USA
 Australia
 Bahrain
 Italy
 Sri Lanka, and many more…
Health care systems classification by
country (Contd..)
 Countries with universal public insurance system
 Workers in these countries are protected by social
insurance.
 The government generally withholds half of its pay, which
is split between the worker and the employer.
 Individuals who do not have a valid work contract and/or
can not file as unemployed can be disqualified for free
health care:
 UAE
 China
 Russia
 Japan
 Qatar, and many more…
Health care systems classification by
country (Contd..)
 Countries with universal public-private
insurance system
 Some citizens receive healthcare from primary private
insurance in this scheme, although people who are
ineligible for it are from the government:
 Chile
 Cyprus
 Mexico
 Turkey
 Peru, and many more…
Health care systems classification by
country (Contd..)
 Countries with universal private health
insurance system
 Via mandated private insurance, typically subsidised
by the government for low-income residents,
individuals receive healthcare in this system:
 Germany
 Israel
 Netherlends
 Switzerlands
 Liechtenstein
Health care systems classification by
country (Contd..)
 Countries with non-universal insurance system
 Some residents have private health insurance, while
others are registered for free public health care, and
still others are uninsured:
 India
 Egypt
 Bangladesh
 Kenya
 Tanzania, and many more…
Conclusion
 With different economic, geographic, and political
domestic situations, it is unrealistic to expect one
approach to health care to work for all countries.
More important than one system, however, is a
universal goal: to provide quality health care to the
maximum number of people at an affordable price.
References
 Health care systems by country – Wikipedia
 Health systems around the world - a comparison of
existing health system rankings - PubMed (nih.gov)
 How Health Care Works Around the World |
World101 (cfr.org)
 The countries with the best value healthcare in the
world revealed | lovemoney.com
 THANK YOU 

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Health systems around the world - Memoona Arshad

  • 1. HEALTH SYSTEMS AROUND THE WORLD Memoona Arshad (Group 11)
  • 2. Background  Due to the various combinations of components that can be used for their establishment, current health systems all over the world are different.  For several years, the ranking of health systems, particularly the issue of results, has been a focal point.  The World Health Organization (WHO) conducted a ranking in 2000 to compare the success of member countries' health systems.  Since then, other health-care system rankings have been conducted, and it has become a subject of public debate.  The criteria used for both of these rankings is a point of dispute, since there is no gold standard.  This analysis therefore focuses on reviewing the methodologies of each of the current performance rankings of the health system in order to determine their reproducibility and accountability.
  • 3. Methods  A search was carried out to classify current rankings for the health system, and a questionnaire was created to compare methodologies based on the following indicators:  General knowledge  Methods for statistics  Data  The indicators.  Nine overall rankings were established, while six concentrated instead on population health calculation without any financial aspect and were therefore omitted.  Finally, for this study, three health system rankings were selected: "Health Services: Improving Performance" by the WHO, "Mirror, Mirror on the wall: How the US Health Care System's Performance Internationally Compares" by the Commonwealth Fund and "Bloomberg's Most Effective Health Care."
  • 4. Results  Following the completion of the comparison of the rankings by awarding scores based on the metrics, the WHO ranking was deemed the most rigorous in terms of reproducibility and transparency of the methodology.
  • 5. Universal Health Coverage: A global goal  More people have gained access to essential health services such as immunization, HIV antiretroviral care, family planning, and malaria-prevention bed nets in the last decade. This is promising news, but development has been uneven: there are significant differences in service availability not only between countries, but also within them. Half the world's population can't afford the care it needs to stay safe on any given day.  According to experts, the most successful way to improve health outcomes is to ensure that people have access to high-quality health care. Universal health coverage (UHC) refers to everyone's right to see a doctor for medical treatment or when they become ill, and then be able to pay for it. Governmental organizations such as the United Nations, the World Health Organization, and the World Bank are encouraging countries to implement UHC by 2030, with the UN Sustainable Development Goals having a concrete deadline to reach UHC.
  • 6. There is no one-size-fits-all solution.  Health-care programs vary tremendously across the world.  Countries follow multiple schemes, with varying levels of government and private sector participation, to provide their people with health care.  The most critical outcome is that the programs are available—and that people can afford them.  It is possible to gather the spectrum of forms in which health care is provided around the world into four general categories, from comprehensive coverage under fully funded national schemes to no coverage at all, forcing people to pay out of pocket for health care.
  • 7. Types of Universal Health Care System  There are multiple systems for Universal Health Care System  Stay with me to understand the types:
  • 8. Universal coverage with single-payer system  A national health-care plan that is entirely funded by the government, the so-called single payer, protects everybody.  The government also provides treatment through public hospitals and clinics in countries with socialized health care, such as Cuba and the United Kingdom.  Doctors are not government workers in single-payer schemes like Canada's.
  • 9. Universal coverage with multi-payer system  For high-income individuals, a national health care system run by competing insurers typically coexists with a private insurance alternative. Via legislation and direct negotiation with pharmaceutical firms, governments keep costs down.  People are expected to provide health insurance, which is largely publicly supported, in countries like France, Germany, and Switzerland.  People in Singapore have the option of paying more for better, more personalized service.
  • 10. Multi-payer system with no universal coverage  There is a combination of health-care services, but health care is not mandatory. The government, which has given rise to advanced medical technologies along with high prices and no guarantee of health coverage, gives more autonomy to private insurance firms.  The United States is the only example of this scheme, through which individuals can provide private insurance through their employers, be covered by single-payer Medicare if they are 65 or older, be covered by government-funded Medicaid if they have a disability or earn less than a certain amount, receive socialised coverage through the Veterans Health Administration if they have served in the military; and seek private insurance through their employers.
  • 11. No national health-care infrastructure (fully out of pocket)  The fact that much of the developing world lacks a national health-care system is a significant fourth reality.  The government of an average low-income nation spends $23 per person on health, compared to the United States, which spends $3,860, and the United Kingdom, which spends $2,695.  Health care is funded minimally, or not at all: There may be restricted access to hospitals, vaccines, and drugs.  Aid agencies fill in the gaps from time to time, but a substantial majority of global health support today is aimed at acute illnesses rather than comprehensive or preventive treatment.
  • 12. Top 5 Countries with the best Healthcare System  Japan  According to the World Bank, Japan has one of the highest life expectancies in the world at 84 years and the country is widely recognized as having one of the world's best healthcare systems.  Every Japanese citizen is required to take out health insurance, but this is paid largely by the government, depending on the means, with the remaining 10-30 percent paid by the individual.  Health insurance providers are forbidden from making a profit, resulting in a scheme that is less costly and more effective for people. Overall, residents pay out-of-pocket for just 12.8 percent of medical expenses.
  • 13. Top 5 Countries with the best Healthcare System (Contd..)  Netherlands  Healthcare is of high quality and readily available in the Netherlands.  The government regulates the scheme, but consumers are forced to buy health insurance from private entities, resulting in just 11% of all healthcare expenses being charged out of pocket.  The corona virus death rate in the country is 5,168, much lower than in many European countries.
  • 14. Top 5 Countries with the best Healthcare System (Contd..)  Norway  Norway has a decentralized healthcare system in which local governments are responsible for the provision of care.  Residents pay for care, including GP appointments, up to a value of 2,000 Krone ($204/£163) per year, in which they are eligible for an exemption card that allows them to obtain free treatment.  Given this, people pay just 14.2 percent of total healthcare spending directly out of pocket.
  • 15. Top 5 Countries with the best Healthcare System (Contd..)  France  French people pay the least out-of-pocket for healthcare out of all the countries on our list, at just 9.4 percent of overall spending.  However, the French government spends 9.3% of its GDP on healthcare, which is higher than many other OECD countries, such as Canada (7.5%) and the United Kingdom (7.5%), although it remains slightly lower than the US government (14.3 percent ).  "However, France's reaction to corona virus has been questioned, with President Emmanuel Macron admitting in a recent TV address to the nation: "Were we ready for this crisis? Not acceptable on the face of it.  Yet we've coped. At 25,201 as of 5 May, the country's COVID- 19 death toll is high.
  • 16. Top 5 Countries with the best Healthcare System (Contd..)  Denmark  The publicly funded healthcare system in Denmark is primarily managed by each of its five regional governments, although some specialized services are managed nationally.  Just 13.7 percent of its total expenditure on healthcare is out-of-pocket, while it ranks eighth on the Legatum Prosperity Index, placing it in fourth position overall in terms of value.  During the corona virus pandemic, the world went into lockdown early on, and as a result the health service was not overloaded and controls were able to be loosened.
  • 17. Health care systems classification by country  Countries with universal government-funded health system  Government-funded healthcare is accessible to all people of this system (also known as single-payer healthcare), irrespective of their income or job status.  Non-citizen nationals may be eligible for healthcare in some countries, while others may require them to purchase private insurance:  USA  Australia  Bahrain  Italy  Sri Lanka, and many more…
  • 18. Health care systems classification by country (Contd..)  Countries with universal public insurance system  Workers in these countries are protected by social insurance.  The government generally withholds half of its pay, which is split between the worker and the employer.  Individuals who do not have a valid work contract and/or can not file as unemployed can be disqualified for free health care:  UAE  China  Russia  Japan  Qatar, and many more…
  • 19. Health care systems classification by country (Contd..)  Countries with universal public-private insurance system  Some citizens receive healthcare from primary private insurance in this scheme, although people who are ineligible for it are from the government:  Chile  Cyprus  Mexico  Turkey  Peru, and many more…
  • 20. Health care systems classification by country (Contd..)  Countries with universal private health insurance system  Via mandated private insurance, typically subsidised by the government for low-income residents, individuals receive healthcare in this system:  Germany  Israel  Netherlends  Switzerlands  Liechtenstein
  • 21. Health care systems classification by country (Contd..)  Countries with non-universal insurance system  Some residents have private health insurance, while others are registered for free public health care, and still others are uninsured:  India  Egypt  Bangladesh  Kenya  Tanzania, and many more…
  • 22. Conclusion  With different economic, geographic, and political domestic situations, it is unrealistic to expect one approach to health care to work for all countries. More important than one system, however, is a universal goal: to provide quality health care to the maximum number of people at an affordable price.
  • 23. References  Health care systems by country – Wikipedia  Health systems around the world - a comparison of existing health system rankings - PubMed (nih.gov)  How Health Care Works Around the World | World101 (cfr.org)  The countries with the best value healthcare in the world revealed | lovemoney.com