TAILIEUCHUNG - Social Health Insurance Systems In Western Europe

The social insurance of farmers is covered by section „rural development”. This section falls under the competence of the minister in charge of rural development, who, however, cooperates in matters of social insurance of farmers with the minister in charge of social security issues. Problems of employment and counteracting unemployment are covered by „labour” section, administered by the minister in charge of labour issues. „Health” section covers inter alia issues of health protection and organisation of health care, supervision over medicinal products and medical devices, treatment in health resorts and coordi- nation of the social security systems in the fi eld of health. | European Observatory on Health Systems and Policies Series Social health insurance systems in western Europe Edited by Richard B. Saltman Reinhard Busse Josep Figueras Series editors introduction European national policy makers broadly agree on the core objectives that their health care systems should pursue. The list is strikingly straightforward universal access for all citizens effective care for better health outcomes efficient use of resources high-quality services and responsiveness to patient concerns. It is a formula that resonates across the political spectrum and which in various sometimes inventive configurations has played a role in most recent European national election campaigns. Yet this clear consensus can only be observed at the abstract policy level. Once decision makers seek to translate their objectives into the nuts and bolts of health system organization common principles rapidly devolve into divergent occasionally contradictory approaches. This is of course not a new phenomenon in the health sector. Different nations with different histories cultures and political experiences have long since constructed quite different institutional arrangements for funding and delivering health care services. The diversity of health system configurations that has developed in response to broadly common objectives leads quite naturally to questions about the advantages and disadvantages inherent in different arrangements and which approach is better or even best given a particular context and set of policy priorities. These concerns have intensified over the last decade as policy makers have sought to improve health system performance through what has become a European- wide wave of health system reforms. The search for comparative advantage has triggered - in health policy as in clinical medicine - increased attention to its knowledge base and to the possibility of overcoming at least Series editors introduction xi part of existing institutional divergence .

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