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Health system of Serbia - European models of financing

Health system of Serbia - European models of financing. Wednesday, 2nd March, 2011, Danas Conference Center, GTC Avenija 19, Vladimira Popovića 38-40. Health System in Finland. Kari Veijalainen, Ambassador. Finland in facts. People Population : 5,4 million , 15,8 inhabitants per km2

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Health system of Serbia - European models of financing

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  1. Health system of Serbia - European models of financing Wednesday, 2nd March, 2011, Danas Conference Center, GTC Avenija 19, Vladimira Popovića 38-40

  2. Health System in Finland Kari Veijalainen, Ambassador

  3. Finland in facts People • Population: 5,4 million, 15,8 inhabitants per km2 • Life expectancy: men 76 years, women 83 years

  4. Finland in facts Society&Economy • Key feature: Highstandard of education, social security and healthcare, allfinancedby the State • GDP per capita: 32.025 Euros

  5. Chart 1. Total healthexpenditure as percent of GDP. Finland, the Nordiccountries and "OECD" average, 1970-2003. Source: OECD Reviews of Health Systems: Finland, OECD, 2005

  6. Costs of Health Care in Finland • Ministry of Social Affairs and Health: 22,8% of the totalstatebudget • Health spending in 2008 was 8.4% of GDP ( in 2003 7.4 % ); comparedwith OECD average of 8.8 % • Social securitybenefitscost 9820 euro/capita (unemploymentbenefits, oldagepension etc.)

  7. According to OECD Report Finland shouldraise: • servicelevels in itspublichealthcentresbyboostingnumbers of doctors • expanding the role of nurses, as part of a strategy to prepareitshealthsystem for the challengesposedby a fastageingpopulation and risingcosts of hospitalservices and drugs

  8. According to OECD Report • Overall, the Finnish health system performs well. • Finns are more satisfied with their healthcare than people in many other OECD countries.

  9. According to OECD Report • It is low-cost in terms of healthspending as a share of GDP (7.4% in 2003 comparedwith OECD average of 8.8%) and municipalspending on healthserviceshasbeenwellcontrolled. • Deathsfromheartattacks and strokeshavedroppedsharplyover the past 30 years and delivery of qualitymedicalcareincludeshighrates of screening for cancer, highrates of kidneytransplants as a proportion of patientswithrenalfailure, and rapidtreatment of brokenhips.

  10. According to OECD Report • The system is notperfectthough. • Thereareinequities in access to general practitionerservices - peoplewithaccess to occupationalhealthservicedoctorsseem to havehigherrates of consultationsthanthosewhorely on healthcentredoctors. • Untilrecently, manypatientsfaced long waits to see a doctor at a healthcentre and therewereextensivewaitinglists for electivesurgery. • However, the introduction of waiting-timetargetsby the government in March 2005 seems to beimprovingthesewaitingtimes.

  11. According to OECD Report The Finnishhealthsystemfacedsevere challengesincludingtechnologicalchanges.

  12. Technologicalchangesare the following: • pushingup the costs of hospitalservices and prescribedmedicines; • risingpatientexpectations; • a rate of populationageingwhichwillbemuchmorerapidthanotherEuropeancountriesbetween 2010 and 2020.

  13. According to OECD Report • Recentreforms to the systemarewelldesignedbuttheydonotgofarenough. • The OECD reportincludesover 20 recommendations for improving the system.

  14. OECD recommendationsfor improving the Health System • improve access to health centre doctors to increase equity; • regionalise or centralise the administration of hospitals to improve efficiency;

  15. OECD recommendationsfor improving the Health System • introducefinancialincentives to support the new waiting-timetargets to improveresponsiveness; • expand the role of nurses to meetingconsumerexpectations; • introducebudgets for prescribeddrugs in healthcentres and occupationalhealthservices to keepcostsundercontrol

  16. Thankyou for yourattention!

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