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7th European Health Forum, Gastein, 7th October 2004

Is there a need for an increased role in private financing in European Health Systems? The changing role for individuals in health financing. 7th European Health Forum, Gastein, 7th October 2004 Michael Kelly,Secretary General, Department of Health and Children, Ireland. Ireland : Some Facts.

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7th European Health Forum, Gastein, 7th October 2004

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  1. Is there a need for an increased role in private financing in European Health Systems? The changing role for individuals in health financing. 7th European Health Forum, Gastein, 7th October 2004 Michael Kelly,Secretary General, Department of Health and Children, Ireland

  2. Ireland : Some Facts • Population 4 million • Health Budget 10 billion • Employees 100,000 • GMS 30% Population • PHI 50% Population

  3. Dept of Health & Children Chief Executive Officer Secretary General Director of HIQA Board of HSE Board of HIQA Formal accountability Ongoing liaison Minister for Health and Children Regional Directors of the Primary, community and continuing care pillar Director of the National Shared Services Centre Director of the National Hospitals Office The Restructured Irish Health System

  4. National Treatment Purchase Fund - Progress • 2002 – 1920 people treated • 2003 – 9752 people treated • 2004 – 19,000 treated & off waiting list to end Sept – target of 12,000 for 2004 will be exceeded • 80% now wait < 12 months (80% waited > 12 months at outset) • 37% wait 3 – 6 mths and 43% wait 6 – 12 mths • Longest waiters have been treated • Patient Satisfaction rate of 96 - 98%

  5. Why Public Private Partnerships (PPPs)? • Accelerated delivery of priority economic infrastructure • Value for money over life time of the project • Quality public services

  6. Private Health Insurance in IrelandThree Pillars of Current System • Community Rating • Non discriminatory • Premium rates not linked to risk factors • Open Enrolment • Cover must be offered to all • Lifetime cover • Continuity of cover irrespective of onset of illness or claims record

  7. Social Determinants and the Role of the Individual The Determinants of Health

  8. Conclusion • There is every reason to consider increased Private Financing • Individuals can play an increasing role in funding health care • If they have all the information they need for informed decision making • We need to ensure equity is respected

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