Comparative Analysis of Global Health Care Systems

1. Variation in health care systemsClick to Continue

2. Health care systems vary enormously in the ways in which they are funded and organized. National health care system

3. Health care systems vary enormously in the ways in which they are funded and organized. • Funding sources can generally be described in terms of general taxation, social insurance, private insurance and out of pocket expenses. Social insurance General taxation National health care system Private insurance Out of pocket

4. Health care systems vary significantly in the way in which they are funded and organized. • Funding sources can generally be described in terms of general taxation, social insurance, private insurance and out of pocket expenses. • The proportion of national expenditure on health – and its financial value also vary widely Social insurance General taxation National health care system Private insurance Out of pocket

5. Care may be provided by a complex mixture of state, private and charity agencies including physicians working privately or under contract to other providers. • Different structures may exist for different levels of provision. • Sub-national organization of health care can also lead to regional variations in levels of service. State hospitals Charity hospitals National health care system Private hospitals Contract physicians

6. UK • General taxation provides 83% funding, allowing free access at point of use through state hospitals and contracted general practitioners. • Out of pocket fees cover prescription medicines and dentistry. • Private insurance allows 11% to obtain treatment more quickly and with a wider range of providers, including private hospitals. General taxation 83% State hospitals Social insurance 8.3% GDP Contract physicians $2546pp Private insurance 11% Out of pocket Private hospitals

7. USA • Overall, the world’s most costly system. 60% funding is via private health insurance, esp. employment-related schemes, for access to a range of mainly private providers. • State funded social insurance schemes cover certain groups such as the elderly. • A significant minority (15%) remain without any health insurance cover. General taxation State hospitals Social insurance Charity services 15.3% GDP $6102pp Private insurance 60% Private physicians Uninsured 15% Out of pocket 9% Private hospitals

8. Turkey • Turkey has a complex system with multiple social insurance schemes. Some facilities are only available to members of specific schemes. Overall health spending is low. • Private insurance is growing rapidly, including access to private facilities. • Out of pockets expenses remain high and a minority are without any form of insurance. General taxation 40% Social insurance 31% State hospitals Charity services 7.7% GDP $580pp Uninsured 15% Private insurance provison Out of pocket 28%

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