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BASIC FACTS ON THE CZECH HEALTH SYSTEM

BASIC FACTS ON THE CZECH HEALTH SYSTEM. Financing Payor and provider structure Access to care. Statutory insurance - 13,5% „payroll tax“ on economically active citizens, ca 30% of sources supplied from the state budget Private spending amounts to 1 8 % of total

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BASIC FACTS ON THE CZECH HEALTH SYSTEM

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  1. BASIC FACTS ON THE CZECH HEALTH SYSTEM Financing Payor and provider structure Access to care • Statutory insurance - 13,5% „payroll tax“ on economically active citizens, ca 30% of sources supplied from the state budget • Private spending amounts to 18% of total • 7,2% of GDP translates into 1780 USD per capita (in PPP in 2008) • 9 (competing) payors (VZP has 60% of the market) • 100% of premiums subject to risk adjustment • Payors limited in their efforts to purchase care • High number of hospitals, acute hospital beds, patient-physician interactions and drug prescriptions • Most outpatient practices in private hands • Teaching hospitals managed by the central government, regional and district ones by regional governments, 10% of hospitals beds private • Low specialization of providers, provision of care fragmented • Generally very good access to physician and hospital services • Until recently very good access to some modern technologies • Some health indicators belong to the EU top, some to the bottom • Quality and accessibility of services varies between providers

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