Wolrd Health Care Systems

Health financing

direct taxes – working population

general taxes

out-of-pocket payments – fee-for-service

private insurance

donations

investments

Croatia

● - working population - 1.493.148

● - agricultural workers - 40.647

● - retired - 1.037.643

● - family members - 1.163.716

● - other - 545.706

● - total - 4.348.014

● 12% brutto paycheck

● 3% for pensions above 5.108 kn (690 €)

● basic health insurance (universal)

● 20.530.698.738 kn

● additional health insurance

● 1.618.492.739 kn

Income

Prices

● Yellow fewer = 366 kn (50 €)

● hepatitis A (1 dose) = 512 kn (70 €)

● hepatitis B (1 dose) = 232 kn (32 €)

● Cesarian section delivery 27.500 kn (3720 €)

● Otoplasty -protruding ears 9000 kn in local or

11.000 kn in general anesthesia

● Nose surgery 14 - 18 000 kn (2435 €)

● Hip surgery 35.950 kn- 47.850 (6380 €)

Diagnostic therapeutic system

(DTS) Hemodialisys 115 €

Urine microbioogical testing 6,4 €

Papanicolaou test 5,7 €

Telemedicine consultation 3,2 €

Positron emission tomography (PET) 863,79 €

Electrocardiography (doppler) 31,15 €

In vitro fertilisation 3200 €

Magnetic resonance imaging (MRI) 427 €

Paychecks

● Intern - 4100 – 4700 640 €

● General practicioner 6000 – 7500 1000 €

● Resident – 8000 – 9500 1200 €

● Specialist – 10000 – 12000 1700 €

● Research fellow 5500 – 5700 780 €

● Associate prof. - 8000 – 9500 1200 €

● Profesor - 10000 – 12000 1700 €

China – 1.3 billion people

● Reform of health care 2005.g. (1978 – private)

● 2020 Health for all, 10% >65.g.

● Ministry of Health – Alternative medicine

● 2 000 000 doctors

● 3 layer health care – village, province, city

80/60/30 – >100 mil. without adequate care

● 5% GDP, 5 years of study

● 63,858 hospitals

India – 1.2 billion people

● 25000 doctors a year – 140 Schools

● the same number of alternative med.

● 11,200 hospitals, 27,400 clinics

● All India Institute of Medical Sciences

● 5% GDP, 70% OPP

● 40% poverty, hunger

Mexico – 111 mil. people

● 6.4 GDP, 95% state ensurance

● Taxation according to paychecks

● 40 000 do 80 000 Americans

● Medical tourism

● 1000 Private hospitals

Russia – 143 mil. people

● Highest no. of doctors per capita

● “Universal insurance"

Zimbabwe – 12 mil.

● Life expectancy 43 - 44 (HIV)

● Cholera

● Closure of 3 major hospitals