Prague Economic Papers 2008, 17(1):54-73 | DOI: 10.18267/j.pep.319

Financing the health care in the czech republic: some comparisons with austria

Marie Vavrejnová1, Herta M. Rack2
1 Economics Institute of the Academy of Sciences of the Czech Republic, Prague (marie.vavrejnova@cerge.cuni.cz).
2 Federal Ministry of Health, Family and Youth, Austria.

This paper presents an insight into problems of financing the greatest part of public services for the population - the health care. The situation in this field in two nearby countries - the Czech Republic and Austria is compared.

The health status of the population and the health care bases in both countries are on a high level, and the Czech situation is approaching the somewhat better situation in Austria. The main problem in the both countries is the lack of financial resources for covering the increasing needs in health care services and medicaments. Therefore, the new ways how to balance the deficit of the system both on the revenue and expenditure sides are to be found. The reforms of the system should serve this goal. From the point of view of financial sources for health care a similar model is used in Austria and the Czech Republic, some modifications of it result from different historical development and from different economical level. These modifications and differences, together with the role of the state, insurance funds and direct payments of the population, are described in this paper. The causes of discrepancies between sources of finance and expenditures on the health care are discussed. Reforming the health care system is a long-term task. From this point of view the Austrian reform measures were prepared very well, with the needed advance before introducing them and it can serve as an example for preparation of the Czech reform. Nevertheless, many questions how to improve the financing of the health care for the benefit of patients remain still without answer and they are the matter of further research and discussions in many European countries.

Keywords: international comparison, health care financing, resources of finance, reform measures
JEL classification: I10, I18, I31

Published: January 1, 2008  Show citation

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Vavrejnová, M., & Rack, H.M. (2008). Financing the health care in the czech republic: some comparisons with austria. Prague Economic Papers17(1), 54-73. doi: 10.18267/j.pep.319
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References

  1. Berichte über die soziale Lage 1997, 1998, 1999, 2002, 2003. Wien : Ministerium für Arbeit, Gesundheit und Soziales.
  2. Sborník textů k otázkám zdravotnictví (2001), č. 9. Praha : Centrum pro ekonomiku a politiku [Centrum for Economics and Politics, collection of scripts on health care, No. 9/2001].
  3. Czech Health Statistics Yearbooks 1999 - 2004. Prague : ÚZIS.
  4. Durdisová, J. (2001), Úvod do teorie zdravotní politiky. Praha : Vysoká škola ekonomická.
  5. Der Donauraum (2005), "Gesundheitsreformen in Mittel- und Osteuropa, Nr. 2.
  6. Guger A., Marterbauer M., Walterskirchen E. (2006), "Finanzierung des öffentlichen Gesundheitswesens". WIFO Monatsberichte, Nr. 7.
  7. Gesundheit und Krankheit in Österreich, Gesundheitsbericht (2004). Wien : Österreichisches Bundesinstitut für Gesundheitswesen.
  8. Health Care and Health Services in the Czech Republic 2001. Prague : Institut of Health Information and Statistics of the Czech Republic.
  9. Hofmarcher, M. M., Rack, H. M. (2006), "Austria: Health system review". Health Systems in Transition, 8 (3), pp. 1-247.
  10. Jahrbuch der Gesundheitsstatistik 2003, 2004.
  11. OECD (2005), Health at a Glance. OECD Indicators 2005.
  12. OECD, Health data 2006.
  13. OECD (2003), "Health Systems: Making them Fitter". Observer, July.
  14. Social Protection Systems in Austria, Health Care (2003). Vienna : Federal Ministry of Social Security, Generations and Consumer Protection.
  15. Stabilizace a reforma českého zdravotnictví (2007). Praha : Ministerstvo zdravotnictví ČR, www.mzd.cz [Stabilization and Reform of the Czech Health Care].
  16. Streissler, A. (2004), Das Oesterreichische Gesundheitswesen. Eine oekonomische Analyse aus interessenpolitischer Sicht. Wien : Kammer für Arbeiter und Angestellte für Wien.
  17. Vavrejnová, M. (2005), "Z kapes pacientů: ano či ne, kolik…". Zdravotnické noviny, č. 19 [From the Pockets of Patients: Yes or Not, How Much&hellip].
  18. Vepřek, J., Vepřek, P., Janda, J. (2002), Zpráva o léčení českého zdravotnictví aneb Zdravotnická reforma včera, dnes a zítra. Praha : Avicenum [Report about the Treatment of the Czech Health Care]. www.kulatystul.cz.
  19. Zdravotnictví České republiky 2006 ve statistických údajích. Praha : ÚZIS [Health Care of the Czech Republic in Statistical Data].
  20. Zdravotnictví jako součást národní ekonomiky 2005. www.uzis.cz [Health care as a part of National economy 2005].

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