Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 1, 2017, s. 62-68
https://doi.org/10.4467/20842627OZ.17.007.6233Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 1, 2017, s. 9-19
https://doi.org/10.4467/20842627OZ.17.003.6229Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 8, Numer 1, 2010, s. 29-36
Policy-makers assign various objectives to the implementation of patient charges for public health care services. These charges impose prices on health care consumption and as such, they are expected to affect the quantities of health care service demanded, and to generate revenues. The actual ability of patient charges to achieve these objectives depends to a great extent on the patient payment mechanism implemented in a country, as well as on the health care system and context-specific factors. This paper reviews and discusses the theoretical and empirical evidence on the effectiveness of patient payment policies. The paper suggests that patient charges can be a successful policy tool for controlling the pattern of health care utilisation and improving the quality of health care provision. However, an additional condition for success is the appropriateness of the design of patient charges with respect to efficiency and equity in the public health care sector
Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 8, Numer 1, 2010, s. 1-1
The attitudes of health care system stakeholders towards official patient charges have not been studied in Ukraine although both the central and local governments have several times considered to introduce such charges. Instead, informal patient payments are widespread and wellestablished. Ukrainian patients pay either unofficially or quasi-officially (i.e. charitable contributions) to health care institutions. The reasonable solution for dealing with these types of payments would be the introduction of official patient charges. However, the legal base for such reform in Ukraine is ambiguous. The Constitution declares that health care provision is free-of-charge. Nevertheless, in our study, representatives of stakeholders groups appear keen not only on discussing official charges but are also favor their introduction. The expectations regarding the possible objectives of these charges expressed by different stakeholders are the focus of this paper.
Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 1, 2017, s. 116-124
https://doi.org/10.4467/20842627OZ.17.012.6238Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 8, Numer 1, 2010, s. 5-11
The topic of informal patient payments is rather new in policy discussions although the phenomenon has existed for decades. These payments are a threat to public health since they jeopardise efficiency, equity and quality of health care provision. Most importantly, those who cannot afford to pay might not seek or delay seeking treatment. Before attempting to deal with informal patient payments, it is necessary to understand the reasons for their existence and their role in health care provision. This could indicate the mechanisms through which these payments can be influenced by policy, as well as relevant strategies for dealing with these payments. This paper outlines a mixture of strategies as a plausible solution to informal patient payments. The successful implementation of these strategies depends on the particular setting and the overall conditions in the country (e.g. prevalence of corruption, and attitudes of health system stakeholders towards informal payments).
Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 17, Numer 3, 2019, s. 113-118
https://doi.org/10.4467/20842627OZ.19.013.11970Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 17, Numer 3, 2019, s. 131-145
https://doi.org/10.4467/20842627OZ.19.015.11972Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 17, Numer 3, 2019, s. 119-130
https://doi.org/10.4467/20842627OZ.19.014.11971Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 15, Numer 1, 2017, s. 108-115
https://doi.org/10.4467/20842627OZ.17.011.6237Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 8, Numer 1, 2010, s. 106-110
In 2006 the Netherlands commenced a major reform of its health care system. The main elements of the reform were: 1) replacement of the existing system of social health insurance for people with below average income and private health insurance for people with above average income by a universal private health insurance with the identical entitlements and contributions for all 2) the gradual introduction of elements of managed competition in hospital markets. The main aims of the reforms were to improve the so-called “public interests” in health care which were defined as quality, access, efficiency and cost containment in health care.
This paper describes the reforms that have been enacted in the Dutch health care system and evaluates the impact of these reforms on the “public interests” in health care. The health care reforms have had positive effects on most of “public interests”, though still much needs to be done e.g. development of quality standards, curbing the rapid rising costs of health care. Nevertheless, the reforms are still a work in progress, and there is still a great deal of room for further improvement in ‘public interest’ in the Dutch health care system.
Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 12 Numer 3, 2014, s. 239-247
https://doi.org/10.4467/20842627OZ.14.025.3443Wim Groot
Zdrowie Publiczne i Zarządzanie, Tom 17, Numer 3, 2019, s. 146-158
https://doi.org/10.4467/20842627OZ.19.016.11973