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Country profiles of health system responses to the crisis | Finland 377 • Annual deductible for outpatient prescription drugs reduced from €700.92 to €670, after which patients pay €1.50 per prescription (2013). • Reduction of the outpatient prescription drug reimbursement rate from 42% to 35% and from 72% to 65% (2013). • Reimbursement of private treatment changed from a percentage-based system to a flat rate (2013). • Co-payments for travel costs increased from €9.25 to €14.25 per trip (2013). • Annual cap on OOP travel costs increased from €157.25 to €242.25 (2013). • Plans for a new annual deductible of €50 for outpatient prescription drugs for adults from 2015. Changes to health service planning, purchasing and delivery Prices of medical goods • Reduction of maximum wholesale drug prices by 5% (2013). Salaries and motivation of health sector workers • No response reported. Payment to providers • Introduction of vouchers for health services to mitigate public sector pressures and increase freedom of choice for services users (2011); vouchers used by 27 municipalities while 32 plan to expand or introduce them. Overhead costs: restructuring the Ministry of Health and purchasing agencies • The government plans to drastically increase the size of municipalities (which have the responsibility to fund and organize services). The plan was originally announced in 2005 as the Paras-project (Project to Restructure Local Government and Services). Among other things this is anticipated to increase financial stability and efficiency of services. Provider infrastructure and capital investment • Reduction of the number of municipalities from 432 to 336 between 2005 and 2011 through restructuring and mergers, in order to increase pooling of resources. Priority setting or protocols to change access to treatments, coordination of care and patterns of use • No response reported.
378 Economic crisis, health systems and health in Europe: country experience Waiting times • The new Health Care Law increases patient choice of provider, which is expected to lower waiting times (2011). Health promotion and prevention • No response reported.
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Economic crisis, health systems and
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The European Observatory on Health
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Keywords: DELIVERY OF HEALTH CARE E
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vi Economic crisis, health systems
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viii Economic crisis, health system
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List of abbreviations ACS Health in
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List of tables and figures Tables P
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xiv Economic crisis, health systems
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xvi Economic crisis, health systems
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xviii Economic crisis, health syste
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xx Economic crisis, health systems
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xxii Economic crisis, health system
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xxiv Economic crisis, health system
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xxvi Economic crisis, health system
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Acknowledgements This book represen
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Preface This book maps health polic
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Part I Country case studies
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4 Economic crisis, health systems a
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10 Economic crisis, health systems
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Chapter 4 The impact of the crisis
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Chapter 4 | The impact of the crisi
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Albania Genc Burazeri and Enver Ros
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Country profiles of health system r
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Page 362 and 363: Austria Thomas Czypionka and Maria
Page 366 and 367: Azerbaijan Fuad Ibrahimov Economic
Page 382 and 383: Bulgaria Antoniya Dimova and Mina P
Page 390 and 391: Cyprus Elisavet Constantinou and Ma
Page 394 and 395: Czech Republic Tomáš Roubal and J
Page 404 and 405: Estonia Triin Habicht and Mall Lein
Page 408 and 409: Finland Jan Klavus and Lauri Vuoren
Page 412 and 413: France Karine Chevreul, Karen Berg
Page 420 and 421: Germany Klaus-Dirk Henke and Wilm Q
Page 434 and 435: Iceland Sigrún Gunnarsdóttir and
Page 438 and 439: Ireland Anne Nolan and Steve Thomas
Page 444 and 445: Israel Bruce Rosen and Amir Shmueli
Page 452 and 453: Kazakhstan Ninel Kadyrova and Tata
Page 458 and 459: Latvia Uldis Mitenbergs and Maris T
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Malta Natasha Azzopardi Muscat Econ
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Montenegro Ratka Knežević Economi
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Norway Anne Karin Lindahl and Jon M
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The Russian Federation Elena Potapc
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Serbia Vukasin Radulovic Economic t
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Spain Enrique Bernal-Delgado, Sandr
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Switzerland Alberto Holly and Phili
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Tajikistan Ghafur Khodjamurodov Eco
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Ukraine Valeria Lekhan and Mariia T
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