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Web-economic-crisis-health-systems-and-health-web

Web-economic-crisis-health-systems-and-health-web Web-economic-crisis-health-systems-and-health-web

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18.06.2015 Views

Country profiles of health system responses to the crisis | France 383 Priority setting or protocols to change access to treatments, coordination of care and patterns of use • The new Finance Law planned to achieve efficiency savings by shifting care from hospitals to primary and community care settings (2013). Incentives have been put into place to encourage hospitalization at home and day surgery. • Economic evaluations within the HTA became mandatory from October 2013 (2012). • Introduction of care pathways for chronic diseases (chronic obstructive pulmonary disease, Parkinson's disease, chronic renal failure, chronic heart failure) (2012); plans to pilot a new care pathway for older people (2013–2014). Waiting times • Introduction of a new system of accreditation for laboratory testing and volume restrictions, which may increase waiting times for diagnostic services (2009). Health promotion and prevention • New or increased taxes on tobacco, alcohol and beverages containing sugar (2011, 2012, 2013).

Georgia Tata Chanturidze Economic trends • Georgia's economy rapidly recovered from its contraction in real per capita GDP in 2009. While the size of government expenditure relative to GDP has been decreasing since 2009, health as a share of government spending has remained stable, albeit at a very low level relative to other European countries (Georgia: Fig. 1). • The majority of health spending is OOP (64.9% in 2011); OOP expenditure per capita continued to grow during the crisis until 2011 when it declined by 2.7%. In 2011 public per capita spending declined by 17.6% (Georgia: Fig. 2). Policy responses Changes to public funding for the health system • The health budget fell by 14% in 2011 through political decisions to prioritize other sectors. • The almost doubling of the health budget in 2013 reflects the social priorities of the new government. Changes to health coverage Population (entitlement) • No response reported. The benefits package • No response reported. User charges • No response reported. Changes to health service planning, purchasing and delivery Prices of medical goods • Introduction of market entry barriers and capital requirements for pharmacies (2009).

Country profiles of <strong>health</strong> system responses to the <strong>crisis</strong> | France<br />

383<br />

Priority setting or protocols to change access to treatments, coordination<br />

of care <strong>and</strong> patterns of use<br />

• The new Finance Law planned to achieve efficiency savings by shifting<br />

care from hospitals to primary <strong>and</strong> community care settings (2013).<br />

Incentives have been put into place to encourage hospitalization at home<br />

<strong>and</strong> day surgery.<br />

• Economic evaluations within the HTA became m<strong>and</strong>atory from October<br />

2013 (2012).<br />

• Introduction of care pathways for chronic diseases (chronic obstructive<br />

pulmonary disease, Parkinson's disease, chronic renal failure, chronic<br />

heart failure) (2012); plans to pilot a new care pathway for older people<br />

(2013–2014).<br />

Waiting times<br />

• Introduction of a new system of accreditation for laboratory testing <strong>and</strong><br />

volume restrictions, which may increase waiting times for diagnostic<br />

services (2009).<br />

Health promotion <strong>and</strong> prevention<br />

• New or increased taxes on tobacco, alcohol <strong>and</strong> beverages containing<br />

sugar (2011, 2012, 2013).

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