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Country profiles of health system responses to the crisis | Israel 413 Overhead costs: restructuring the Ministry of Health and purchasing agencies • No response reported. Provider infrastructure and capital investment • No response reported. Priority setting or protocols to change access to treatments, coordination of care and patterns of use • No response reported. Waiting times • No response reported. Health promotion and prevention • No response reported.
Italy Francesca Ferrè and Walter Ricciardi Economic trends • Italy's real per capita GDP has been below the European average throughout the crisis period and growth was negative in both 2009 and 2010; real per capita GDP returned to low levels of growth in 2011. Italy has run a budget deficit in every year, including the years prior to the crisis. • Health spending as a share of government expenditure has remained constant and above the European mean. Growth of per capita public and OOP expenditure on health were negative in 2010 but resumed positive growth in 2011 (Italy: Figs 1 and 2). Policy responses Changes to public funding for the health system • Extensive cuts to the health budget took place under the Financial Law (2011); further cuts (totalling €2.5 billion) were planned for 2012 to 2014 (2012). • The government allocated additional resources to the health sector (€1.1 million in 2010, €400 million in 2011 and €300 million in 2012) as part of an central–regional government agreement to increase funding for the NHS, long-term care and social policy and to finance investments in public sanitary infrastructure (2010). Changes to health coverage Population (entitlement) • No response reported. The benefits package • Some regions reclassified drugs covered by the NHS (de-listing, price renegotiation within regional drug reference lists and setting maximum reimbursement limits when equivalent drugs become available); the main criteria for reclassification are clinical and cost–effectiveness, disease prevalence, drug's toxicity and drug's acceptance by patients) (since 2008). • Proposed adding services to the benefits package (treatment for 110 new rare diseases, chronic obstructive pulmonary disease, chronic osteomyelitis,
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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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Austria Thomas Czypionka and Maria
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Azerbaijan Fuad Ibrahimov Economic
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Bulgaria Antoniya Dimova and Mina P
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Cyprus Elisavet Constantinou and Ma
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Czech Republic Tomáš Roubal and J
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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
Page 470 and 471: Malta Natasha Azzopardi Muscat Econ
Page 478 and 479: Montenegro Ratka Knežević Economi
Page 486 and 487: 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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