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

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18.06.2015 Views

Malta Natasha Azzopardi Muscat Economic trends • Malta's real per capita GDP growth slowed in 2009; however by 2011, economic growth was below the European mean. • Unemployment rates have not changed significantly during the 2008 to 2011 period. • Health spending as a share of the government budget has increased since 2008. There was a slowdown in growth of OOP expenditure in 2009 (Malta: Figs 1 and 2). Policy responses Changes to public funding for the health system • The health budget continued to increase between 2008 and 2012. Changes to health coverage Population (entitlement) • No response reported. The benefits package • Services added to the benefits package based on HTA (e.g. deep brain stimulation 2010, new cancer medicines 2009 onwards). User charges • No response reported. Changes to health service planning, purchasing and delivery Prices of medical goods • A legal framework established to set a maximum reference price at the time of deciding to include a drug in the formulary (2009). Salaries and motivation of health sector workers • No cuts reported. Salary increases negotiated for health care workers in 2012–2013.

438 Economic crisis, health systems and health in Europe: country experience % Malta: Fig. 1 Economic and fiscal indicators 2000–2007 and 2008–2011 60 55 50 45 40 35 30 25 20 15 10 5 0 −5 −10 −15 −20 −25 −30 _ _ _ _ ● ● _ _ _ _ _ _ _ _ ● _ ● ● _ _ Real GDP per capita growth _ _ ● ● _ _ _ _ _ _ _ ● ● ● _ _ _ Deficit/surplus (% GDP) _ _ _ _ _ _ _ _ _ _ ● ● _ _ _ ● _ ● _ ● _ _ _ _ _ Government spending (% GDP) _ _ _ _ _ ● ● ● ● ● _ _ _ _ _ Government health spending (% total government spending) _ _ _ _ _ _ _ ● _ ● ● ● ● _ _ _ 10−year bond rates _ _ _ _ _ _ _ _ _ ● ● ● ● ● _ _ _ _ _ Unemployment rate Notes: Deficit/surplus: Eurostat; 10-year bond rates: European Central Bank; Other indicators: WHO Health for All. Year 2000−2007 2008 2009 2010 2011 Malta: Fig. 2 Trends in per capita spending on health, 2000–2011 1500 Public spending per capita OOP spending per capita Non−OOP private spending per capita Per capita spending $, PPP 1000 500 0 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 50 Growth % 0 −50 −100 20 Growth % 15 10 5 0 −5 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Public spending per capita growth OOP spending per capita growth Note: Spending calculated from WHO Health for All. Non−OOP private spending per capita growth

Malta<br />

Natasha Azzopardi Muscat<br />

Economic trends<br />

• Malta's real per capita GDP growth slowed in 2009; however by 2011,<br />

<strong>economic</strong> growth was below the European mean.<br />

• Unemployment rates have not changed significantly during the 2008 to<br />

2011 period.<br />

• Health spending as a share of the government budget has increased since<br />

2008. There was a slowdown in growth of OOP expenditure in 2009<br />

(Malta: Figs 1 <strong>and</strong> 2).<br />

Policy responses<br />

Changes to public funding for the <strong>health</strong> system<br />

• The <strong>health</strong> budget continued to increase between 2008 <strong>and</strong> 2012.<br />

Changes to <strong>health</strong> coverage<br />

Population (entitlement)<br />

• No response reported.<br />

The benefits package<br />

• Services added to the benefits package based on HTA (e.g. deep brain<br />

stimulation 2010, new cancer medicines 2009 onwards).<br />

User charges<br />

• No response reported.<br />

Changes to <strong>health</strong> service planning, purchasing <strong>and</strong> delivery<br />

Prices of medical goods<br />

• A legal framework established to set a maximum reference price at the time of<br />

deciding to include a drug in the formulary (2009).<br />

Salaries <strong>and</strong> motivation of <strong>health</strong> sector workers<br />

• No cuts reported. Salary increases negotiated for <strong>health</strong> care workers in<br />

2012–2013.

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