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Policies for Health Care Systems when Money is Tight

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This chapter reviews policies that have been used in OECD countries both to control health care spending and their impact on health systems objectives. On the supply side, macroeconomic policies controlling inputs or prices of health services have been widely used. Provider incentives aimed to improve efficiency are increasingly being used. On the demand side, policies have first focused on shifting costs to the private sector; they now seek to reduce the need for health care through prevention and information, and to encourage better co‐ordination of care. It explores the risks and trade‐offs of quick cost‐cutting fixes versus longer‐term gains in efficiency.

Document Type: Review Article

Publication date: October 1, 2010


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