In April 2006, Ontario instituted the Diabetes Management Incentive (DMI) that increased payments to physicians that provided high-quality diabetes care. Did the incentive improve payments quality? According to a paper by Kantarevic and Kralj (2012), it turns out that the answer is yes, but the magnitude of the change depends on the type of physician. [...]
Read the rest of this entry »Archive for the 'Health Care Around the World' Category
Healthcare Outsourcing in the UK
Many liberals laud Europe’s government-run health care sectors as a model to emulate. In particular, Great Britain’s National Health Service (NHS) often is seen as the ideal single payer system. In reality, however, the British government itself does not supply all services. A study from the Public Services International Research Unit (PSIRU) describes the gradual [...]
Read the rest of this entry »Capitalism and Russia’s Alcohol Problem
It turns out that capitalism was not the cause of Russia’s current (largely alcohol-related) mortality crisis. From an NBER working paper by Bhattacharya, Gathmann, and Miller (2012): Political and economic transition is often blamed for Russia’s 40% surge in deaths between 1990 and 1994. Highlighting that increases in mortality occurred primarily among alcohol-related causes and [...]
Read the rest of this entry »Hepatitis C Around the World
The global burden of the hepatitis C virus (HCV) is distressing. “[A]n estimated 130–170 million persons (2%–3% of the world’s population) are living with hepatitis C virus (HCV) infection [1]. This infection, particularly in its chronic form, is associated with sizable morbidity and mortality. More than 350 000 deaths are attributed to HCV infection each [...]
Read the rest of this entry »Healthcare Spending in Indonesia
A recent J Health Econ paper describes the changes to the system of public health financing in Indonesia. Today, I review this article. Public Health Expenditures in Indonesia In the Suharto Regime, district health offices implemented centrally determined policies, and “a large network of public health clinics (puskesmas) was set up to deliver primary outpatient [...]
Read the rest of this entry »Good News in the Fight Against HIV
Almost one in five South Africans have HIV. South Africa is the country with the most individuals living with HIV (5.6 million); it also has the most HIV deaths annually (310,000). Despite these grim facts, there is some good news. The Economist reports: “Although the number of South Africans living with the disease continues to [...]
Read the rest of this entry »Spain: Modernist Architecture, Economic Crisis, and Hospital Cuts
One stop on my vacation was Barcelona, Spain. Barcelona is well known for amazing architecture, in particular by Antoni Gaudí. One other modernist site I visited was El Hospital de Sant Pau. Designed by Lluís Domènech i Montaner, the hospital is a World Heritage Site. Altough part of the hositpal is being converted into a museum, other parts [...]
Read the rest of this entry »Why are more than 35 percent of elderly Swedes on disability?
“The proportion of men collecting disability benefits at older ages varies greatly across countries — for example, more than 35 percent of 64-year-old men in Sweden and more than 25 percent of those in the Netherlands are on DI, versus 10 percent or less in Belgium, Italy, and Spain. Does this reflect differences in the [...]
Read the rest of this entry »International Healthcare Models: Sweden, Norway and Finland
Here is my earlier review on Norway. The information below on Sweden and Finland has not yet been presented before in my blog. SWEDEN Hospitals There are 4 types of medical facilities: local health centers, county level hospitals, district level hospitals, and regional teaching hospitals. Local health centers are staffed by GPs, nurses, midwives, occupational therapists, [...]
Read the rest of this entry »International Healthcare Models: Germany
Here is my previous review of the German healthcare system. Below is the some additional information on medical care in France based on the book by William Roth. Funding and Insurance An individual joins a sickness funds to receive medical coverage. The sickness funds cover 90% of the population and the remaining 10% uses private insurance. [...]
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