The public healthcare system in Romania has been declining during the past decade: underfunded, lacking solid infrastructure and thus unable to keep professional medical staff in the country. At the heart of reform in the years to come will be a shift from a system nourished largely by...

This paper presents the findings from simulations of the introduction of publicly funded Medical Savings Accounts in the province of Ontario, Canada. The analysis exploits a unique data set linking population-based health survey information with individual-level information on all physician...

Surveys of Canadian physicians show that, on average, general/family physicians have been reducing hours of direct patient care in recent years. We currently have little understanding of how changing hours of work relate to service provision. This project examines this relationship using...

Federal Health Secretary Rösler deems a reform of the wage-related contribution system in German social health insurance (GKV) his most important project for the next 4 years. Indeed such a reform would greatly enhance competition in the GKV system. However, other topics are equally important...

Amidst demographic shifts, advanced economies are facing critical nursing shortages. This study analyzes strategies of German nursing care providers to address these shortages using administrative data for the period 2007 to 2017. Our analysis reveals that higher nursing shortages correlate with...

While a growing literature examining the relationship between income and health expenditures suggests that health care is a luxury good, this conclusion is contentiously debated due to heterogeneity of the existing results. This paper tests the luxury good hypothesis using meta-regression...

An ambitious reform to increase efficiency of the Portuguese health care system was launched in 2002. In contrast to previous attempts of gradual reforms, which were never fully implemented, the strategy has been to create a big bang in the health sector, making changes essentially irreversible....

This paper assesses the performance of the United States health system in an international context and discusses potential directions for reform. The US health system is unique among OECD countries in its heavy reliance on the private sector for both financing and delivery of health care. The...

In recent years, a series of wide-ranging reforms designed to make greater use of market mechanisms has succeeded in eliminating shortages, raising efficiency and improving citizen satisfaction. Nevertheless, spending accelerated after the reforms, and per capita spending on health is now one of...

This study presents a broad overview of health-system reforms in OECD countries over the past several decades. Reforms are assessed according to their impact on the following policy goals: ensuring access to needed health-care services; improving the <I>quality</I> of health care and its outcomes;...</i>