FORUM 3
Organised by Organisation for Economic Cooperation and Development (OECD)
Sponsored by an unrestricted educational grant from MSD
The path to sustainable health systems: creating and sustaining the fiscal space
Demand for health care is expected to increase in the coming decades, due to growing health needs and expectations as well as technological advances. Spending an increasing share of national revenue for health is efficient as long as value derived from health care consumption is higher than value derived from the consumption of other goods and services. Countries are faced with a simultaneous need to secure, and in some cases expand, the fiscal base to finance healthcare whilst ensuring that any additional money invested in health care is well spent and does not crowd out other, potentially more valuable, investments of public funds.
The Organisation for Economic Cooperation and Development is presenting two sessions at this year’s European Health Forum Gastein looking at how to build sustainable health systems. The first session addresses protecting and expanding the fiscal space for high quality healthcare. The second session looks at ensuring quality and value for money in the context of an increasing burden of chronic disease and multiple comorbidity in European populations.
Health systems’ responses to the economic crisis in Europe
P Mladovsky, Research Fellow, European Observatory on Health Systems
Fiscal sustainability and competing insurance: the Dutch case
P Jeurissen, Special Advisor, Ministry of Health, The Netherlands
New methods of payment to control costs: the Estonian health insurance system
T Habicht, Head of Department of Health Care, Estonian health insurance fund
Projecting future health spending in the United Kingdom: Wanless revisted
A Charlesworth, Chief Economist, the Nuffield Trust, UK
Future fiscal sustainability of health systems: the roles of Ministries of Finance
M Borowitz, Senior Policy Analyst, Health Division, OECD
Chaired by
H Kluge, Director, Division of Health Systems and Public Health, WHO Regional Office for Europe
Rapporteur
I Forde, Policy Analyst, Health Division, OECD