Hdl Handle:
http://hdl.handle.net/10147/301734
Title:
Social health insurance: Options for Ireland
Authors:
Thomas, Stephen; Normand, Charles; Smith, Samantha
Affiliation:
University of Dublin Trinity College (TCD)
Publisher:
University of Dublin Trinity College (TCD)
Issue Date:
Nov-2006
URI:
http://hdl.handle.net/10147/301734
Additional Links:
http://www.adelaide.ie/cms/cms/uploads/files/full_report.pdf
Item Type:
Report
Language:
en
Description:
There are problems that can be largely solved by universal social health insurance (SHI), problems where SHI can provide a facilitating environment, and problems where SHI is unlikely to make much difference. To understand the potential of SHI to improve the performance of the Irish health system we need to be clear about the current problems and how these would be alleviated by changes to the main system of financing health services. The potential benefits of SHI are: • increased resources by increasing transparency and thus the acceptability to the population of increased payments; • improved performance of the system reforms in the payment systems and related incentives can result in better access and efficiency; • greater stability in financing – since decisions are removed from the general government budget process; Nevertheless, SHI also brings with it risks, including potentially higher transaction costs (due to the parallel structures of taxation and social insurance), inequities (resulting form contribution systems that may be less progressive than taxation) and harmful macroeconomic effects if the burden of contributions falls too heavily on the employed. Consequently, introducing SHI only makes sense if the problems in the system include insufficient funding, poor performance, low public acceptability of the funding system and inappropriate incentives to providers.
Keywords:
HEALTH INSURANCE

Full metadata record

DC FieldValue Language
dc.contributor.authorThomas, Stephenen_GB
dc.contributor.authorNormand, Charlesen_GB
dc.contributor.authorSmith, Samanthaen_GB
dc.date.accessioned2013-09-17T15:27:09Z-
dc.date.available2013-09-17T15:27:09Z-
dc.date.issued2006-11-
dc.identifier.urihttp://hdl.handle.net/10147/301734-
dc.descriptionThere are problems that can be largely solved by universal social health insurance (SHI), problems where SHI can provide a facilitating environment, and problems where SHI is unlikely to make much difference. To understand the potential of SHI to improve the performance of the Irish health system we need to be clear about the current problems and how these would be alleviated by changes to the main system of financing health services. The potential benefits of SHI are: • increased resources by increasing transparency and thus the acceptability to the population of increased payments; • improved performance of the system reforms in the payment systems and related incentives can result in better access and efficiency; • greater stability in financing – since decisions are removed from the general government budget process; Nevertheless, SHI also brings with it risks, including potentially higher transaction costs (due to the parallel structures of taxation and social insurance), inequities (resulting form contribution systems that may be less progressive than taxation) and harmful macroeconomic effects if the burden of contributions falls too heavily on the employed. Consequently, introducing SHI only makes sense if the problems in the system include insufficient funding, poor performance, low public acceptability of the funding system and inappropriate incentives to providers.en_GB
dc.language.isoenen
dc.publisherUniversity of Dublin Trinity College (TCD)en_GB
dc.relation.urlhttp://www.adelaide.ie/cms/cms/uploads/files/full_report.pdfen_GB
dc.subjectHEALTH INSURANCEen_GB
dc.titleSocial health insurance: Options for Irelanden_GB
dc.typeReporten
dc.contributor.departmentUniversity of Dublin Trinity College (TCD)en_GB
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