Cristin-resultat-ID: 1898791
Sist endret: 3. januar 2022, 15:17
Resultat
Vitenskapelig Kapittel/Artikkel/Konferanseartikkel
2021

The Economic Sustainability of the Norwegian Healthcare System

Bidragsytere:
  • Eline Aas
  • Tor Iversen og
  • Oddvar Martin Kaarbøe

Bok

The Sustainability of Health Care Systems in Europe
ISBN:
  • 978-1-83909-499-6

Utgiver

Emerald Group Publishing Limited
NVI-nivå 1

Serie

Contributions to economic analysis
ISSN 0573-8555

Om resultatet

Vitenskapelig Kapittel/Artikkel/Konferanseartikkel
Publiseringsår: 2021
Hefte: 295
Sider: 81 - 101
ISBN:
  • 978-1-83909-499-6

Klassifisering

Fagfelt (NPI)

Fagfelt: Økonomisk-administrative fag
- Fagområde: Samfunnsvitenskap

Beskrivelse Beskrivelse

Tittel

The Economic Sustainability of the Norwegian Healthcare System

Sammendrag

The Norwegian health care system is semi-decentralized. Primary care and long-term care (LTC) are the responsibilities of the municipalities. Specialist care is the responsibility of the central government and is organised through four Regional Health Authorities (RHA). Resource use, health outcomes and severity are the three main pillars for priority setting, regularly applied in reimbursement decisions for pharmaceuticals. The sustainability of health care is challenged in Norway. The main factors are a growing elderly population with high need of complex, coordinated services, an increasing demand for newly approved drugs and advanced technology and a potential shortage of health care personnel. We present recent trials and policy reforms in Norway aimed at improving care pathways combined with cost containment. Reforms in the pharmaceutical market, both with regard to market access and reimbursement(cost-effectiveness), and regulation of prices, have resulted in cost containment. The primary care sector awaits reform initiatives to recruit and retain physicians as general practitioners. No reform in the hospital sector has had cost containment as a main focus. The sector is characterized with low productivity growth, and expenditures that have increased more than the GDP growth. Waiting times are long, and coordination between sub-sectors of health care has been poor, although the Coordination reform of 2012 has alleviated some of the challenges related to intersectoral coordination. Still, the divided responsibility for health care between the central government and the municipalities creates tensions between national ambitions and local decisions in the financing and provision of health services.

Bidragsytere

Aktiv cristin-person

Eline Aas

  • Tilknyttet:
    Forfatter
    ved Avdeling for helseledelse og helseøkonomi ved Universitetet i Oslo
Aktiv cristin-person

Tor Iversen

  • Tilknyttet:
    Forfatter
    ved Avdeling for helseledelse og helseøkonomi ved Universitetet i Oslo

Oddvar Martin Kaarbøe

  • Tilknyttet:
    Forfatter
    ved Institutt for global helse og samfunnsmedisin ved Universitetet i Bergen
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Resultatet er en del av Resultatet er en del av

The Sustainability of Health Care Systems in Europe .

Baltagi, Badi H.; Moscone, Francesco. 2021, Emerald Group Publishing Limited. Vitenskapelig antologi/Konferanseserie
1 - 1 av 1