A comparison of the United Kingdom's and Switzerland's healthcare financing systems for achieving equity and efficiency goals.

IF 2.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Ata Mohajer-Bastami, Sarah Moin, Benedict Sweetman, Ahmed R Ahmed, Marion Head, Edgar Gelber, Suhaib J S Ahmad, Aristomenis K Exadaktylos
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Abstract

Healthcare financing systems in the United Kingdom and Switzerland were compared with a focus on efficiency and equity. The United Kingdom's National Health Service employs the Beveridge model. It is predominantly funded through taxation and aims to provide free healthcare at the point of use. Switzerland's healthcare financing system is based on the Bismarck model. This social health insurance model is structured around compulsory health plans for all residents.

Methods: Healthcare financing systems were compared using World Health Organization reports, national health statistics and peer-reviewed literature. Efficiency was evaluated using metrics including cost-effectiveness ratios and healthcare outcomes. Equity was assessed by examining disparities in access to healthcare and socioeconomic health outcomes.

Results: The National Health Service excels at administrative efficiency and providing equitable access to care. It faces challenges such as geographical disparities in service availability and perceptions of underfunding. Switzerland spends comparatively more on healthcare but delivers superior health outcomes. Issues arise with providing equitable care to all citizens, particularly affecting low-income and undocumented populations.

Conclusion: The National Health Service is a leader in providing equitable healthcare but must address falling health outcomes while working within financial constraints. Switzerland demonstrates excellent healthcare outcomes and patient satisfaction but requires measures to ensure equitable service delivery. Ongoing policy adjustments are necessary to balance equity and efficiency while meeting meet new healthcare demands.

英国和瑞士医疗保健融资系统实现公平和效率目标的比较。
将英国和瑞士的医疗融资体系与注重效率和公平的体系进行比较。英国国家医疗服务体系采用了贝弗里奇模式。它主要通过税收提供资金,目的是在使用点提供免费保健。瑞士的医疗融资体系是基于俾斯麦模式的。这种社会健康保险模式是围绕所有居民的强制性健康计划构建的。方法:采用世界卫生组织报告、国家卫生统计数据和同行评议文献对医疗融资系统进行比较。使用包括成本效益比和医疗保健结果在内的指标评估效率。通过审查获得医疗保健和社会经济健康结果方面的差距来评估公平性。结果:国家卫生服务在行政效率和提供公平的医疗服务方面表现出色。它面临着服务可得性的地域差异和资金不足的看法等挑战。瑞士在医疗保健方面的支出相对较高,但提供了更好的健康结果。在向所有公民,特别是低收入和无证人口提供公平护理方面出现了问题。结论:国家卫生服务体系在提供公平的医疗保健方面处于领先地位,但必须在财政紧张的情况下解决健康结果下降的问题。瑞士的医疗保健成果和患者满意度都很好,但需要采取措施确保公平的服务提供。为了平衡公平和效率,同时满足新的医疗保健需求,有必要进行政策调整。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Swiss medical weekly
Swiss medical weekly 医学-医学:内科
CiteScore
5.00
自引率
0.00%
发文量
0
审稿时长
3-8 weeks
期刊介绍: The Swiss Medical Weekly accepts for consideration original and review articles from all fields of medicine. The quality of SMW publications is guaranteed by a consistent policy of rigorous single-blind peer review. All editorial decisions are made by research-active academics.
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