Structural effects of the information revolution on tax-funded European health systems and some potential policy responses

Abstract The ongoing information revolution has re-configured the policymaking arena for tax-funded health systems in Europe. A combination of constrained public revenues with rapid technological and clinical change has created a particularly demanding set of operational challenges. Tax-funded healt...

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Bibliographic Details
Main Author: Richard B. Saltman
Format: Article
Language:English
Published: BMC 2019-01-01
Series:Israel Journal of Health Policy Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13584-018-0284-2
Description
Summary:Abstract The ongoing information revolution has re-configured the policymaking arena for tax-funded health systems in Europe. A combination of constrained public revenues with rapid technological and clinical change has created a particularly demanding set of operational challenges. Tax-funded health systems face three ongoing struggles: 1) finding badly needed new public revenues despite inadequate GDP growth 2) channeling additional funds into new high-quality provider capacity 3) re-configuring the stasis-tied organizational structure and operations of existing public providers. This commentary reviews key elements of this new information-revolution-driven context, followed by a consideration of seven specific policy challenges that it creates and/or worsens for tax-funded European systems going forward.
ISSN:2045-4015