ANALYSIS OF MEDICAL INSURANCE MODELS

Authors

  • V. L. Smirnova I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • N. Ya. Klymuk I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
  • D. V. Vakulenko I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2020.3.11630

Keywords:

health insurance, health financing, budget and insurance system, budget, social, private insurance

Abstract

Purpose: to analyze the main models of health insurance in different countries.

Materials and Methods. Methods of theoretical generalization, grouping are used; factor analysis; statistical comparison and generalization.

Results. Types of health insurance models are identified; their similar and different qualities are analyzed. The basic principles of combining budget and insurance funds for the provision of health services to the population are considered on the example of countries that are already making good progress in this area.

Conclusions. There are three main types of medical financing: public (budget), in which the state’s share
exceeds 70 % of total funding, social funding (from national social insurance funds that do not come to the
budget) and private health insurance. Each country typically uses all three types of funding, combining them in different proportions.

Author Biographies

V. L. Smirnova, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

PhD (Medicine), Associate Professor of Public Health and Health Management, I. Horbachevsky Ternopil National Medical University

N. Ya. Klymuk, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

PhD (Technical Sciences), Associate Professor of Medical Informatics, I. Horbachevsky Ternopil National Medical University

D. V. Vakulenko, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

DM (Biological Sciences), Professor, Head of the Department of Medical Informatics, I. Horbachevsky Ternopil National Medical University

References

Klimuk, N.Ya. (2009). Vplyv nevyznachenosti na popyt u medychnomu strakhuvanni [Influence of uncertainty on demand in health insurance]. Medychna informatyka ta inzheneriia – Medical Informatics and Engineering, 2, 69-71 [in Ukrainian].

Martsenyuk, V.P., & Klimuk N.Ya. (2012). Model bahatostadiinoho zakhvoriuvannia dlia zadach medychnoho strakhuvannia [Model of multistage disease for health insurance problems]. Shtuchnyi intelekt – Artificial Intelligence, 1, 160-168 [in Ukrainian].

Slavin, M.B. (1989). Metody sistemnogo analiza v meditsinskikh issledovaniyakh [Methods of system analysis in medical research]. Moscow: Meditsina [in Russian].

Chalyy, O.V. (2000). Synerhetychni pryntsypy osvity ta nauky [Synergetic principles of education and science]. Kyiv: Akademiia pedahohichnykh nauk Ukrainy, Natsionalnyi medychnyi universytet imeni O.O. Bohomoltsia [in Ukrainian].

Dieudonne, J. (1960). Foundation of Modern Analysis. New York: Academic Press.

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How to Cite

Smirnova, V. L., Klymuk, N. Y., & Vakulenko, D. V. (2020). ANALYSIS OF MEDICAL INSURANCE MODELS. Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (3), 103–105. https://doi.org/10.11603/1681-2786.2020.3.11630

Issue

No. 3 (2020)

Section

Organization of medical care

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