OECD Reviews of Health Systems: Costa Rica 2017 (eBook)

Oecd (Autor)

eBook Download: PDF

2017 | 1. Auflage
128 Seiten
OECD Publishing (Verlag)
978-92-64-28165-3 (ISBN)

Infos

This report puts forward policy recommendations for strengthening the performance and sustainability of the health care system in Costa Rica. There is much to praise in Costa Rica’s health care system: institutional stability; a closely integrated but well-differentiated provider arm, with strong primary care; a degree of inter-sectoral co-ordination that serves as a model of good practice; detailed and effective dialogue between users and health service managers; and, innovation around professional roles and the use of ICT that other health systems could learn from. All this leads to health outcomes on a par with several OECD economies. Nevertheless, serious strains are evident: spending is rising steeply, fuelled by salaries, fees and facility payments based on last year’s outlay. These spending increases are not always associated with improvement in services: waiting lists are excessively long and growing. The system is perhaps too stable: institutional rigidity and vested interests have stalled vital reforms, meaning that Costa Rica still lacks systematic application of DRGs and health technology assessment, despite attempts to bring them in.

Inhalt

Foreword 5
Acknowledgements 6
Table of contents 7
Abbreviations 11
Executive summary 13
Assessment and recommendations 15
1. Health care needs and the health care system in Costa Rica 15
2. Access and quality 24
3. Efficiency and financial sustainability 30
Notes 37
References 38
Chapter 1. Health care needs and the health care system in Costa Rica 41
1. Introduction 42
2. Health and health care needs in Costa Rica 42
3. Costa Rica’s path toward universal health care coverage 49
4. The major actors in the Costa Rican health care sector 53
6. Information systems underpinning the delivery, monitoring and evaluation of health care services 60
7. Conclusions 62
Notes 63
References 64
Chapter 2. Health care access and quality in Costa Rica 67
1. Introduction 68
2. Access to health care services in Costa Rica 68
3. Quality of health care provision in Costa Rica 78
4. Conclusions 84
References 86
Chapter 3. Health care efficiency and sustainability in Costa Rica 91
1. Introduction 92
2. Costa Rica’s health system financing in perspective 92
3. Revenue sources for the Costa Rican health system 97
4. Drivers of spending growth 102
5. Information systems underpinning financial decision making 112
6. Conclusions 116
References 117
Annex A. Historical development of the Costa Rican health care system 121
Annex B. Illustration of a CCSS service network 124
Annex C. CCSS primary care performance framework 125
Annex D. Screenshot of a primary care performance indicator availablefrom the EDUS information system 126

Produkt-Details

• Sprache: englisch
• Themenwelt: Schulbuch / Wörterbuch ► Lexikon / Chroniken
• Themenwelt: Medizin / Pharmazie ► Gesundheitswesen
• Themenwelt: Studium ► Querschnittsbereiche ► Prävention / Gesundheitsförderung
• Themenwelt: Recht / Steuern ► EU / Internationales Recht
• Themenwelt: Recht / Steuern ► Privatrecht / Bürgerliches Recht ► Medizinrecht
• Themenwelt: Sozialwissenschaften ► Pädagogik ► Sozialpädagogik
• Themenwelt: Sozialwissenschaften ► Politik / Verwaltung ► Staat / Verwaltung
• Themenwelt: Sozialwissenschaften ► Soziologie
• Themenwelt: Wirtschaft ► Betriebswirtschaft / Management
• Themenwelt: Wirtschaft ► Volkswirtschaftslehre
• ISBN-10: 92-64-28165-7 / 9264281657
• ISBN-13: 978-92-64-28165-3 / 9789264281653