HE210 Exam 3 Germany, Japan, Cuba, Finland
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Germany Cost - ANSWER - Taxes shared equally between employees and employers
(about 15%, earning over $70k can opt for private)
- Mandatory Insurance amount is based on income
- Government subsidies toward insurance for unemployed and low income
- OOP Expenses: Copayments $10 per quarter with SHI for GP's, copayments of 10% for
prescriptions, copayments of daily inpatient stays up to 28 days
LTC: Mandatory insurance, employer/employee contribution rate of 2.35% and 2.6% for
those w/o children, caregivers are reimbursed (50% of professional rates)
Germany Quality - ANSWER - Described as restriction free and consumer-oriented
- FJC
- Institute for Quality Assurance & Transparency in Healthcare: EB evaluations of
benefits and cost benefits for health services
- Disease management programs: Coordinate care across providers for chronically ill
Germany Access - ANSWER - Health Insurance is mandatory
- Technology: Electronic Health Card, CT's & MRI's in line with other EU countries
- Federal Joint Committee assesses new medical tech
- Wait times shorter for private insurance
- Access to hospital within 30 mins in entire county
- Concerns reguarding shortages for nurses, dentists, GP's, Emergency care staff, and
midwives
- Little gatekeeping
, Germany Types of Healthcare Coverage - ANSWER - Statutory Health Insurance (SHI):
Public Health Insurance, 88% of population uses this, covers retirees and working
adults with certain income levels
- Private Health Insurance (PHI): 11% of population uses this
Germany Barriers to Access - ANSWER - Shorter wait times for elective procedures and
with PHI
- Self-employed may not have health insurance
- Distribution of health providers between urban and rural
Germany Quality Outcomes - ANSWER Life Expectancy: About 81
Infant Mortality Rate: 4
Germany: Core Beliefs Related to Healthcare - ANSWER - Healthcare is a right
Japan Cost - ANSWER - SHIS funded by 42% taxes, 42% individual contributions, 14%
are OOP expenses
- Coinsurance: 30%, the amount owed is calculated at time of visit, coinsurance may be
partially subsidized for low income, children under 6, and elderly
- Caps on OOP: $3,200-$21,200 depending on income
- No deductibles
- Some copayments for preventative visits and cancer screenings
- Compulsory Long Term Care Insurance financed by taxes and regional premiums, 20%
coinsurance- 10% for low income
Japan Quality - ANSWER - Little to no national oversight on quality or support for "under
performing" providers
- Public health centers in each prefecture treats infectious diseases, mental health,
environmental problems; and addresses sanitation and hygiene.
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