Health care in Cyprus accounted for 7% of its GDP in 2014. [1] Between 2010 and 2014, health care spending increased from $1,705 per capita to $2,062 per capita. [2] [3] Cyprus has a multi-payer health care system that consists of a public and private sector. [2] The public sector is funded by payroll, earnings taxes, and employer contributions. [2] The public sector healthcare provides social insurance for the employed, self-employed, and for several types of civil servant. [2]
A universal national health system, known as GESY, was implemented in Cyprus in June 2019. The system was created as part of a requirement in the bail-out agreement with the International Monetary Fund, the European Commission and the European Central Bank (the Troika). [4] The new system aims to provide affordable and effective medical care to all people residing permanently in Cyprus.
Cyprus's universal healthcare system, GESY, launched on June 1, 2019. [5] As of June 2022, 917,000 Cypriots have registered [6] with a general practitioner through the GESY system, which is roughly the current population of the Republic of Cyprus.
In 2013 Cyprus decided to establish a national health care system, with support from creditors of the International Monetary Fund, European Central Bank, and European Commission. [7] A Cyprus national health system was predicted to increase coordination, reduce waste, and be more fiscally responsible. [8] Inefficiencies in the system include overlapping services between the public and private health service providers and "poor communication and coordination" between the sectors. [9] Cyprus ranks the highest among European Union nations on out-of-pocket health spending. [9] [10] Public healthcare operates with the state's Ministry of Health providing control and funding. [9] Cyprus outperforms the EU average of dentists per capita (91 for every 100,000 people) and underperforms in pharmacists per capita (21 for every 100,000 people). [9]
George Pamporidis, the Minister of Health, announced in September 2015 that he intended to establish a National Health Service by 2017. He has previously pledged to clear our corruption in Cyprus' public hospitals. [11] Establishment of an operational NHS was a promise Cyprus made as part of the bailout programme with the Troika of international lenders. Pamporidis proposed a 2% special tax (1% for employers and 1% for employees) to finance a "mini-NHS". [12]
The current dual sector system is in the process of being replaced with a national health system that aims to provide universal coverage. [8] The National Health System was supposed to save €292 million from 2016-2025 compared to the predicted expenditures of the current system. [8] The public health sector managed by the Ministry of Health provided free services to approximately 83% of the population. [13] Public coverage includes dental, mental health and pharmaceutical services, as well as general public health resources. [9]
The three government bills and regulations introducing the General Healthcare System, GeSY, were agreed by parliament on 16 June 2017. It is supposed to be fully operational by 1 July 2020. [14] Collection of contributions for the first stage of implementation started on 1 March 2019. [15]
Sir David Nicholson was appointed chairman of the newly established State Health Services Organisation (Greek: ΟΚΥπΥ (OKYpY)) in 2018. [16] Thomas Antoniou is the president.
In March 2019 it was reported that more than 1,200 doctors have signed up to work for it. About 1,300-1,400 doctors will be required for its first phase. [17]
The Euro health consumer index ranked Cyprus 26th of 35 European countries in 2015, commenting that it did not really have a public healthcare system in the general European meaning of the term. [18]
Health care reform is for the most part governmental policy that affects health care delivery in a given place. Health care reform typically attempts to:
Medicare is an unofficial designation used to refer to the publicly funded single-payer healthcare system of Canada. Canada's health care system consists of 13 provincial and territorial health insurance plans, which provide universal healthcare coverage to Canadian citizens, permanent residents, and depending on the province or territory, certain temporary residents. The systems are individually administered on a provincial or territorial basis, within guidelines set by the federal government. The formal terminology for the insurance system is provided by the Canada Health Act and the health insurance legislation of the individual provinces and territories.
Publicly funded healthcare is a form of health care financing designed to meet the cost of all or most healthcare needs from a publicly managed fund. Usually this is under some form of democratic accountability, the right of access to which are set down in rules applying to the whole population contributing to the fund or receiving benefits from it.
Health insurance or medical insurance is a type of insurance that covers the whole or a part of the risk of a person incurring medical expenses. As with other types of insurance, risk is shared among many individuals. By estimating the overall risk of health risk and health system expenses over the risk pool, an insurer can develop a routine finance structure, such as a monthly premium or payroll tax, to provide the money to pay for the health care benefits specified in the insurance agreement. The benefit is administered by a central organization, such as a government agency, private business, or not-for-profit entity.
Universal health care is a health care system in which all residents of a particular country or region are assured access to health care. It is generally organized around providing either all residents or only those who cannot afford on their own, with either health services or the means to acquire them, with the end goal of improving health outcomes.
Healthcare in Canada is delivered through the provincial and territorial systems of publicly funded health care, informally called Medicare. It is guided by the provisions of the Canada Health Act of 1984, and is universal. The 2002 Royal Commission, known as the Romanow Report, revealed that Canadians consider universal access to publicly funded health services as a "fundamental value that ensures national health care insurance for everyone wherever they live in the country."
Two-tier healthcare is a situation in which a basic government-provided healthcare system provides basic care, and a secondary tier of care exists for those who can pay for additional, better quality or faster access. Most countries have both publicly and privately funded healthcare, but the degree to which it creates a quality differential depends on the way the two systems are managed, funded, and regulated.
Single-payer healthcare is a type of universal healthcare in which the costs of essential healthcare for all residents are covered by a single public system.
Health care in Ireland is delivered through public and private healthcare. The public health care system is governed by the Health Act 2004, which established a new body to be responsible for providing health and personal social services to everyone living in Ireland – the Health Service Executive. The new national health service came into being officially on 1 January 2005; however the new structures are currently in the process of being established as the reform programme continues. In addition to the public-sector, there is also a large private healthcare market.
Healthcare in the United Kingdom is a devolved matter, with England, Northern Ireland, Scotland and Wales each having their own systems of publicly funded healthcare, funded by and accountable to separate governments and parliaments, together with smaller private sector and voluntary provision. As a result of each country having different policies and priorities, a variety of differences have developed between these systems since devolution.
The National Health Service (NHS) is the publicly funded healthcare system in England, and one of the four National Health Service systems in the United Kingdom. It is the second largest single-payer healthcare system in the world after the Brazilian Sistema Único de Saúde. Primarily funded by the government from general taxation, and overseen by the Department of Health and Social Care, the NHS provides healthcare to all legal English residents and residents from other regions of the UK, with most services free at the point of use for most people. The NHS also conducts research through the National Institute for Health and Care Research (NIHR).
The National Health Service (NHS) is the umbrella term for the publicly funded healthcare systems of the United Kingdom, comprising the NHS in England, NHS Scotland and NHS Wales. Health and Social Care in Northern Ireland was created separately and is often locally referred to as "the NHS". The original three systems were established in 1948 as part of major social reforms following the Second World War. The founding principles were that services should be comprehensive, universal and free at the point of delivery—a health service based on clinical need, not ability to pay. Each service provides a comprehensive range of health services, provided without charge for people ordinarily resident in the United Kingdom apart from dental treatment and optical care. In England, NHS patients have to pay prescription charges; some, such as those aged over 60, or those on certain state benefits, are exempt.
Healthcare in Turkey consists of a mix of public and private health services. Turkey introduced universal health care in 2003. Known as Universal Health Insurance Genel Sağlık Sigortası, it is funded by a tax surcharge on employers, currently at 5%. Public-sector funding covers approximately 75.2% of health expenditures.
Healthcare in South Korea is universal, although a significant portion of healthcare is privately funded. South Korea's healthcare system is based on the National Health Insurance Service, a public health insurance program run by the Ministry of Health and Welfare to which South Koreans of sufficient income must pay contributions in order to insure themselves and their dependants, and the Medical Aid Program, a social welfare program run by the central government and local governments to insure those unable to pay National Health Insurance contributions. In 2015, South Korea ranked first in the OECD for healthcare access. Satisfaction of healthcare has been consistently among the highest in the world – South Korea was rated as the second most efficient healthcare system by Bloomberg. Health insurance in South Korea is single-payer system. The introduction of health insurance resulted in a significant surge in the utilization of healthcare services. Healthcare providers are overburdened by government taking advantage of them.
Healthcare in Finland consists of a highly decentralized three-level publicly funded healthcare system and a much smaller private sector. Although the Ministry of Social Affairs and Health has the highest decision-making authority, specific healthcare precincts are responsible for providing healthcare to their residents as of 2023.
Healthcare in Denmark is largely provided by the local governments of the five regions, with coordination and regulation by central government, while nursing homes, home care, and school health services are the responsibility of the 98 municipalities. Some specialised hospital services are managed centrally.
Examples of health care systems of the world, sorted by continent, are as follows.
A new measure of expected human capital calculated for 195 countries from 1990 to 2016 and defined for each birth cohort as the expected years lived from age 20 to 64 years and adjusted for educational attainment, learning or education quality, and functional health status was published by The Lancet in September 2018. Latvia had the twenty-first highest level of expected human capital with 23 health, education, and learning-adjusted expected years lived between age 20 and 64 years.
As of 2019 Lithuanian life expectancy at birth was 76.0 and the infant mortality rate was 2.99 per 1,000 births. This is below the EU and OECD average.
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