Malta has a long history of providing publicly funded health care. The first hospital recorded in the country was already functioning by 1372. [1] Today, Malta has both a public healthcare system, known as the government healthcare service, where healthcare is free at the point of delivery, and a private healthcare system. [2] [3] Malta has a strong general practitioner-delivered primary care base and the public hospitals provide secondary and tertiary care. The Maltese Ministry of Health advises foreign residents to take out private medical insurance. [4]
In 2000, Malta was ranked number five in the World Health Organization's ranking of the world's health systems, [5] compared to the United States (at 37), Australia (at 32), United Kingdom (at 18) and Canada (at 30). The healthcare system in Malta closely resembles the British system, [6] as healthcare is free at the point of delivery.
It moved up four places in the Euro health consumer index from position 27 in 2014 to 23 in 2015. It was said to have decent accessibility to healthcare, but indifferent treatment results. [7]
The Mater Dei Hospital, Malta's primary hospital, opened in 2007. It has one of the largest medical buildings in Europe.
The University of Malta has a medical school and a Faculty of Health Sciences, the latter offering diploma, degree (BSc) and postgraduate degree courses in a number of health care disciplines.
Malta also has voluntary organisations such as the Emergency Fire & Rescue Unit (E.F.R.U.), St John Ambulance and Red Cross Malta who provide first aid services during events involving crowds.
The Medical Association of Malta represents practitioners of the medical profession. The Malta Medical Students' Association (MMSA) is a separate body representing Maltese medical students, and is a member of EMSA and IFMSA. MIME, the Maltese Institute for Medical Education, is an institute set up recently to provide CME to physicians in Malta as well as medical students. The Foundation Program followed in the UK has been introduced in Malta to stem the 'brain drain' of newly graduated physicians to the British Isles. The Malta Association of Dental Students (MADS) is a student association set up to promote the rights of Dental Surgery Students studying within the faculty of Dental Surgery of the University of Malta. It is affiliated with IADS, the International Association of Dental Students.
A 30-year concession on healthcare services in the Gozo, Karin Grech and St Lukes hospitals was granted to Vitals Global Healthcare in 2015. The Medical Association of Malta objected because of "the complete lack of experience of the operator, and the dangers of government relinquishing its control of management and the resulting profit motive.” [8] In 2018 it was transferred to Steward Global Healthcare in January 2018 and precipitated a doctors' strike. [9]
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 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.
In the medical profession, a general practitioner (GP) is a medical doctor who treats acute and chronic illnesses and provides preventive care and health education to patients of all ages.
Primary care is the day-to-day healthcare given by a health care provider. Typically this provider acts as the first contact and principal point of continuing care for patients within a healthcare system, and coordinates other specialist care that the patient may need. Patients commonly receive primary care from professionals such as a primary care physician, a physician assistant, or a nurse practitioner. In some localities, such a professional may be a registered nurse, a pharmacist, a clinical officer, or an Ayurvedic or other traditional medicine professional. Depending on the nature of the health condition, patients may then be referred for secondary or tertiary care.
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."
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.
Family medicine is a medical specialty within primary care that provides continuing and comprehensive health care for the individual and family across all ages, genders, diseases, and parts of the body. The specialist, who is usually a primary care physician, is named a family physician. It is often referred to as general practice and a practitioner as a general practitioner. Historically, their role was once performed by any doctor with qualifications from a medical school and who works in the community. However, since the 1950s, family medicine / general practice has become a specialty in its own right, with specific training requirements tailored to each country. The names of the specialty emphasize its holistic nature and/or its roots in the family. It is based on knowledge of the patient in the context of the family and the community, centering on disease prevention and health promotion. According to the World Organization of Family Doctors (WONCA), the aim of family medicine is "promoting personal, comprehensive and continuing care for the individual in the context of the family and the community". The issues of values underlying this practice are usually known as primary care ethics.
Health technology is defined by the World Health Organization as the "application of organized knowledge and skills in the form of devices, medicines, vaccines, procedures, and systems developed to solve a health problem and improve quality of lives". This includes pharmaceuticals, devices, procedures, and organizational systems used in the healthcare industry, as well as computer-supported information systems. In the United States, these technologies involve standardized physical objects, as well as traditional and designed social means and methods to treat or care for patients.
A public hospital, or government hospital, is a hospital which is government owned and is fully funded by the government and operates solely off the money that is collected from taxpayers to fund healthcare initiatives. In some countries, this type of hospital provides medical care free of charge to patients, covering expenses and wages by government reimbursement.
NHS Scotland, sometimes styled NHSScotland, is the publicly funded healthcare system in Scotland, and one of the four systems which make up the National Health Service in the United Kingdom. It operates fourteen territorial NHS boards across Scotland, seven special non-geographic health boards and NHS Health Scotland.
Health care in Australia is primarily funded through the public Medicare program and delivered by highly regulated public and private health care providers. Individuals may purchase health insurance to cover services offered in the private sector and further fund health care. Health is a state jurisdiction although national Medicare funding gives the Australian or Commonwealth Government a role in shaping health policy and delivery.
Healthcare in England is mainly provided by the National Health Service (NHS), a public body that provides healthcare to all permanent residents in England, that is free at the point of use. The body is one of four forming the UK National Health Service as health is a devolved matter, there are differences with the provisions for healthcare elsewhere in the United Kingdom, and in England it is overseen by NHS England. Though the public system dominates healthcare provision in England, private health care and a wide variety of alternative and complementary treatments are available for those willing and able to pay.
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, the municipalities are responsible for providing healthcare to their residents.
A clinical officer (CO) is a gazetted officer who is qualified and licensed to practice medicine.
The French health care system is one of universal health care largely financed by government national health insurance. In its 2000 assessment of world health care systems, the World Health Organization found that France provided the "best overall health care" in the world. In 2017, France spent 11.3% of GDP on health care, or US$5,370 per capita, a figure higher than the average spent by rich countries, though similar to Germany (10.6%) and Canada (10%), but much less than in the US. Approximately 77% of health expenditures are covered by government funded agencies.
Partners HealthCare International (PHI) provides advisory services and professional consulting to organizations outside the United States. PHI is a subsidiary of Partners HealthCare System, a non-profit health care system based in Boston, Massachusetts.
Hungary has a tax-funded universal healthcare system, organized by the state-owned National Health Insurance Fund. While the healthcare is considered universal, several reasons can prevent Hungarian nationals to benefit from healthcare. For instance, a Hungarian citizen lived abroad but cannot show contribution to another country's healthcare on return to Hungary will not be denied "universal" healthcare regardless of the circumstances until the start of employment or such proof of contribution is provided. However, to the OECD, 100% of the total population is covered by universal health insurance, which is absolutely free for children, mothers or fathers with baby, students, pensioners, people with low income, handicapped people, priests and other church employees. Health in Hungary can be described with a rapidly increasing life expectancy and a very low infant mortality rate. According to the OECD Hungary spent 7.8% of its GDP on health care in 2012. Total health expenditure was $US1,688.7 per capita in 2011, US$1,098.3governmental-fund (65%) and US$590.4 private-fund (35%).
Healthcare in Slovenia is organised primarily through the Health Insurance Institute of Slovenia. In 2015, healthcare expenditures accounted for 8.10% of GDP. The Slovenian healthcare system was ranked 15th in the Euro health consumer index 2015. The country ranked second in the 2012 Euro Hepatitis Index.
According to the Constitution of Albania, citizens are entitled to healthcare. The healthcare system in Albania is primarily public. The public system is made up of three tiers: primary care, secondary care, and tertiary care. Primary healthcare covers basic health needs. Secondary healthcare is needed when seeing a specialist after being referred to by a general doctor. Tertiary healthcare funds highly specialized medical care that is needed over a long duration of time. There are over 400 public clinics that offer both primary and secondary healthcare services, along with over 40 public hospitals that offer tertiary healthcare services.
The nation of Liechtenstein has a universal health care system with decentralized, free market elements through mandated health insurance coverage for every person residing in the country.
In the past, Kosovo’s capabilities to develop a modern health care system were limited. Low GDP during 1990 worsened the situation even more. However, the establishment of the Faculty of Medicine in the University of Pristina marked a significant development in health care. This was also followed by launching different health clinics which enabled better conditions for professional development.