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Can people afford to pay for health care? : New evidence on financial protection in Sweden

Glenngård, Anna LU and Borg, Sixten LU (2019)
Abstract
This review is part of a series of country-based studies generating new evidence on financial protection in European health systems. Financial protection is central to universal health coverage and a core dimension of health system performance.

The incidence of catastrophic health spending is low in Sweden compared to many countries in Europe due to relatively high levels of public spending on health, and health coverage policy carefully designed to protect children and adolescents from co-payments.

Catastrophic spending on health is concentrated among poor people. The drivers of financial hardship are dental care and medical products on average, but among the poorest quintile, the largest contributor to catastrophic... (More)
This review is part of a series of country-based studies generating new evidence on financial protection in European health systems. Financial protection is central to universal health coverage and a core dimension of health system performance.

The incidence of catastrophic health spending is low in Sweden compared to many countries in Europe due to relatively high levels of public spending on health, and health coverage policy carefully designed to protect children and adolescents from co-payments.

Catastrophic spending on health is concentrated among poor people. The drivers of financial hardship are dental care and medical products on average, but among the poorest quintile, the largest contributor to catastrophic spending is outpatient medicines. There is also substantial socioeconomic inequality in unmet need for dental care and prescribed medicines.

User charges (co-payments) are widespread in the Swedish health system. Although there are age-related exemptions and annual caps in place to protect some people from some co-payments, both policies could be improved. The results of this analysis suggest that more could be done to protect poor households, including action to lower access barriers and out-of-pocket payments for people receiving social benefits. (Less)
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author
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organization
publishing date
type
Chapter in Book/Report/Conference proceeding
publication status
published
subject
host publication
Can people afford to pay for health care? New evidence on financial protection in Europe
pages
73 pages
publisher
WHO Regional Office for Europe
ISBN
978 92 890 5465 2
project
Public Management Research
language
English
LU publication?
yes
id
1ba3d233-92ea-4613-90d1-7f60765d7a40
alternative location
https://apps.who.int/iris/bitstream/handle/10665/330234/9789289054652-eng.pdf?sequence=2&isAllowed=y
date added to LUP
2020-04-01 10:59:30
date last changed
2021-03-23 22:29:36
@inbook{1ba3d233-92ea-4613-90d1-7f60765d7a40,
  abstract     = {{This review is part of a series of country-based studies generating new evidence on financial protection in European health systems. Financial protection is central to universal health coverage and a core dimension of health system performance.<br/><br/>The incidence of catastrophic health spending is low in Sweden compared to many countries in Europe due to relatively high levels of public spending on health, and health coverage policy carefully designed to protect children and adolescents from co-payments.<br/><br/>Catastrophic spending on health is concentrated among poor people. The drivers of financial hardship are dental care and medical products on average, but among the poorest quintile, the largest contributor to catastrophic spending is outpatient medicines. There is also substantial socioeconomic inequality in unmet need for dental care and prescribed medicines.<br/><br/>User charges (co-payments) are widespread in the Swedish health system. Although there are age-related exemptions and annual caps in place to protect some people from some co-payments, both policies could be improved. The results of this analysis suggest that more could be done to protect poor households, including action to lower access barriers and out-of-pocket payments for people receiving social benefits.}},
  author       = {{Glenngård, Anna and Borg, Sixten}},
  booktitle    = {{Can people afford to pay for health care? New evidence on financial protection in Europe}},
  isbn         = {{978 92 890 5465 2}},
  language     = {{eng}},
  publisher    = {{WHO Regional Office for Europe}},
  title        = {{Can people afford to pay for health care? : New evidence on financial protection in Sweden}},
  url          = {{https://apps.who.int/iris/bitstream/handle/10665/330234/9789289054652-eng.pdf?sequence=2&isAllowed=y}},
  year         = {{2019}},
}